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Home My WebLink About14408-zFORM NO, 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ........ .Z1.4070... Date ...... .D.c..c.e.m.]qe..r..1.O. ............. 19 .8.5. THIS CERTIFIES that the building ......... .o.n.e. 7.c.a.~.. 9.a.r.a. 9 .e.. ..................... Location of Property ...].35 ................. .~.e. qa. Rd. Mattituck House No. '' 'S't/e~i ....................... h~r~l'~i County Tax Map No. 1000 Section ..... .19.6....Block ........ .5. .....Lot ..... .2.3 .......... Subdivision..C.a~.~.:..t<.~.d..d..E.s.~ .a.t:.e.s. ........ Filed Map No...1.6.7..2..Lot No ....... 1.7..~ .... conforms substantially to the Application for Building Permit heretofore filed in this office dated ·.. 9¢.~qloer..~ ~ ...... , 19 ~.5. pursuant to which Building Permit No .... .1.4 .4. 0. 8. .~ ........... dated ...... .O.q~;9~p.e.a~..3 9. ......... 19 .8.5., 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 ......... ..... .O.n.e..-9.a.r' . g.a.r.a.g.e. ,. ........... ............................................. The certificate is issued to ANDREAS PAULOU ..................... ...................... of the aforesaid building. Suffolk County Department of Health Approval ................. .Nzr~.. ..................... UNDERWRITERS CERTIFICATE NO ......................... .N/P,. ..................... Building Inspector Rev. 1/81 FORM NO. ft TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT Frills PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 14408' Z Date ............... , 19 Permission is hereby granted to: ........ ~...~~ .,:,z.6~..~ ........ ........ ~...0.., ...... r..~.~. ....... z.~ .................... ....... ~.~...~...o....~.~r.~..,y......../., ?~/ ,o ........ .c~z~.. ~ .z'.Z¢~...¢. ~'.......o.~.~......~....v~....'.c~..~.zr~.~. ..................................... ..~.,....?...~.~.:.~.~ ............................................................................................................................. ........ .~..~.~.~.~<.~ ................ .4. County Tax Map No. 1000 Section ...... /.0..~. ......Block ..... (~.....~..'~. ..... Lot No...C}~.~.. ....... pursuant ,o application dated .... .Q..~../.~.~.~......~!..~......., )9.Z..~'~, and approved by the Building Inspector. Rev. 6/30/80 FO~'ae NO. ~, TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST DE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: .... .~;~ ... ~/.,... .................. ,o ~....~ - ,~ ~ '"~'" ..i"'i:~ L...i ............................................. ......... ~ ............ , ....... ~.~ ............ i/~.../.~ ~ ~ ....... ~...,.~..~ ....... ../....~.,..~ ...... ~.~./~......../....;......~.....~ ................ at premises located at ............................. .~..~. .... ~..~...../~.. ......... .../~.,.~,,,~..~. ........................................... ........................................................... ~..~ ......................................................... ......................................... iL..i ........ ii.....iiiiii~'.;.'.';.'~..P... .......................... ./ County Tax Map No, 1000 Section ......~..4 ............. Block ....../.. ............ Lot No .......~.....,..'..~... .... pursuant to application dated ~".~.../."~-- 19.f,-~,,., and approved by the Building Inspector. Fee $ ....................... Rev. 6/30/80 FORM NC). 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG. DEPT. TOWN OF SOUTHOLD Instructions A. This application must be filled in typewriter OR ink, and submitted aallmm~aa to the Building Inspec- tor 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 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 April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I. 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 buildings. 3, Date of any housing code or safety inspection of buildings or premises, or other pertinent inform+ tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 New Building , .~.~../~..~9. ~.~... Old or Pre-existing Building $15.00 Date .......................... ............ Vacant Land ............. Location of ProperW . ./, ,~, ,~,,..~, · .~, ,/? .... ~.0~9...~, ........ t., ,2~, ,~7,~,~, ,C< ,~, ,~. ........... House No. Street Hamlet Owner or Owners of Property .. ~../~. Q.~O..~.~.. ~ .... ./~..~..~..~.O..C~. ............................ County Tax Map No. 1000 Section ... ]..~.~. ...... Block .... . .~..~.. .... Lot .... ~. ~..~ ..... Sub*v~s~o,...C~ .qT... F.~.~ .D... ,~. ~.,,ed Map No. l ~2 .:2-....Lot No...k~ .H. ...... Permit No./.~..~.~..~.... Date of Permit ~ .~./?~.Applicant ...."~P¢',2.. ~.z~..~../...E~....~. ........... Health Dept. Approval ........................ Labor Dept. Approval ........................ .... gB dApp ~ Underwriters Approval ........................ Planmn oar royal .... ~ ~;,~- ........... Request for Temporary Certificate ..................... Final Certificate ..... ~ .............. Fee Submitte ................. Construction on above described building and perm~it meets ~11 april,cable codes and regulations. qs'b .................... .................... Rev, I0-10-78 -.% FIELD INSPECTION FOU~DgTIO~ .~ (1st) COMM~N'I'~ FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING JNSULATION PER N. STATE ENERGY C,ODE 4. FINAL ADDITIONAL COMMENTS: LoT '0 LoT 174 m 125.0 ,iD SURVEY FOR ANDE'EAS 81 CONST,4NTI/~ PAVLOU AT MATTITUCK TOWN OF SOUTHOLD SUF'FOLX COUNTY, N.Y, SCALE ~ I'% ,~0' .4UG, 29, 1973 REFERENCE , Ift/O CAPTAIN KIDD ESTATI~S GUARANTEED TO, USI.,IFE TITLE IHSURANCE ¢0. OF N. Y. SOUTNOLD SAVINGS BANK ANDREA$ ~ ¢ONSTAN TfA PAVLOU 76S-~,802 BUILDING DEPT. INSPEI TION [ ]FOUNDATION 1ST [ ] ROUGH pLBG~ [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: ]~FINAL ,? DATE / "'~-/?/~' ~-' INSPECTOR 'FORM NO. 1 TOWN OF SOUTHOLD' BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved . .~...%.~.. ?.Q ....., 1 7Pe.nit No..r?. Disapproved a/c ......... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... , 1 9 · INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, ?elationship tq 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 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 B~tilding 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 auth°rized iuspect°rs °n premises and in building f°r neces:~.i.n~oy .~,~.. n.. n. ~'..dkJ0.~ ............. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ................... Name of owner of premises .... j~ .~..O../~. ~..1.1~ 3. .... .~..~. ~ ./.~..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 ....................... 1. Location of land on which proposed work will be done ................................................ .- - House Number Street Hamlet County Tax Map No. 1000 Section .... t ..~..~. ....... Block... ~ ........ Lot (~.."~...~.~. ....... Subdivision..~..~. 0. ?.../.'{').q.~....~.~.'~. t~~-F-~ .... Filed Map No... l.~. 3~. ..... Lot .... \ .~ q ...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy ...... .C)...~..~.... C(~r..~.... GF~-/~ ~.. ~o -~ 3. Nature of work (check which applicable): New Building .......... Addition .: ......... Alteration .......... Repair .............. Removal .............. Demolition .......... ' .... Other Work ............... i (D ripti ) · Estimated Cost ..... / .............................. ee ........................... *" ({6 ble paid on filing this application) 5 If dwelling number of dwelling units "-- " Number of dwelling units on each floor If garage number of cars ~)d3J~c- . .'... i 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .... ~ .............. 7. Dimensions o_fexisting structures, if any: Front .... r....----w; .... Rear ..... i .-77'7~'... Depth ...-~ ........... Height Number of Stories - --- , Dimensions of same structure with alterations or additions: Front .......... i ...... Rear .................. Depth ...................... Height ......... r~. · ./ ........ Numbe~; 9f Stories .............. / ...... 8. Dimensions of entire neB, construction: Front .. ./. ........ Rear ..../~. ~ ........ Depth ~... /d /%o7- ....... Ho.i~ht . . t 7- ........... Number of Stories .... O. ~/?~/'. ..... Siz; of lot: Front q.O. Rear S°. ..... i Dep;h" i i i i/~ ~i i i .............. 9 ' 10 Date of Purchase Name of Former Owner l 11. Zone or use district in which premises are situated ....................... '[ ............................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .. ~...~,/..o ...................... .--, 13. Will lot be regraded ..... ?..°w . . ... ....... ,~ ....... Will excess fill be remoged from premises: Yes 14. Name of Owner of premises . .~t..~'?..~.~?.3.../?..~.~.O:~ddress ./.7.q...2. q.,?.~.. ~0..,y?.. Phone No. g.~. tLn .~. -YJ..'~.. Name of Architect ........................... Address ...~7.' i~..~'./( .;".~.c~ ..... Phone No ................ ,.~,X.,~ N ' qiL.~. ~.-~. amc of Contractor .~ll:~'Ath .................... Address .......... .... Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. lindicate 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 ........ S.S ................................................. being duly sworn, d{ )oses and says that he is the applicant (Name of individual signing contract) above named. He is the ........................................................... , .............................. (Contractor, agent, corporate officer, el c.) of said owner or owners, and is duly authorized to perform or have performed thC 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· Sworn to before me this · ~.~ /~ dayof 0¢~.. 19~'~'~ Notary Public, . ~. County