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Home My WebLink About8814-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ,. Z,~.6~2 .... Date ...... Apri~ .19 ............ , 19.~7. THIS CERTIFIES that the building located at . Reeve. Ro~d .............. Street Inlet Eas~. - Map No.. Esta~'es' · ~ocK No... ~ ...... Lot No...~ ............................. conforms substantially to the Application for Building Permit heretofore filed in this office dated . · .Auguzt: 2.3- . . , 19..7(~ pursuant to which Building Permit No..881AZ. dated August 215 ....... , 19..7.6, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. private- on,-family. ~wellin~ ............................... The certificate is issued to Costa~ and .Si;renal;ia Cost~idt~ ................... (owner, lessee or tenant) cE the aforesaid building. Suffolk County Department of Health Approval 6,-~O-1~9 .................. UNDERWRITERS CERTIFICATE No ..... ~18611 ............................ I:IOUSE NUMBER 1685 ... Street .... Reeve .Reac% .......................... ......................................... ~at~L~uck.,..N.Y.. ..................... Building Inspector FOEI~ NO. 2 TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT O-HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COA4PLETION OF THE WORK AUTHORIZED) N? 881~ Z Date ......................... ~,Bg.....~ .............. , 19.~?.(~.. Permission is hereby granted to: ......... ~.~.~.~ ......... ~.~. ............................... Costld~$ TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This opphcation must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use' 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Hoa~t~ Dept. o~ w~ter supply ~nd sewerage d~spos~l~(S-9 form or equ~D. 3. Approval of electrioa~ installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, ~ultiple Residences end s~m~ler buildings ~nd ~nst~llct~ons, e certificate of Code compliance from the Archffect or Engineer responsible for the building. 5. Submit Pbnnmg Bo~rd ~pprowl of completed s~te plan requ~remems w~ere ~ppliceNe. B. For existing buildings (p6or to Apr~l ~957), Nomconform~ng uses, or buddings ~nd 'pre-ex~st~ng' bnd uses: 1. Accurate su~ey of proper~ showing ~11 property lines, streets, buildings ~nd unusual n~ture~ or topographic features. 2. Swo~ statement of owner or previous owner cs to use, occupancy end condition of build~ngs. 3 D~te of ~ny housing code or safety ~nspecHon of buffd~ngs or premises, or other pertinent in- fo~tion requir~ to prepare ~ ce~ff~cme C. Fees: ~. Ce~ifioate of occupancy ~5.00 2. Certffioate of occupancy on pre-ex~st~ dwelling or I~nd use $S.00 3 Copy of certificate of ~cu~ncy $1.00 ~ ~ildi~ ..... ~...... Additio~ ................ Old or ~r~-exi~ti~ ~ildi~ ................ Vacant Land .............. Owner Or ~nem Of Prope~y .~.~..~.~..~.~.a...~.~.~.~.(.~. ....................................... Subdivision ................................. ~..~.,i~.S ........... Lot No ............. Block No ............. House No ~ Permit No. ~.~.~..,~ ..... Date Of Permit ~.~..~.Applioant ~.~..~.~....~.~.~..../~ .... Health Dept. Approval ............................................ Labor Dept. Approval ............................................... Underwriters Approval ~..~...~..:..~..~.~...k~].~. ............... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate . ...~... .................................. Fee Submitted $ .... ,~,,'.?...~,. ..................... Construction on above described building on, permit meets oil _applicable c~odes and regulations. Sworn to b ore me this t ................ day of ............................................ (s amp or sea Notary Pubhc .................................... County - THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY j---ak ss JOHN STREET, NEW YORK, NEW YORK 10038 a~,. December 29, 1976 ~ppU~-t~onNo. on/ile881858 N 318612 THiS CEET~FIES THAT only the electrical equipment ~ described below and introduced by the applicant named o~ t~e a~ve applicatlo~ ~umber i~ t~ prem~es of Costas Costidis, Reeve Rd., #1685, Mattituck, L.I. in the followlng locaaon; wasexamznedon December 27, ~975 andfoundtobeincompllancew~ththerequirementso~thi~Board. FIXTURES RANGES C~ING~E S OVENS IOISH WA5HERS FIXTURE RECEPTACLES SWITCHES INCANDESCENT ~ FLUORESC[NT OUTLETS , ............ NO OF FEET , SER ~CE NN CT T~ ' OF CC oFAWGHI tEG ~ J~50 J CB I J J x J j j Z ~/0 J OTHER APPARATUS Lot EXHAUST FANS 1~ l "~ DIMMERS E NOOF NEUTRALS A W OF NEUTRAL G.FoC.I. Smoke Detector Charles M. Hall, Box 760, Lonsacre D~., Southold, L~z~ i197i, GENERAL MANAGER hic.657E ~ Per D Th,s cert,f,¢ate must not be altered in any manner, return to the off,ce of the Board ~f ,ncorrect Inspectors moy be ~d~credentlals. TOWN OF SOUTHOLD/__ __ BUILDING DEPARTMENT ~/8?/~--~m~n~/~ TOWN CLERK'S OFFICE ~UTH~D, N. Y. .......... ...... .......... ........ .................... , I~STR~IO~S a. lhi~ ~p~lieation mu*t ~ ~m~l~t~l~ fillod in b~ W~writ*r or in ink and submitted in triplicate to the Buildin~ 3 ~t~ of ~lan~, accurat~ ~lot ~l~n to ~cal~. [~ ae¢ordin~ to ~chodule. b. ~lot ~l~n ~howin~ location of lot and of buildin~ on ~r~mi~, r~lation~hi~ to adioinin~ ~r~mi~ or ~ublie ~tm~t~ or ~r~a*, ~nd~ ~ivinfl a d~tail~d d~cription of I~out of pro~0rW mu*t ~ dr~wn on diagram which c. The work covered by this application may not ~ commen~d ~fore issuance of Building Permit2 d. U~n approval of this application, the Building Inspector will issue a Building Permit to the ~Pplicant. Such ~rmit.shall be kept the premises available for insect(on throughout the work. e. No building shall ~ occupied or u~d in whole or in pa~ for any purpose whatever until a ~rtificate of Occupancy shall have ~en gran~d by the Building Ins~ctor. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zo~ Ordinan~ of the Town of ~uthold, Suffotk County, New York, and other applicable Laws, Ordinance or Regulations, for the ~nstru~ion~ building, additions or alterations, or for removal or demolition, as herein described. The appli~nt agrees to ~mply with all appli~ble laws,~ ordinance, building code, housing code, and regulations, and to admit authorized ins~ctors on premises and in buildings for necessary ins~ions~ ...[~..~.~.~ ~.....~.n.~.......L~., ......... (Si~natur~ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................ .C=..F..~.~ ~, .... ,~..~.-T~ n,.~.~. ~... ............................................................................... Name of owner of premises ~.~ ...... .~..I.~.,5..~,.....~..L/~ff/.4~..(/...~.....~...O...¢~.~/.(...~./.,.~ .................................................. If ap~i~u~,duly aut,~ized officer. ........ ...... .......... - (Name and title 6f corporate officer) Builder's License No...~.~.~..~....~...*....~...~.......'~....~¢~.. ........ Plumber's License No ......................................................... Electrician's License No ..................................................... Other Trade's License No ................................................... I. Location of land on which proposed workj~ill b~ done. Map No J.~.~=~.[ ;r::&.~.~ ~$TJ~.~'~_ot No..~..e.../.-~...~..~. ..... R Street and Number .... ,..,~....~;;..~..,...__.......,~.L.._r...~...~.....~.~[~.~.~./~'./.~...~......4~X4/.~. .......................... ~/~r~'//4~c.,/~.1 /~'. %//. Municipality 2. State existing use and occupancy of premises and inten, j;Led use and occupancy of proposed construction: a. Existing use and occupancy ........... .~..~'...4~.....Z,J..L/'(/ .............................................................................................. b. Intended use and occupancy ..~..~.~...~.Jh-.~/.~'~..~.......,'~....&~..~...~...~.~.../X'..~..,. ....................................................... 3. Nature ~ ~'k (check which apl31icable): New Building ~. .......... Addition ..................... Alterat on.:..~: ~.. Repair ......................... Removal ......................... Demolition ........................ Other Work {Description) 4. Estimated Cost .~,...~...O....~. ...................... Fee ................................................................................................. ~' ' (to be paid on filing this application) 5. )f dwelling, number of dwelling units ..... .~. ........ Number of dwelling units on each floor ..J....~..~'.o....~....~.., ................ )f garage, number of cars ......~ ................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................................... 7. Dimensions of existing structures, if any: Front .....................Rear ........................... Depth ................................... Height ........................................................... Number of Stories ............................................................................. Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth ............................................. Height ......................................... Number of Stories ................... v ................... 8. Dimensions of entire/new construction: Front ....~.4./..~.....~.~..... Rea~_:.~.~.../~../..~. ......... Depth ...~...?.. ....................... 9. ~ie~eg~ lot: Fro ~....I,.'~''~'-~' ................ 'N"u' '?;Fa r°~' 'S' ~ '°~'~'":::"~ "~' !' !' "~"":"'~"": D e P t h ' ' ~' · 2 · '7'" ': ................. ::'":'::::::: 10. Date of Purchase ..................................... Name of Former Owner ............................................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulati°n: '-'-I~O ................................................. 13. Will lot be regraded ~.~.0. ...................... Will excess fill be removed from p.remises: [ ] Yes ]~ No 14. Name of Owner of premises ..~,o.~-~..~..,~....,~..-~.,~.t3.~..~J.,~t.....(~...°..~.~..i)?..~.,~ ........ ~'~/.~..-...z~.~7~..~/.~.~.~. ........... (Address) {Phone No.) Name of Architect ...................................................................... i~,~J~'~'~i ..................................................................(Phone No.) Name of Contractor E~..t~../~...~5 ~.~'/3~..~'....Z/~..C.,...;.~.../~..~..N~...~),...,~/~.-"~/~'.~'/,~...~...~,~;,~q, ..... tAddress Phone No.) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate wheth- er interior or corner lot. o, NEW vO,,, )SS coum¥ O. ...................................................... ) ............ ...................... being duly sworn, deposes and says that he is the applicant above named. (Name of individual signing contractJ ....................................................... {Contractor, agent, corporate officer, etc.} of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Notary Public ........................................ , ............. ................ County .................... (Signature of aptblicant) ,~$-r'olz~,4, h.V.Y, lllOZ i- Lo'r' Z LOT ..~ /o7'5' }. -4 /V'L4p o~ Lo~ ,~, lUFF. CO. HI[Al. TH DIPT. Lo-r' ~ - ;~5'7.0 t K LOT ,'~ SUI~P'. 'b.O~. H ..F~,_.I~.~ D£1J'I'. APPROVAL --}. H, $ NO'. _ t //v,,_ ~'-'/- E,4$z TO THIS SURVEY IS A VIOLATION Of ~';L~ sUFF. OO. DEPT. OFI, ilF,.ALTHt'IL~VIC, I:~ , ltl"A, , ll:N,T, Oltl , (-~o, ~_o,- AP.eovA- o~' ,co~,'mUc-nO,.' :~.,~,~2,,'~.~/)__ '~,-'1~.. WA"I~.~ SUPPLY AND ~II:WAOIE DISP'OliJAL I~"~:I:J,MS P*OR THI~ DAT~:: ............ STANDAIIID~ OF SUFFOLK CO, D£PI'. H. S. REP. NO: ............. [, ..... 1 17 ........ : API~LIC'LA'NT " APPP~OVED AS NOTED NOTIFY BUiLDiNG DEPARTMENT ~ 765.2660 9AM TO 4P~, FOK REQUiI~. ED NSPECTiONS: 1, BEFORE BACKFILLING FOUNDA- TION OP, START FRAMING 2. BEFO~,E COVERING PIPELINE 3. FINAL WHEN JOB COMPLETEO ,..D