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Home My WebLink About8878-zTOWN OF SOUTHOLD BIJILDING DEPARTMENT Town Clerk's Office $outhold, IN. Y. Certificnte Of Occupnncy No..Z?~.O.i ..... Date ............ Au.g...2. ....... , 19.7.7.. THIS CERTIFIES that the building located at . .~/~. Sound ¥ie~,: .Ave ..... Street Map No.. xx ....... Block No...xx .... Lot No .... X.X ...... ~.o.~.~.h.o.~.d...~...~: ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... ~ept . 2Q 19.76. pursuant to which Building Permit No....~.8.7.~.Z. dated .......... ~ep.t.. 2-~ ...., 197~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . ?~.iva.ta. one.. 1'arrJ.!y. fl.', :e 1 ling. ..................................... The certificate is issued to H. Bayle.y to...Lomt, s. Lomb~dt ...... O~er .......... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Ap~ 22 1977..by. ;a, ¥_f_33.a ..... UNDERWRITERS CERTIFICATE No. . . I~3263~.~ ....... ~eb... ~ ?..1977. ........... HOUSE NUMBER · · - .?720 ..... Street ..... Scmn4..V.$ew. ,~ve ....... $outhc~],d · ·. .........Building'~ r"'~' ~Q~ Inspector ~' '~ ~f' ~'~' ' ' '[ ..... FO~.M NO. ~ TO~/N OF $OUTHOLD BUILDING DEP~RTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N~. Y. BUILDING PERMIT (THIS ,PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 8878 Z Permission is hereby granted to: .... ~.~..e.~.~i ...... ~ ...... .~.&:.<...g.~..:/.. ......... i L2.:L ~....~.~...~:>....~,,..v..i~,,~....~...v.r. .................................... premises located at ........ ~i'. ....... ..................... i ..... : ........... ,...:.. ?,:: ........ :..~ ......... ~,~.~..~.0..o,..~.,,~ .................................................. I)u~rgUant to application dated: .......... ; ............. :~ ........ ~.E..::..T....2.0., 1~.i~.., and approved'by the Budding Inspector. FORM NO. $ TOWN OF SOUTHOLD , Building Department' Town Clerks Office Sout'hold, H. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Inst'ructlons A. This application must be filled in typewriter OR ink, and submitted in DUPLIC, ATE 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, eno 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. B. For existing buildings (prior to April 1957), Non-conforming uses, 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. Swam 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. C. Fees: 1. Certificate of occupancy $5.00 2, Certificate of occupancy on pre-existing dwelling ar land use $5.00 3 Copy of certificate of occupancy $1.00 Rte ..... .......... New Bt~ilding .....~.... ...... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ......... ~-[~.~?~[~/~i~[[~.~-~ ..................................... O ner Or O ners Of Proper ...................................... Subdivision .......~.~.~..: ............................................. Lot No ............. Block No ............. House No ............ Permit No..~.~.~.~...~.... Date Of Permit ..~./..~..//~....Applicant .... .'~.~.~...C.~........~.....~!..~....~ ........................ Health Dept. Approval--"------ ' --- --~..?..~..~...~..t~...0..~.~.Z..Z. 4..~.~.~...Labor Dept, Approval ..... ?../.~..,:. ................................ Underwriters Approval ~.~..~..?..~...~.~...;...F...~.....~..Yt./.~..~.~...Pmanning Board Approval .~...,..~....'. .......................... Request For Temporary Certificate ........................................ FinoJ Certificate .......................................... Fee Submitted $ .... .~.~.../~.. ....................... Construction on above described building and p _~,~,~elts~_,Lop/p/~iT~ regulations. Sworn to before me this . /7~ 7 ............... '.-day of ..... ~ ....... ~.....~ ............ (stamp or seal)~-~ , Notary Pubhc x,~ ~ County ~ "- THE NEW,YORK BOARD OF FIRE UNDERWRITERS '~]' .:1~,_ hl'-~,['.:~ ~:,,~ BUREAU OF ELECTRICITY , ~,; , - , -. ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 , ~,,,,/':'Feb:u~fi'24,1977 ~,',,,i,-a,i,,,,,'Vo. on/,e 892698, N 326307 THIS CE~IFIE~ THAT, ':_: ! , . ' r I ~ otdy the el~rical equipment ~ described b~lo~ and intr~uced by the applican~ na~ed on the ab~ application number in the premises of ~ ~uLs Lomba~d~, :7720.$oundv~e~ Ave. Sou~ho~d, L.I. ~ ~ . h ~ ~ctJon Block ~*, ~.~..d on Febzuazy' [7.:1977,,, ~' ',~ ~ndfound to be m compha~ce w~th the requirements of th~z Board FIXTURE ~E EPTA LEI TCHE~ ]; ,, FIXTURES - I RANGES }COOKINGOECKs~ ~VENS DISH WASHERS EXHAUST FANS ~~FUTURE ApPLIANcE FEEDERS iPECIALREC'PI TIMECLOCKS ERR UNIT HEATERS MUL I-OUILE DIMMERS ~ METER .............. NO~ AW8 ' Elec.-. room: heaters:9-1.0,-?t-.65kw. ' , ,' ~' 4 -,~-'.' GFCI. -, I ,' ".- -u', :,I , , ,~ i~:l.: ,,, ' smoke del:ecl:orti ,. {,- - :,,t-,;o, ,~ , ~ , ~-,,- 1-4.5kw. ho~ water~, heate~.,- r~. ,~ ~, ,,, '~-- "" - '" '~" I /,/- ./ ,- ~ , , ' ,q i, , ;' , Per IJ ~n,s certmcate must not be altered In any manner; return to the ofhce of the Board [f incorrect Inspectors may be identfimd their cre~q~nhoJs ~OBE~T ~AY'LEY 5=UT~-~O,,...O , M. ¥. 119"/'1 SUFF. CO, HEALTH D~F~T, APPROVAL C l ;7-- TITLE j ~, MiTH C£RTIF. j RODERIC:K VAN TLJYL P OWNm'~: .~ MITH ~ = ,.'on THIS SURVEY iS A VIOLATION OF ~CTION 72¢9 OF THE NEW YORK STATE ~UCATION LAW Io,3m FOR APPROVAL OF CON~TRUC'TION ONLY H, 8. REF. NO.: AlP PROV~'rt: ~TA'I"EMKNT OF IN't~NT THE: WATER SUPPLy AND IIEWAG- DI$~L SYSTEMtl FOR THI! RIL~I DENC[ WILL. CONFC~M TO TH= J 0 , .'~ OUT't-~L.D VAN TU"~. P. c. 'I" ED ~NSI~IECTIONS. TION OR START FRAMING Z. BEFORE COVE ~,ING '3. FINAL WHEN lOB COMPLETED I I ilL'/.`' I i ~'AS, ~ O.S. PL...'fWCC:,~ hssoc, e,Pc-cs.') :fl · I · :_]_,t_ ' i