The URL can be used to link to this page

Home My WebLink AboutZ-11460FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.~.U.~P .......... Date ...d.a.n.u..a.p.y..3. ! ................... 198.3.. THIS CERTIFIES that the building ................................................ Location of Property .. 2. .7 .7.5 ............. B..v .ay.. ~..v .e.n.u.e. .............L.a.u.v.e. ~ ............ House No. Street FI~I~ 7 Hamlet County Tax Map No. 1000 Section .. 1..2.6 ....... Block ...0..9 .......... L~o~ 0 1 3.0 0 1 Minor Minor Sub division...M..a .r g.u.e..r .i.t.e.. ~ :..W.a..s .s.o.n. .... t~l~d- M~I5 No..3. 0..9 .... Lot No...1 ........... Requirements for a private one-family dwelling built prior to conforms substantially to the A-ppfieatkm-for -B'uiiding -Permit -h~rtrtofvre- fited fin -this -office-gale'ct' Certificate of Occupancy · . . .A.p.r..i .1..2.3. ........ , 19.5.7. pursuant to which RtrHd~ng Pen.irNo....Z.1.1.4..6.0 ............ dated ..... J.a.n..u .a ?. y. . .3 .1 ............ 19 .8.3. , 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 ......... The certificate is issued to MARGUERITE R. WASSON (owner, lessee ot~terrantP of the aforesaid building. Suffolk County Department of Health Approval ... n. 9..v.e.c. 9.v.d. ............................ UNDERWRITERSCERTIFICATENO ........... ~9..~q97.~ ............................ This is based on a signed affidavit by Marguerite Reeve Wasson, dated January 25, 1983. This lot was granted by Zoning Board of Appeals, #3015, and approved by the Planning Board, 11/8/82. A Buildinglnspector Rev. 1/81 FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date ...J.a..n.u.a. Ey....3,1 ................... 19 .~.3. THIS CERTIFIES that the buildingS... { .4.) ......................................... '. Location of Property . 79.6.5 ........ .G?.e..a.~..~.e..c 9.nfi:.c...B.a.y...B.l.v.d.: ....... .Lfi. u..r.e.1 ....... House No. Street '¢F~T Ham/et County Tax Map No. 1000 Section . J .2.6 ........ Block .0..9 ............ Lot. 9J.2...o. 9J ........ Minor Minor Subdivision ...H.a?.g.u. 9.r.i.~.e.. ~.'..~..a.s.s.o.n. ..... F~'re-d'-M~[~No...3.0.9. ...Lot No..2. ........... Requirements for a private one-family dwelling built prior to conforms substantially to the A19ph-ea{-io~ floe- Bui-l, Oirtg-~ Perm-it- heret'ot:crm -fried- i~- t/tis- off'fcc xlatert Certificate of Occupancy · .A.p.r..i.1..2.3. ........... 195.7. pursuant to which B~itd~ffg-F~R No..Z.1.1.4..6.1 .............. dated .... J. a..n.u.a.r, y..3.1 ............. 19.8..3, 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 ......... The certificate is issued to of the aforesaid building. MARGUERITE R. WASSON (owner, fes~ex~r ~narrt) Suffolk County Department of Health Approval ...... n. 9.. ?.e.c. 97.d. ........................ UNDERWRITERS CERTIFICATE NO .............. n. 9.. ?.e..c 97.d. ........................ This is based on a signed affidavit by Marguerite Reeve Wasson, dated January 25, 198B. This lot was granted by Zoning Board of Appeals, #3015, and approved by the Planning Board, 11/8/82. .......... ...... Jk Building Inspector Rev. 1/81 ,/ .\ FORM NO. $ TOWN OF SOUTHOLD Buiiding Department Town Hall Southold, N,Y. 11371 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final sur'zey of property with accurate location of all buildings, property lines, streets, and unusual natural or toDograohic features. 2, Final approvat 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 building~ 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. B. For existing buildings {prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate sur~ey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupanc,/and condition of buildings. ;3. Data 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 on pre-existing dwelling or land use $5.00 3. Ccpy of certificate of occupancy $1.00 New 8uil~ing~7~. "~ .... %%~ ~. o ~~'~~~~'. Old or Pre-existing Building(, X) .._~ .... = /Vacant Land - ............. Owner or Owners of Property . .J.l.t ~q ~ ~ .~,~ 5~, · . ' .... ~ .... ~ ~c. ¢ ..... -.~ ...... o ..~..t.. Fermi[ No ........... Da~e of Perm = .......... Applicant ..... .( ............ ......... · ...... Heatth Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Underwriters Approval .............. , .......... Planning Board Approval .................. Request for Temporary Certificate .... Cnn ~ .~ ..... I ., .... .,.-.~,~ t . ~.~< / ................ ~ , . . ~ ........ ' .. _ :.". - · . - ..... ~7,'~*.,-...;.~."~.. .~,, ,. ~ ,..,.. .... -,; '-.. ~. ,:,-:.¢,.., ..... ':~> .~ : . . .' . . .. " .. ~..' FORM NO. 6 TOWN OF SOUTHOLD · Buiiding Department Town Hall N,~. 1,~/J Southold, ' APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec. tar with the following; for new buildings or new use: 1. Final sur,zey of property with accurate location of ali buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Heaith 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 building~ 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty 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 informa- tion required to prepare a certificate. "Y C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 ewBuil~ing .... ~. ....... Old orPre-ex~stingBuildJ~g(~._..~.__ _-~ Vacant Land -j ....... _ , ..... , ' County Tax Map No.., 000 Section Perm,[ No ....... ~ .... Date of Heal£h Dept. Approval ........................ Labor Dept. Approval ..................... .,.. Underwriters Approval .............. , .......... Planning Board Approval .................. ~ ,.. Request for Temporary Certificate ..................... Fi.cYal-O~rtificate'~ ~ . .'~,0..~4'.~,.L ....... · ~0 ~E A VALID TRUE IH ,Y TO THE P[k~OI ¢¢~°~- . .--' z