The URL can be used to link to this page

Home My WebLink About8361-zFOI~,M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at . R,0oN, .Breakwa.~e~. Ko.~cl Street Map No.. ~ ....... Block No...x~. ....... Lot No, ...xx¥...~.! .t~.i.t.¥.c.k ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... Zar~..26..., 19.76. pursuant to which Building Permit No...~. 3.6J.Z. dated ..... ;k,r~..~6 .... , 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 . Private..one .£a~i&v.. clv.e.~,l;[r~g..~.~,th, ad.d;[.t.i.q .n ...................... The certificate is issued to Gu. s.t.a.v., b.a.~.t. ~.a ........................................ (owner, lessee or tens_ut) of the aforesaid building. Suffolk County Department of Health Approval n.; .r., ................................ UNDERWRITERS CERTIFICATE No. N..2.7.27.?~ .................................... HOUSE NUMBER ..... ~J. 20 .... Street .... l:r;e.a3.:V0.t;?.. ~P.,' .d. .................... l Building Inspector / ! FOF, M NO. ~ TO%qN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8361 Z Permission is hereby granted to: ...~...Z...~..~ .......... ~.~...T.,.~....A.. ......... ....... ~..o.~ ....... L.c..~..-.<,....~..w..~.~L...~.....~.~.~.~ ..... ..r....~£~.%....:., ...................... : ............... at premises located at ....~. :..~.:,.~...~......O..,~........~..,...~....A.!.~...,~/..~..?..~..,..'~, ...... '~j~..~...~...~.. ..................................... ............................ ;. .... ~.,,~.: ............... , ..~ ........ ~ pp o ed by th~ pursuant to application dated.,x Building Inspector. ,'5~ Fee $....~, ................. ~ Building In,s;pe~tor ~' ' FORDI NO. $ TOWN OF SOUTHOLD , Building Department Town Clerk~ Office Southold, N. ¥. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Budding Inspector with the following; for new buildings or new use: 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 disposalm(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 comphance 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 as to use, occupancy and condition of build,ngs. 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 pm-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 .............. bo ot on Of Property ..... ......... Owner Or Owners Of Property ...... ...~....~...5...'~...~.~......-~.......~.~..~..Z~...~...~....~........~.....~....~....-~...~...~. ....................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............ Permit No....~....~...~../......~. Date Of Permit .././/..'~....~.F/.Z..g. Applicant. .~..~?..,~..~....?~..,~.~.Z~/~ ............ Heelth Dept. Approval ...... ! ..................................... Labor Dept. Approval ................................................ Underwriters Approval .....~....~...?...~....~...~....~......~.. ........... Planning Board Approval ........................................ Request For Tempo~ry Certif~ate ........................................ Final Certificate .......~/'..../~..~ Fee Submitted $ ..... ~':~,.~,.:...,~.....~..~.../,?...~...?~//~'f~ Construction on above described building and,~',~rmit meets all applicable codes and regulations. Applicant ......z..,< .~.....:~"-.. ~.:......:../~z~';';.~...~... .................................................... Sworn to before me t,~sp, ..... ..... ......... Notary Public "~"~~'~-",e:" County -- '- (stamp or seal) N~c~SLALIS WINIARZ ~atary Public State of New York Ho. 52.9703725 Suffolk County Comm. Expires March 30, 197~ April ~, 1978 .~1' GustavBartra 20 Brea~Wwater Road Mattituek, N,Y. We have rece~F~d ~ur'~&pplicAt~on foe ~e~tifieate Of oeeup~ne for the addition to ~.~M~w~g -perml~ ~8361Z~ I have copied the underwrit~r.s certifica~e submitted a~d'retur~ he~with the origi~,l, the ' ~" .i~p?c.t!on 'Of'~he ~ob ~edSy, we f~d a w~dow between g~age a~l~lOn and'the ~ dwel~g, 'This 9indow should be closed in and the window ~t~led~ am outside ~1 to provide the required light an ve~tt~$ioh* ~o~the dwe~in~ ~o~ ~so$ we noticed a poured concrete slab ~n the front yard n~ the exlstin~ ~ole with ~te~a on it, ~ advised~ no accessory ~tructures are pe~itted ~ the fron. ya~ area~ ~d no accessory str~tures may be · xistin$ pole a~d a~te~a ~e ~ violation, K~:~ advise as soon as wind~ for yo~ certificate o~ Oec~p~ey, ~o~s truly ~ilding inspector THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ ~ B5 .JOHN STREET, NEW YORK, NEW YORK 10038 ~IS CE~IFIES THAT Gustav B~tra, 227E B~eakwate~ Road, Mattituck, L.I. ~y~.,~' ~,~ ~ ~ ~.~F~. ~ ~d rt. outside s~o~ m~ ~ RXTUU FIXTUR~ RANGES OVENS DISHWASHERS EXHAUST FANS DRYERS FURNAC~ J~OTOI~ RJTURE APPUAN~E F~EDERS TIME CL~KS UNIT HEATER5 MULTI-OUT~T DIMMERS SYSTEM5 ~ OF FEET DISCONNECT S E ,R.,~,~. _ V I C E OTHER Panelboa~d/s 1-gctr. 125amps. Gustav Ba~tra 22? E.Breakwater Road, Mattltuck, L.I. 11952 Llc. 1529E D Per This certificate mu~t not be altered in any manner, return to the office of the Boord if mcorrect. Inspectors mo), be Jdentifmd by ti-