The URL can be used to link to this page

Home My WebLink About8319-zFO~ NO. 4 TOWN OF $OUTHOLD BI/IT,DING DEPARTMENT Town Clerk's Office Southold, BI. Y. Certificate Of Occupancy No. Z1095 ..... Date .... June .22, ............. , 19.. 75 THIS CERTIFIES that the building located at w/s. F. air~ay. Dr ........... Street Fairway Pa~-~s Cutchogue Map No....69.6.6. .... Block Bio ....... Lot Bio... ] .5 ........................... conforms substantially to the Application for Building Permit heretofore filed in this office dated . .No.v..embe. r..2.8. ., 19..7.5. pursuant to which Building Permit No. ~3].9.~.. dated . N .Over~.e.r..2.8.~...., 19.7.5.., was issued, and conforms to all of the req-lre- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .P.r.i.v.~.t.e...o.ne...fa!n. £1y .d.w.e..1.~.i. ng ................................. The certificate is issued to . .Rq.b.e.rt;..E:..S.n..o.w.d.e.n..J~. ............................. ( owner, k~a~l~X~4~t) of the aforesaid building. Suffolk County Department of Health Approval . ~4ay 2 0,. ] 9.7 6. Robert. A,. Villa UNDERWRITERS CERTIFICATE No..P.e.n.d.~..n9 ................................. HOUSE BIUMBER 2..8.7.0 .... Street . .F.~..~.r~..a.y. pr.; ........................... ...................................... cu..~.oc~..e, N....Y.: .../ ................. Building Inspector \ FOI~[ NO. 2 TOM~N OF SOUTHOLD BUILDING DEPARTMEHT TOWN CLERK'S OFFICE $OUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8319 Z Permission is hereby granted to: ~ v~u ~ b. '''~' .=~,...~f~..t.~....c.~..~.....~...~.~.._~ .~,,,,~,,u~,~,,,,, ,..~-,--c. pursuant to application dated .......................... J~....'...~.JJ .......... ,. 19.,~t., and Building Inspector. Fee $.,.~..~.*~.~. ...... at premises located crt .~.~ii~..~.~. ......... r.~,~ll~..]Ji~RJfllllt. ................................................................ ........................................................... ¢~r,~r~ga~ ......................................... : ..................................... opproYed by the FORM NO. 6 TOWN OF SOUTHOLD ~ Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OGCUPANGY Instructions A. This apphcation must be filled ~n typewriter OR ink, and submitted ~n 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 bnes, 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 mstallation 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-conformmg uses, or buddings end "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 buddmgs or premises, or other pertinent Jrt- 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 ...JLIn~..2~ ~...].9.7.~ .............. New BuJldin9 ...~ ........ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ...~/~..t~,ix.wa¥..~z;i.'ce. .............. C~/~c-ho~3u~,,..~,...¥ ...................................... Owner Or Owners Of Property .... Rohe-r.t..,E ..... S~o.w.d~n..J.r ................................................................... Subdivision Fa.i-t~way...F~z;ms..~6~66 .....................Lot No. 1.5. ....... Block No ............. House Permit No. 82~].9.Z ........Date Of Permit ..]..]./.2.8/..7.5~pplicant ..Eclw,...G.....Abi.tz...Co~tr.a~.~;Or...~[Dc. Health Dept. Approval 5/.2.0/.7.6..~.....ILL13,a ...... Labor Dept. Approval .......... hl/.t~. .............................. Underwriters Approval ]~nc%ir~c3 .............................. Planning Board Approval ..... N/,R ............................ Request For Temporary Certificate ........................................ ~inoJ Certificate .... ..X.~. ................................ Fee Submitted $ ..5..(Ill ......................... Construction on above described building a(~nit,~e~ p~able codes and regulations. Sworn to before me this AppJicant ~...~7.......<.~./,......~'J. ................ day of ............................................ (stomp or seal) Notary Public .................................... County £ot 14 Se~vi~e9 N. 89'/$'/0 lot IG CompOnY NOTE: · -- MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF T~E CL~RK OF SUFFOLK COUNTY ON FE~ I~, I~ ~$ FILE ~. ~OGG T/~ r. OCAT/ON' OF WEr, r.S ~I]~I'D CESSPOOL~ SHOW/~ HE~EI~ ARE FROM FIELD AND/OR F/~OM DATA OI~TA~NED FROM OTHERS .5--Y ~ -/33 UNAUTHORIZED ALTERATION OR AUDITION TO THIS 3URVEY IS A VIOLATION OF SECTION ?209 OF THE NEW YORK STATE EDUCATION