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Home My WebLink About8372-zNO. 4 TOWN OF SOUTHOLD BUII.I-~ING DEPARTMENT Town Clerk's Office $outhold, BI. Y. Certificate Of Occupancy No.Z?.03br ....... Date ............ 14a~r....18 ..... , 19.~6 THIS CERTIFIES that the building located at ~/~ .bfa!r~ .Boad ........... Street Map No. :x~ ......... Block No.. ~ ..... Lot No.. ~... Ea.s~;. l~a~,~,or~. ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ F. eB. ~ 19.7.(~. pursuant to which Building Pemit No.. dated ...... FeB ....9. - , 19.76., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .Pr2va~;e. one £a~i:[.~ .d~e~Ll~x~g. ~d,~;h an .addition ................. The certificate is issued to . .~,. P~rr¥. Huk2~ ~ ...... Owner .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .N,R~ ........................ UNDERWRITERS CERTIFICATE No.]~$~ 2~ .... 14ay. · .~ · · ~ ~6 ................. HOUSE NUMBER ... ~ 26~0. · · Street ... ~e,$._u. Road. E~st. l~ar2on ............. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 8372 Z Permission is hereby granted J.~..~la_~ ..... ~.C.. 2e~.ry...Euekel ................. ................... ~.e.~.~.~..% ...................................... to ..~uil&~..~A&£~i~..'&.-mak~-.-~l-~-~tl°~-..°l~..~~--~ fl ~LiJ ............... V~,~, ~, ~ ,~ a remises located at .. ..]~. ,.[~-~&~ .......................................................................................... ~ :, ,::i:~.i~, ................................................ :.E~..~....~,~, .............................................................. ~l~rsuant to apphcat,on dat~ ...................... ~¢]Q.....~ ................ , 19.~..., and approved b~ the Building Inspector, FOEIY/ 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 ink, and submitted in DUPLICATE to the Building 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 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 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. Swam 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 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 .... New Building ................ Addition .......~..... .... Old or Pre-existing Building ................ Vacant Land .............. Loco.on Of Property .... '. .... Owner Or Owners Of Property .... ...~....'.....~'.~....~..~.....~.....~....~/..4.~ ...................... ~.._. ................................... Subdivision ........................ ~ .............................. Lot No.../~.... Block No...~, .... House No ............ Permit No pete of ......................... Health Dept. Approval ....... ../~..!../...~C. ........................ Labor Dept. Approval ........ .~.~.~*.~.~: ......................... Underwriters Approval Planning Board Approval /J~/~' ~'~ Request For Temporary~,Cce~rtificate ........................................ Fined Certificate ......... ~.. ......................... Fee Submitted $ ..~..... ........................... Construction on above described building and permit meets~all applicable codes and regulations. Appl,cant ..... ~~ ............ ~, .......................... Sworn to before me this ......... ~,.~.. day of .......... ..~ ...... Notary Public ............. ' .... [ THE NEW YORK BOARD OF FIRE uNDERWRITERS ~ I ~ [ ~; I" I,,~ ''t B5 JOHN STREET,BUREAUNEwOF YORk,ELECTRICITYNEw YORK 10038 , ..... .,p.,,co.onNo. o. Sd~ 853o~9 N 281226 ~'~'* May, 3 '~9'76'~ ~ THIS CERTIFIES THATj ;j ~ ' ~t~ t~ s~tr~al ~ulp~t ~ ~dbvd below and introduced by the applicant named on the abovv application number ,n the prem,ses ,, ,, ,~-,~, W..~e~r7 Hukill~, Main Rd., East Marion, L.I. .~,,.~i,~a o. ,, April~.O0 ,, ~10.~TK u,,a /ound to be in co,nphunce with tl,~ re,lu,rements of this Board RXTURE OUTLETS FIXTURES RANGES COOKING DECKS 2ECEPTACLES SWITCHES 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS OVENS DISH WASHERS EXHAUST FANS UNIT HEATERS MULTI-OUTLET SYSTEMS NO OF FEET DIMMERS NO aP CC COND A W G I NO OF Hi LEG J A W G NO OFNEUTRALS AWG OF NEUPRAL GENERAL MANAGER ,, East~.Ma~ion', L.'I. 11939 Lic. 617E , ', Il i', ~, ,~, , ,,' Per D This cerhficale must not be a tered n any manner, return to the ofhce of the Board ~f incorrect Inspectors may be ~denttf~ed by their