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Home My WebLink About8367-zTOWN OF SOUTHOLD BUILI)ING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No..Z.?.0.1.9 ..... Date .......... l~ay .... 7 ...... , 19..76 THIS CERTIFIES that the building located at . .Eli.J.a~h. L~ne ............. Street ~states Map No. E~l_jah. ~. Block No ........... Lot No, .6 ...... l~.~.~.:~t~Le~... ~.,.%, ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... .F.o.b... ~., 19. ?.6. pursuant to which Building Pemit No..8~6.~Z. dated ..... FeB ..... 5...., 19.7.(~, 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. ixra.~.e..or~e..£~m~l,y, d~.~%l~g .................................. The certificate is issued to .. Richard .l~oor. a ....... 0wne~. ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .l~a~... ~ . . 976...by. R.. V la .... UNDERWRITERS CERTIFICATE No..pe~$~g ................................... HOUSE NUMBER .... ~t~t~ .... Street ...... El,~ah, ~L~e ..... l~tti~ek ....... ~ B-ilding InspectorI TOW'N OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPL~ION OF THE WORK AUTHORIZED) N? 8367 Z Permission is hereby granted to: Zl~]..~..T~e.~e~-...~ee...A/C..~eha.~[...~'e... ...... l~.~t~ £~a~. .................................................. to at premises located at .~....~..,.~:~.~.tll...~t~.~....~ ................................................................... ......................................... '. ............ ~.*.~.~e... ~.~ ............................................... pursuant to application dated ..................... ~.~. ......... ~ ............... , 1 ..., and approved by the Building Inspector. #24~ FOI~M NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ,nk, and submitted in DUPLICATE to the Budding Inspector w,th the following; for new buildings or new use: 1. Final survey of property with accurate Iocabon of all buddings, property lines, streets, aha 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 installat,on from Board of Fire Underwriters 4. Commercial buildings, Industrial buildings, Muir,pie Residences and similar buddings and installations, a cemf,cate of Code compliance from the Architect or Engineer respons,ble for the building. 5. Submit Planning Board approval of completed s,te 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. Sworn statement of owner or previous owner as to use, occupancy and condit,on of buildings 3. Date of any housing code or safety inspectJon of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: I. 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 Date .~..~. ~.....5. ,.....Z. ?..?..6. ...................... New Building .... ~Y~.. Addition ................Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ~.'~.~..~.~..6.....~...Z..J:.~.~..~...~..s.....~...~..n~'.....H.`~...~.~..~.~.'~.~..=..~.~.~'~.~.~9.~ .......................... Owner Or Owners Of Property ..~.~.~.~....~.,...~. ............................................................................... Subdivision ~..~..~.~...¢~...~.~....~..~..~.e.....~..?..~..~..~.e...s. .............. Lot No....6. ........ Block No ............. House No ........... Permit No ..8.~.6. Z...Z.. .... Date Of Permit~../..~.../..6...7. ....... Applicant .....~.~...~....C~.....~...,.....~_~..C.... .................... Health Dept. Approval ..5../...5../...7...6.....~....6. Z..8.,O...-.~ ....... Labor Dept. Approval .......... .N../...~. .............................. Underwriters Approval ........ ..~..~~...~ ............ Planning Board Approval .... .~...e..s. ............................. Request For Temporary Certificate ...... .n...o. ............................. Fined Certificate ......~..e.~ .......................... Fee Submitted $ ..5.:..0...0. .......................... Construction on above described building and permit meets all applicable codes and regulations. Sworn to before me this .......... ..... Notary Public ~..//~.)~... County v/P (stamp or seal) cZ9 7--- 7ac? THE NEW YORK BOARD OF FIRE UNDERWRITERS ak E~UREAU O~ ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT Richard Moo~e, EliJ~s Lane, Main Rd., 27A, Mat~i~uck, L.I. ~XrU~E '~ T FIXTURES [ RANGES IC~G 0~C~S] OVENS ~ISH WASHERS EXHAUST FANS DRYERS ~FURNACE MOTORS FUTUR~ APPLIANCE FEEDERS 5PECIALR~C'PT~ TIMECLOCKS ) ~ELL ~UNITHEATERS JMUL}I-OOTL~T' K w } O~t ~ P g~ H P ~T hO A w G ~1 ~ ~P. ' ~T ~, Ma~4 TRAHS. ~T I H P NO OF FEET ~ t "200 CB[ i J x ~ i ~ I I~/0 ~ ~ I 1 ',2/0 Elec.room heaters: 1-2.5kw, 2-2.0kw, 2-1.5~, 2-l.25kw, i-l.0kw, 2-. 75kw, 1-. 5kw I G.~.C.I. ~-4.Skw Hot water heater Walter Finger, /~ / ' P.O.Box 991 ~~ 1 Mattituck, L.I. 11952 'Lic. 18qSE Ires certificate must not be altered ~n any manner; return to the office of the Board ff ,ncorrect Inspectors may be identffted b~t},,m cred~hah 0?, I = MONUI~ENT SUBDIVISION MAP FILED /IV THE' OFFICE OF THE CLERK OFSUPFO£K COUNTYON F~ 14t 1974 AS FI£E NO 60~5 UNAUTHORIZED ALTERATION OR ADDITION TO ~HIS SURVEY IS A VIOLATION OF SECTION 7~09 OF T~E NEW YORK STATE EDUCATION LAW DORIES OF THIS SURVEY M~P NOT SEARING THE LANO SURVEYOR'S INKED SEAL OR REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W, YOUNG HOWARD W. YOUNG SURVEY FOR. INLAND HOMES,/NC. LOT NO "ELIJAH~ lANE ES :'~' - AT MA TTI TUCK TOWN OF SOUTHOI D SUFFOLK CO., N Y. SCALE ~ ~ I DATE / -- 50 I ,( - ~hief of General Sez'vlce~. NOTE i -- MONUMFNT SUBDIVISION M~P F/LFD IN THE OFF/CF OF THE C£EBK OF SUPFO£K COUNTY ON f~B. 14, 1974 AS FILE NO. $055 aEv,s,oas YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: R/CHARD 4. ~OORE a 4UDREY ~~~ S~UT~ S~V/NGS B~ l TOWN OF SOUTHOL D N~., , ,, ,~q~., A. ?~RE SUFFOLK CO., N.Y. "Y~~z~.~ UNAUTHORIZED ALTERATION OR ADDITION TO TH~S SURVEY [SA VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THiS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR