The URL can be used to link to this page

Home My WebLink About14646-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ...... Z..~ .4.4.8.3. ..... Date June 5 19B.6. THIS CERTIFIES that the building accessory garage Location of Property . .295. Central Drive Mattituck House No. Street Hamlet County Tax Map No. ]000 Section ..... .~ .0.~....Block ...... .3 ........ Lot ...... .2.0 ......... Subdivision ...X ....... Filed Map No...X. ..... Lot No ....... X. ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ·.. [l.o.v.e.r~ .b.e.r.. ] ¢ ..... ,19 .8.5. pursuant to which Building Permit No .... ! .4.6.4.6. .g ........... dated ........ Sa. r.c.h.. ~ ¢ ........... 19.8.6. , 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 ......... ·. g.c.q~.o.r.M.g.a.r.a.g.e The certificate is issued to .......... A.I.qDREAS & ATHENA PAPADOPOULOS ......... ...................... of the aforesaid building· Suffolk County Department of Health Approval . N / A UNDERWRITERS CERTIFICATE NO ............... N / A Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERi, IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14646 Z County Tax Map No. 1000 Section ...... I....0....~. ....... Block ....... ~ ........... Lot No ..... ..'~,...,,~, ........... pursuant to application dated ....... I10.~.,..1...~. ........ , 19.'~ ...... and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~,~TC~?WN OF 'SOUT~OLD I Instructions This application must be filled in typewriter OR ink, and submitted I~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of propertv with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 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- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to Apr!l 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of bu ildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion requ ired to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancv on pre-existing dwelling 3, Copy of certificate of occupancv $1,00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Date ....................... New Building .... ~ .... Old or Pre-existing Building ............ Vacant Land ............. Location of Property. 2f~.. ....... C.~.~...~...J?.~....~. ~..Y'..~. ....... ~--'~'/~"~'~'/~ ................ .~.'~. ° House No. Street Hamlet Owner or Owners of Property .../~...~..~-. '.~..~T .~..'. ~../~..~.~..~..~.~..~../~ .~...F-.~t~.../2;-.....~.~./~C~..¢~..~X~S County Tax Map No. 1000 Section ..... /..~. ~ ..... Block . .-~ ........... Lot.. ~...(~ .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant..~../~..~..~..~.~... r.'~..~..~..~.~.~./~..~.~..A~..-~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ................. Fee Submitted $. . ;.. ....... Construction on above described building and perrr~t.rn, eets all a[;~J~ble c(~j~es and regulations. /% -- ' , Applicant . ,~'.¢, .~.~---~¢f~h¢~,. , . ,~, .~,, ,-~-M~%?,,, ................. Rev. 10-10-78 COMMENTS FIELD INdirECTION 1. FOUNDATION FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INsuLATIoN FRAMING [ ] FINAL INSPECTOR ~/~_~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 7654802 19~/a PermitNo l~l~6"~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT }~LDG i;'E~ 7 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspectiorfehroughout the work. e. No building shall be oceupied or used in wh~°le orin part f°r any purp°se whatever until a Certificate °f 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 in building for necessary insp~. ~ /_. ~ (Signature of applicant,/'or name~, if a corporation) .)e,. .......... vO.~ (ga_ilin,~ address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, seneral contractor, electrician, plumber or builder. Name of owner of premises ..... .3....4...~/./.p~.~ .... ~. 07.~. q./,.O..~. ........................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ....... . ................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ........ .2 ......... .......... P. ¢ a:..& g., House Number Street Hamlet County Tax Map No. 1000 Section ./~t~ ............. Block...,~. ............ Lot. ~.0 .............. Subdivision ................ (iq'a}~4) ................ Filed Map No ............... Lot ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed 6onstruction: a. Existing use and occupancy .... /..'~..~../~../4 ~....~. ~../~.~'. ' b. Intended use and occupancy .... .'~. ~.~' ..... /d~?.~....~. t57.~.~..~.~. ............................... 3. Nature of work (check which applicable): New Building ~.~.~/~Addition i.. ......... Alteration ' Other Work Repair .............. Removal .............. Demolition ........................... (Des. cription) 4. Estimated Cost ~..~.. O. ........... :.: .... Fee .... ' (to be paid on filing this application) ~it 5. If dwelling, number of dwellin~ units.. "' ". Number of dwelling u s on each floor If garage, number of cars ...[ : 6. It' business, commercial or mixed occupancy, specify nature and extent of each ~ype 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 bf Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ...... i ........ Depth ............... Height Number of Stories 9 Size of lot: Front Rear ' Depth 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 regulation: ~ ...... 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises Address ' Phone No .............. Name of Architect ........................... Address .............. ~ .....Phone No ..... Name of Contractor ................. Address ........ : ............... ..... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly al! buildings, whether existing or proposed, and. ihdicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. , , He is the (Contractor, agent, corporate officer, etc.)} of said owner or owners, md is duly author~ed to perform or have perfomed the sfiid work and to ~e and file this application; that all statements contained ~ this application are true to the best of h~.~owledge and':~fief; and that the work w~l be perfo~ed in the m~ner set forth in the application filed therewith. ~wom to before me this , ......... [~ ........... day of...: .~ .......... , 19 ~1~ ~, ~ ~ew ~ "/ [~ ature ~ 470767[ S~olk ~ Lot 157 "~'~$~00'$0"~. ~O. O0' LOt 163 /55.. od ' , S. 86o00~30' ' .~ NB6~OO,30,,W. ~ ~ 90 O0 CAPTAIN KIDD NOTE=~ MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ~UFFOLK COUNTY ON JAN. 19,1949 AS FILE NO. 1672 Dt IV E .EV, S~O~S YOUNG & YOUNG JUNEIO)t974 4-00 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: GEORGE NICHOLAS & COSTAS "~ , UNEXCAVATE5 PI~QPOSED ~AFtAGF_ PAPADOPOUL05 RESll]E. NCE -t ~'~' MASONA~¥ PLAN OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY CRo53 SECTION //-6" - 2.~4 ~ T/z'.5 L~$Z'D(., > FLOOR PLAN LEFT ,SIDE ELEVATION