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HomeMy WebLinkAbout6443-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z?5'36 ....... Date ...... ....... F. eb.. 25' ...... , lg. THIS CERTIFIES that the building located at .. zer~a, ltoad ............... Street Map No. Cap.t .Kid~l. Block No ........... Lot No...].?.3 ..... Ma.t.t.~,~;uck ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... ~4.~.~,...28...., 19.?.3. pursuant to which Building Permit No.. dated ......... Mar.. 28 ..... , 19.73., 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 .. Pr£vate..o~e. f. amily:, dwalling, w. ith. add it&or~ ..................... The certificate is issued to . .Nick .Soullas ..... ~ner ............................. (oWner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N,R., ............................... UNDERWRITERS CERTIFICATE No.. ).~3.~..~.~.3 ..... .Sgp.~...2.0.. J97.6. ............. HOUSE NUMBER .... 2~.~ ....... Street ... Z~, P~ ....... ~ia~ti.~u~k .......... ...... ..... .... Building Inspector FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 64~3 Z Permission is hereby granted to: '. ~.:~,~ ~.~e.~./~ ..................................... i""~'"'~'v'~,.,z....,.~.~ ...................... at premises located ot .........~..~.-~. ...... ~,~...~'.....N.....,~. ............. .~.-....O...A..i../~.' ................................................. pursuant to a~pl'ication dated ......................... : ................. ~ 19~.., and approved by the Building Inspector. Fee $ ........................ Building Inspector THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICtTY ak 85 JOHN STREET, NEW YORK, NEW YORK I00:B8 i B.,eSeptember 20, 1976 '~"p'icati°"/~°'°n'file878040 N 304143 ~IS CERTIFIES THAT : the electrical eqttipment o~ described below and introduced by the applicant ~amed on the above applicatlo~ number in the premises of Nick Souiles, 605 Zena Road, Mattituck, L.I. I the following location; ~ Basement ~ 1st FI. ~s~,~.,nl.e,lo,,September 16, 1976 I ~C FIXIURES SW~TCHES NCAND~ ENT FLU~ESCE~ [] 2nd fl. outside Section Block and found to be in co.~pllance with, the requirements of this Board. Lot EXHAUST FANS FOI~M NO. $ TOWN OF $OUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new dse: 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--iS-9 form or equal). 3. Approval of electrical installation from Board of Fire Uhderwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from th~ 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 rUSeS, or buildings and "pre-existing" land uses: 1. Accurate survey, of property 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 buildihgs or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $§.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date . New Bqilding Addition /' , Old o e- isting BU' di g ............... Vacant Land .............. ............................... r Pr ex ii n . Property .../g//~: ,.... ~...~.~ 7...:,......~...~.~..~,.. ~x~.~'. ........ Location Of Owner Or Owners Of Property ....... ~.C/.-' -- ~~.~...~~ ................................................ / .....~... Subdivision .~:i~..,.~.,....,.~,,~,q~,_~,,,..Lot No./,.~'.,'~"~..,/~lock No...~.... H~ouse No.~,.,~..'-,~, Permit No. ~,~,..~,,~,.~, Date Of Permit ,~,,~,?/~,,~,,Applicant ~.~:~.. Health Dep,. Approval ....... ~..,/,~ ...................... Labor Dep .~"Appraval ..._.~../..~,...: .......................... Underwriters ApprovalS,...~,./....~.~...~../...~.,.-~... ........ Planning BOO'rd Approval ..~..../../~,~ .................... Request For Temporary Certificate ........................................ Final Certificate Fee Submitted $ --~' ~ Construction on above described building ar(_d~:~r.mlt meets all Sworn to before me this ..... day of ........ Notary Public ..... .~y:.,. County (stamp or seal)