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Home My WebLink About10615-z fORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy :t;1 01 Sr.; October 6 80 No..........:...... . Date .. . . . . . . . . . . . . . , . . . , . . . . . , . , . , . .. 19 . . . THIS CERTIFIES that the building. . . . ' . . .... .............. ,..., .,- ". ... ........ . 12)0 Aquaview Avenue East Marion, N.Y. LocatIOn of Property'. . . . . . . . . . . . . . , . . . . . , . . . . . . , . . . . . ' , . . . , . . . . . . . . . . . . . . . . , . . . . . . . House No. ,022 35ft 2.001 Hamlet County Tax Map No. 1000 SectIOn ........... .Block ..... . . . . . . . . . .Lot . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . , , . , . . . . . , . . . . . .Filed Map No, .....,. .Lot No. ............. conforms substantially to the Application for Building Permit heretofore flied in this office dated Apt'il 2. 80 10615Z . . . . .. . . . . . . , . . . . . . . . , 19 . . . pursuant to which Budding Permit No, .,......,..,......... "P1'lJ. 2 80 dated ....,.,..................... 19 . , . , was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .. . , . . . . , Convert 2nd Floor to Habitable Space in One F~lily Dwelltng ...".....,................ ,................................. ,.... ,............. GEORGE KIOUZELLIS The certificate is issued to .,.,...................... fJi.i1ix~dhxrl}' . . . . . . . . . . . . . . . . . . . , . (owner, or a J of the aforesaid building. N/R Suffolk County Department of Health Approval ...........,...... . . . . . . . . . . , . . , . . , . . . . . . . , N~ UNDERWRITERS CERTIFICATE NO. .. .. . . . . .. . . , , .. .. . . . . .. . . . . ., .. . .. . .. . .. . .. . ... . ....... ,.................. ,............. Building Inspector Rev 4/79 j ,'1 ...l, , jL " " ' ~ FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE pREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 10615 Z Date 4.J./.?:.I.c............Z,..... .....,.."..., 19<f'O' Permission is hereby granted to: .....~f).E....I-/......7i7a~........ ...", ....d,QN..wCU;).O..../?OA.,0... '.. ' .....5d~T#.q..~j;)~.#..r..'. .... " .(j;;J - T - /.. - 9 ~ ..v. -LG/ y..j. ~ z:;;1 t. - ta ... ./..oI.J/.~. .......~:~.r.~A/.. '..... ' ~ '.(').../= o./:c::..., 'f'C)" 'ADt ~~ C ~.P~.c.~...../..u....().;~...~M,/.k'1,..~;;t;;;II,<;y.~J.....~..~..1f.i~.uz:.l;/ 116 at premises located arf..I2.3..0......,4?vA..U/.EMJ....A~.;;"...................,.............,..,. ...................................................................:......,...., ,,, ...,... ...............E~.N,.?J.kIO-A..}..h..5.,. ............................................................................. .................................................................................. pursuant to application dated ...../.f'Ii:..I..t..-....Z...............' lJ2J., and approved by the Building Inspector. - c) Fee $.15:::......... ............ i ' l4 ., "J, ,~ , ' ~ , , FORM NO.6 ">.! TOWN OF SOUTHOLD . \ I,)' ," Building Department \. I' /' Tawn Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate ta the Bu'ilding Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate lacation of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tians. a certificate of Code compliance from the Architect br Engineer responsible for the building. 5. Submit Planning Baard approval af completed site plan requirements where applicable. B. For existing buildings (prior to April 1957). Non,conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peaperty showing all property lines, streets, buildings and unusual natural ar topograph ic featu res. 2. Swam statement of owner or previous owner as to use, accupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy an pre-existing dwelling or land use $5.00 3. Copy of certificate of accupancy $1.00 Date .~. -:-. :7-. :-: .~.? . . . . . . . . New Building. . . . . . . . . . . . . Old or Pre.existing Building ............ Vacant Land .........~... Lacation of Property !.?-:~~:?.. ~."'k".. y.;....!-V. .A.v......J. E........... .1;,..~ .~f-!"f:\ .<:>:Q House No. Street Hamlet Owner or Owners of Property .6 g..Q)-;-'(j' -e... ,l..{.:1 .9. k... ":2....~ .I. J.~_.s.. . .. . ... . .. . ... .... . C T M N 1000S O"L'L. k 9' 9Z~L"~Y0 I ounty ax ap o. ectlon ............... Bloc .... .......... Lot.. ............. S bd" - F' - ~~ u Ivlslon................................. lied Map No. ......... .Lot No. ............. Permit No.1-0b t,!.:I.'?. Date of Permit 1j:Z../:1>p.APPlicant .G e..;>.\.{!).~. .. ~:"!::'r:':t: "1- . . . . . . Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Labor Dept. Approval .....,...:-:............. Underwriters Approval. . . . :'. . . . . . . . . . . . . . . . . . .Planning Board Approval ........:............. Request far Temporary Certificate. . . . . . . . . . . . . . . . . . . . .Final Certificate.. . . , . . . . . . . . . . . . . . . . . . Fee Submitted $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Canstruction on abave described building a permit meets all applicable codes and regulations. /'.. .. ~ -- Applicant. .dbd~I;~Wddd Rev 10-10-78 /~ .??; ~7IF/'17/3 I , . 'j ~. ,t t1S.:t "",,;.11 i", - to.!;"_< !n-t TEL. 765-1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 July 31, 1980 George N. Terry P. O. Box 41 Southold, N.Y. 11971 Dear Mr. Terry: . , This is to advise you that the job under Building Permit No. 106152 issued to Geo. Kiouzellis on April 2, 'l'::Iea for complete 2nd floor appears to be completed as of our last inspection, Before you can legally use or occupy this structure a Certificate of Occupancy must be issued. Please fill out the enclosed form and return same to the above office, There is a fee of $5,00 for a Certificate of Occupancy Thank you for your prompt attention. Very truly yours, ~, ;~/~ GEORGE H. FISHER Sr, Building Inspector \~ encl. {v ( ~1J r1Y' \0\ ~ , ; , ~" ) 1- ~tl <I;, ~,~kkt:1~ d. ~""~ A,,/' _" j;.., iL.., I> "....1M", " , ,i,. ,';. FIELD__~~:S.?~::"'o.ILli.l\'.__,.__ [~~~~U t~''J: -'^~~. -'lS , __ _____________,___.l_==1i___~_~_ '. . ___ =-::.:::::-_--==-=::.:-----:::-~_=__======:::.. 'c.. 1 1 . . q ----" "" .50 H _.~"--".__.~. -~----- ~--~~~---------~~--~----~-_._- 8 FOUNDATION (1 st) z: - - - -- - -'- 0 . FOUNDATION (2nd) ~~ ~~' 2. 