HomeMy WebLinkAbout8882-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No..Z.~.1.9.2..2 .......... Date ....... S.e.p.~.e.m.b..e.v..1.4. ............19 .8.3.
THIS CERTIFIES that the building ~ .-.s.e.q 9 .n.d..t.. 1. 9p.v' ...............................
Location of Property . .8.3..5 ................ ~.a.~.e.v..v.~.e.~...D.v.~.v.e. .......... S.o..u.~.h.o..i.d ....
House No. Street Hamlet
County Tax Map No. ] 000 Section . 0. 7· 8. ....... Block . . .0.7. .......... Lot ...0.1. 2. ...........
Subdivision .... X. .......................... Filed Map No...X. ..... Lot No..X. ...........
conforms substantially to the Application for Building Permit heretofore filed in this office dated
·...S.e.p. ~..e.m.b.e.v...~ .9 ..... 19.7.6. pursuant to which Building Permit No..8.8.8..2..g. .............
dated .... .S.e.p. ~..e .m.b.e.v...2.~ .......... 19.7.6., 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 .........
...... ~.h..e..c.o.m.p.z.e.~. % .o.n..o.r., .~.h.e., .s.e.c.o.n. ~..r.z. 9.o?...* ...............................
The certificate is issued to WARREN RITTER AND HIS WIFE, JEAN
(owner,
of tl~e aforesaid building.
Suffolk County Department of Health Approval .... n..o .~..a.p. kv .3..J..c.a..b .3..e ......................
UNDERWRITERS CERTIFICATE NO ............ F..e.n.d.~.n. ~ .............................
*C.O. Z7135, issued 7/27/76 is for the first floor of the dwellzng
(Building permit 6254 Z, zssued 11/22~.~).
Building Inspector
Rev. 1/81
FOF,~ NO. ~
TOWN OF SOUTHOLD
BUILDING _DEi~AR?MENT
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? 8882 Z
Date ............................... LRe~(; ..... 2}~ ..... , 19~6..-
Permission is hereby granted to:
.......................... 4~e~-erport --.-.N-c¥.~ ..............
to .. ~u&.id...a4~.i.~.len... (-
a~ premises located at .... ~.~.V~..D.~e ....
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. 'Fhis 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 survey of property with accurate location of all buildings, propertV 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"
[and uses:
1. Accurate survey of peoperty showing all property lines, streets, buildings and unusua~ 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.
C. Fees:
1. Cert,ficate of occupancy $5.00 ~ 5-/
2. Certificate of occupancy on pre-existing dwelling land use ~5/ $5.00
3. Copy of certificate of occupancy $1.00
New Building ............. Old or Pre-exi~ing Building ............ Vacant Land .............
Location of Proper~ .~.. ~~~..)Z~ .... ~ ~ re~. ~. ,...~,~;;
Hou~ No. steer ~ x
Owner or Owners of Prope~y . ~~..~~... ~ ~~ ................
Cou,,ty Tax Map No. 1000 Se~ion .. ~. 7.~. ...... Block ...~ .7 ........ Lot .... ~/. ? .......
Subdivision ............ ~ ............ ~ ..... Filed Map No.. ~ ....... Lot No..~ ..........
Permit N o. ~..~'.F.2-.-.~--Date of Permit. ?~.~. z///~A p p I ica nt ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval... :_-~..-,-,-~:~.~,~.,~..Planning Board Approval
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ ........................ .~.. \
Construction on above described budding a~,p~,t meets a~/~ cod~_s an_~d regulations. ~.~_,0. ~c~[[ C[~-~,Applicant..'ZJ~..~.~...~ ...................
100012], THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
I ~ 85 .JOHN STREET, NEW YORK, NEW YORK 10038
..~e September 19. 1983 A.pt,c.t,o.~'o.a.fle 233564/83 N 617006
THIS CERTIFIES THAT
only the e~tricel equipment ~ ~sc~bed below and int~uced by the applicant named on the eb~e appticatlon number i~ the premises of
Wa~e~ D. ~Ct~, 835 Wat~ ~ve, ~u~id, N.Y.
tn the follouqng location; ~ B~ement ~ lsr Ft. ~ 2.d Fl Sect.,n Bilk Lot
w.~ ~..t..d o. S~C~: 12, 19V3 and found to be in comphance with ti .... q ....m~nts of thts Board.
FIXTURE FIXTURES %NGES )KING DECKS OVENS
OUTLETS ~ECEPTACLES SWITCHES
NCANDESCENT FLUORESCEH?
FANS
DRYERS FURNACE MOTORS
FUTURE APPLIANCE FEEDERS
SPECIAL REC'PT. TIME CLOCKS
UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS AMT I WATTS
NO OF FEET
SERVICE DISCONNECT S E R V I C E
OTHER APPAI~ATUS
!-Smo~,.~ Detector.
NO OF CC COND A W G NO OF HI LEG
PER .B' OF CC CON{)
AWG
OF HI LEG
NO[ W G
Paul Burn~
~ow~. Harbor l_~n_ e
Southold, N.Y. 11971 L:Lc. 292
Th~s certdlcate must not be altered ,n any manner, return to the ofhce of the Board d incorrect Inspectors may be ~denhfied b'~'he)r credenhals
COPY FOR BUILO~NG DEPARTMENT. THI6 COPY OF CERTIFICATE MUST NOT BE ALTERED IN ~NY MANNER