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Home My WebLink About8856-zFOI~M NO. & TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Cerlificnte Of Occupnncy No..~7.~.~. ...... Date ........... .~. ?.....8. ......, 19..7,7. THIS CERTIFIES that the building located at .A. rs..ha.m, om~. q.u.e...A.v.e ........ Street Map No..~..~.x?.~.°.n... Block No.. ~. ..... Lot No. ~ . .?.o?.~..h.o.~.~...~.,?.: .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... .g. ep.t . .13, 19.7..6. pursuant to which Building Permit No...8.8..~.6.g. dated .... .S°-.I?..~.. t 3. .... , lg. ~.6., 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 . P?.~.~.~..~.e..o.I~..e..S.a. nl..~.JL?., d..wel 3. t_n~ ................................... The certificate is issued to gha?.]:e..s..&..8..y.~..~..a....D?.L.uea .... . .0~n..e.~.? ............ (owner, lessee or tenant) of the aforesaid builcLing. Suffolk County Department of Health Approval l~al~ ? J??? by I~, Villa UNVERWaITERS CERTIFICATE No ..... .~3.~.99 ..... ?.e.~.. Z... ~. ?/~'.7. ............ HOUSE NUMBER .. .~.7~.0... Street...~.r.s.h..mn...c~..a.q.up...~y.o ..... .B.o.u..~.o.l.d. ..... Building Inspector ?[ " ]FOF~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PER, MIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULl' COMPLETION OF THE WORK AUTHORIZ:ED) N? 8856 Z Permission is hereby granted Date .............................. ~t ..... ! at premises located at ...[{~.~..,~. ...... .~ff,ll;:JJ~,fJZL...,.~iilB...~. ..................................................................... _Bg!I ~ding Inspector. .' ~;,; L..o..t,..qo. .......... Building Inspector l~O~ NO. S TOWN OF SOUTHOLD , Building Depmtment Town Cle~kt Office Sou~hold, 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 use: I. 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 installations, 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: l. Accurate survey.of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner os to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. 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 ................... New Building ..~ .......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ..<z~Z~.~..~/~.~ZII~-2.~)..(~.L2..~..,.,,~.,~. ......... ,~..~.~..~T~.~I.~I.~ ......................... Owner Or Owners Of Property ~.'...C~..,~.~.L,'I~...~.....'~....,,~..~.,/,.,.}/../,Z~ ...... ~..~..c...~,~,,t[-...u.,,.~:..~ .................. Subdivision ................................................................ Lot No ............. Block No. ,..'~,.,..,, House No ............ Permit No ~.~.,~.~....,~..... Date Of Permit .~.Z./.~../,7..~..,a, pplicont .(~...~..~.~/~..~,~.......~..,~.~..~..~.ff. ............. Health Dept. Approval ..?./..'.~../.....~...-~.. ................... Labor Dept. Approval ................................................ Underwriters Approvo, ././.~..l./..."'~....X ............. P,anning Board Approval ........................................ Request For Tempora_...~ertificate ........................................ Final Certificate ..~ .................................... Fee Submitted $ ~ ............................ Construction on above described building and permit meets all applicable codes and regulations. Applicant.. ~..~.~,~;~....~...~?l~,.~.~ ..................................... Sworn to before me this ~ ~"~fTx/? ff ........ o, .... _ ff t~,rE,3: L..7¢27', P. 460 't L. OT .5 .1' ,"VIAP orr LoT 5 AT' Name Co .m~ny Address '4, GEORGE AHLERS Position PresMent GEORGE AHLERS BUILDER INC. 250 COX LANE CUTCHOGUE, N. Y. 1193'S ~',.,~' OC:At.Z: .40,- ~ UNAUI'HORIZED ALTERATION OR ADDITEO/~ TO THIS SURVEy rS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, COPIES OF THIS SURVEY MAP NOT BEARING , VAN TUY~ P. c. ~,~ ~U~' ~0~ 0~:1 ~ "~T~ ~Y~ .... Iii ii /1 ', , ~TA"C'il~4IENT, I , ~ i~,, .... ~ H. ~. REF. NO: - , ...... ~AND~ OF SUFFO~ C~ '~,~ 17 ...... 72 7 '.-'*/7 d d' LOT 4 0 7 1911. ~)AT~,-'' Fl. D. E~i', .'~ _ _.,._.., The sa,~ge d~ fac!] lt~es for in~pected by ibis ~ief of General Engineeriff$