1m ::t.!.. ROUGH FRAME & 2;....... oN PLUMBING . !J ~ [Q~ 3. ~~ , - I ~~ , INSULATION PER N.Y. I ~ STATE ENERGY ~ CODE ~ " :::r: 4. !~ - ~~ FINAL - -qJ ~ h-, C} ([J . ADDITIONAL cOMMENTS: >oj \ ~ - -- ~ i \;. , ~ , i , ~ , ~ , , , , ~ i I-'v'( , ~" i [-~ , , ::; f- :::r: ([J .' !!1 I I-' c+ P' - t:1 . ([J i c+ ."," n' ,;' , '.~ 11., . , ~, . ~'. ",' .,,, ~ )... ~ '" ,,$<..1.. 1. <.,I,n .' , , . . ([J ;;tJ J12~ (TI 3 (J1 <?-{ & - .:>p CJ ~:r ;;:r [11 ;r fTlrv ?- rrt APP~ 'lrm AS NOTED E )"0J (<) -U DATE0 g B,P.:f:I: (Ob is ~ z (PO (T1 ~r FEE' IS- BY: ~ [fJ -I O;p- >- AlZ NOTIFY CUICOI~"G 6f:DAR M.: It AT ...{ s0 0 11~(j1 765-180'2 9 AM TO 4 PM FOR THE 11 FOU.oINING ii'lSPECTIONS: >c I. FOUI'F,,^,-:-I,')N - TWO P.EQUIRED 41 /0)>- 0'(0 FOR. rcu:rr) COeKREF f'J(i1 7J 0 ? ROUG! I . FRA,'v\lr.1C 8, PLlJMBING 0< 0 H"11 3. IN'T!LAJ JON Vl~ '7 ~p 4. FIN/\L . \')N<:H'Uc:TION MUST ....-- (r1 30 .... 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I C1> - - (TI <: >>~~ t ~ . ...l rn -I~ ;0 m v)>-t- (>0 z (;0 ;0 t1 ~!: r VI. ur ~ r;;<J (j )> Z.C cJ> tP ::j III z.. ! 0= ~ f f' t (/I - IT! 0 ~ - 1< 0' t1 (Ij (JJ I ~ . .s OJ 11 00 Z.1'"1J-g )0 III S i ..- J: -'9 ' ;:. fI1 -z; , " >" ..."',,, (II p~ t "~""""'''''~ tJ (fJ tJ I (j (71 7J (T/ S -l (II jtJ 1" 0 11 . 1> I . .'L .1 ~~, }>J i.i .:At n , , . . 0fr1 )>'1< /P- rCJ! 171-1 - E:1~ Of( .n~ ;0 $ IT! 11 < ~ ;V..... o m z.t -1 o J >,0 1}0 0 (:jlJ :}J' 8,;(i 0- -'5 C:Z --1m - (fIti"> oiV m z. ~ ..., -r( r> en " r ;1' Iii c:. or/!) 0'- -f ;xJ ~ f I (jI /:- "U-jz . -- r (j I fd )>00 m z.;:J E rfl :r ('11 n1 -1 oJ d 11 I , ...t " j,,4 j , ',. " 1.':'rit, . ,,1, ,.,1;,.1. i.~." . ~ \:-- , ., , , . , " I~ z < 5 iTf 0 - 01'" -1 fTJ itJ; (11 E ./ (jI (fJ J ..4 ;tj?J ..... If! - (Tj \J .' f , :2)> );> pz. UI - - ....! (> .'" - l,D- rnC11 I (,.\ (/) -. ~~: --- ---~--- Hr1 (j> :J> Vt4= ~~ 3cP (; 1../l"1"' -fi1 I ..fl:& ~ ~ tJ1cft , 0 ~f:) F >=- < I o;c.~ r fl! m = ,.0 ~ ;r r r I 01:.- JO ;;- r _ "c;. 7-Z ~b Q I -:z" if "? L ---t.~~ ~; ~r () ";J> r =:{> z 1 {j3'> - 0-.../ 1/1 -r - 2.- ,::6 - , I ~Z ~, (I1(jJ o mc . /)? (11m ()o z.> j~ f:J:5 o(/' IP Z!( r~~ < - f11 ~ ~= (J1 -'/' ~I Z..j:> { (j1 ~ q Bb \11 ~ l'r' : 35'. (/'jj p .J... CP (TI s: fT1 -I S I~~- \I' .po, i oj -rf' ~ , _ 1-,A.L;J.. _~ ~ f~", , , ,~ ' it , . I , , }j_ ~1: I , TEL. 765.1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 July 31, 1980 George N. Terry i> P. O. Box 41 Southold, N.Y. 11971 Dear Mr. Terry: , . This is to advise you that the job under Building Permit No. 106152 issued to Geo, Kiouzellis on April 2, '1980 for compl ete 2nd floor appears to be completed as of our last inspection, Before you can legally use or occupy this structure a Certificate of Occupancy must , be issued. Please fill out the enclosed form and return same to the above office. There is a fee of $5.00 for a Certificate of Occupancy Thank you for your prompt attention. Very truly yours, 4'7' ;f;L ~'l GEORGE H. FISHER Sr. Building Inspector encl, t,,"}.t 1 " ~ .' -~_.J-J-_d . <!:~ Ji, h,' K.w Lbk. ,., I:2L" .~ .~f;,. ",""ili,' "._.'. FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ~/?i/-. , .?!., 19 f8 Application No. .le;?~ ~.:r. . . . . . APprovedJ:J9lf:'d...~. " 19JP Permit No. .Iq.t;/;:;- Disapproved a/c. , . , . , . . . . . . , . . . , . . . . . . . . . . . . . . . . . . . - ..,................ . ............ . (Build ng Inspector) APPLICATION FOR BUILDING PERMIT Date. . ~ , .l. ."?-. . . . . . . ., I~ INSTRUCTIONS a, ThIs application must be completely filled m by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detaIled description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d, Upon approval of this application, the Building Inspector will issue a Building Permit to the applieant. Such permit shall be kept on the premIses available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and III buildings for necessa inspections. . . (Si~~~t~r~ ~f a;;lbt:::~~;;~;ati;~)' . . . f?'?.'. ~. ~ . ~. .\. . S 9.~.~ ~,tt. .N..\{ . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...' .i?L-':-'!. \, ~,~ t:.......".."..,..,.......................,. .................... '" .... Name of owner of premises . e,.,~, ~. ~. ~:(... . . \<..\. o. .""--:1....'(.. t.l ! ..s. . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, sIgnature of duly authorized officer, . . . . . . .W, ./. 1\. . . , . . . . . , . . . . . . . . , . . , . . . . . . . . (Name and title of corporate officer) Builder's License No. .::#.. \ l, S? , . . . . . . . . , , . , Plumber's License No. ...,.,........",....... Electrician's License No. ... . ................ . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . \ .'?. 3 .0. . . A..\. ~ <1.. . V .1: '(...~ . . A. V !1..') . .\;,.: . . . . . . , \'1. ~.t: I .0 ~ 'f . . N.. ~t. ~ . . . ' ., .........,................................."................. House Number Street Hamlet County Tax Map No.1 000 Section .,. O.?'-~. . . . .. Block .... G? /. . . . . , . . .. Lot o.et. Z. , ~ .I. . . Subdivision. . . . . , . . , , .~, , , . . . , . . . . . . . . . . , . . . . . Filed Map No. - .. ~~ -- . . ._.~.. .. Lot.... , . .. . .. . .. . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . P.I": .:. V :it..1 ~ . . Q ~. s: \ ~. ~ .t:I. <-.~. . . . . . . . . . . ft~ . . . . . . . . . . . . . . . . . b. Intended use and occupancy.... .R~.~:\ .~~.I) .c.~.. ,I.;;)/./.(.":>.'/$I...~.... .~~..... . j <>:,.,] "d . - ..".~, ~\ " 3. Nature of work (check which applicable): New Building. . . . . . . . . . Addition. . . . . . . . .. Alteration .~..... Repair .............. Rem(>val . . . . . . . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . . '. ! ~ (Deseription) 4. ' . ~ S~,,;;;>C '. I([<!.!t hstunated Cost . . .< .' . . . . . . . . . . . . . . . . . . . . . . Fee .. . ................................. i (to be paid on filing this a,PlicatiOn) , 5. If dwelling, number of dwellinglunits . . . . ., . . . . . . '. .. Number of dwelling units on each floor. .. ............ I .......... 6. :~~~::~:,uc~~%~:c~:~r'~jx'eh' ~~;~;a~~~: ~;~;~; ~~t~r~'~~d ~~te~t ';f'e'a'ch't~~~'~i~~e' : : :,~ :I~: : : : : : : : : : : 7. Dimensions of existing structur~s, if any: Front. . . :"!"i"'. . . . . . . . . Rear ..~......... Depth. . ~ . . . . . . . . . Height ..... _. . . . . . . . Number of Stories. . . . '2.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , Dimensions of same st~cture ~ith alt~rations or additions: Front ...... .~. . . . . '.' Rear ~ . :":":"': . . . . . . . . . . Depth. . . . . . . . ._. . ; . . . . . . . . HeIght. . . . . ._. . . . . . . . . . . . . . Number of Stones. . . .. ................ 8. Dimensions of entire new constfuction: Front. . . . . ~. . . . . .. Rear . . . . . . .,,!,,; . . . . . . Depth .. .' ~" . . . . . . . Height....... ._..... Nu~berofStories....... .~............................................. 9. Size of lot: Front .. . . . . . . . .~ . . . . . . . .. Rear..... ~. . . . . . . . . . . . .. Depth ...................... 10. Date of Purchase ..........;.................. Name of Former Owner ............................. I J. Zone or use district in which premises are situated. . . .~. . "'f.\.' . . . J ... . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , . . I. .. h8 12. D?es proposed constru~tlOn vIolate any zomng law, ord . dt b ~~a 0 . . ~""""'.":""""""'" 13. WIll lot be regraded ..... t.... .. . . .. . .. ..... .,. . WIll excess fIll be remo "om premIses. Yes NQ, 14. Name of Owner of premises .~.... .,,: . .'. . '1 . : . . Address t1.'~ ^:r.r/l' v~ "...... . Phone No. ,oj"'" t.1.J!1.,......,) Name of Architect .'...... .<:~~~"'... !\)!,-.I.,<i'. .1.'.11:. Address '. .'11;'. ;I......... !...... Phane No. ............... Name of Contractor . . . . . . . . ; . '''r, . . . . . . . . . . . . . Address \r.-:JCJ ).t.''''~'' .1<1"", . . Phone No. '1,"5- "4-\&' . . . G.I\I)-\t ~I. <<n'~ " I, .1.(. PLOT DIAGRAM , .' Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lilies. Give street and bloek' number or description according to deed, and show street names and indieatewhether interior or corner lot. I , . , # . ::riFE PIA1M>. <J~a.11fr: . ! j ). '..~" '. " $ .~ .,~ \ STATE OF NEWX,OR,l(,... F S.S COUNTY OF.. .",I!( !.~:'. ~..:.. (. ;--' 7. f. {)iFf,.,;.' il. : f;; 'f" I' 11 b' dId d th t h . th r t . . . . . . . . . . .'. . .' . . . . . . . . . . . . . . . . . . . . .. ............ emg u y sworn, eposes an says a e IS e app Ican (Name of individual signing contract) I above Ilamyd. 1 He is the. . . . . . . . . . . . . . . , . . . . . '. . . . . .. , . . . . . . . . . . . . . . . . . . . . . . . . :. . , . . . . . . . , . . . . . . . . .,... . . . .. . . . . . . . . , (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perfarm 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 pe performed in the mann~r set forth in the application filed therewith. Sworn to before me this ! "j '. ." . ." .. . . . . .:.:? ~~'. . . .... ..!lay o'f.. . . .1.1t:'I.,:. .. .. . '" 19. .~iI ,,-,",,' .,1; ~ It ,. ''f ,idJ'(,,, /'';<1' 1 (' f. .,/.-"'(, , ".' ~ ~ . ,,:';' I. ' NotaryPu~hc, ................;...........~.."...'.;. ounty '" '-4 ~ ' · h- . ~ DA F. I(OW ' I NOTARY PUBLIC S 0 ALSKI I ' . ... . '. . .. . . . . . . . . . .. .. . .I. . No 52"45t;~~;i New ~011l' '(Signature of QUdlrflCd In SUffolk ' Com'rl/~sJOn E COlJnty , ~ xPlfCS March 30 !.:L .'\ .-,;" 119&... 'i: