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Home My WebLink About8343-zTOWN OF SOU'I~OLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at .N; . .~.]~. ~e.W .R?.a.d ......... Street Map No.. ~ ........ Block No.. ~; ...... Lot No,~ .... ~.9~.~.1~o.~..d..~.; .Y? ............ conforms substantially to the Application for B,,i]ding Permit heretofore filed in this office dated ........... $.e.c..1~197~.. pursuant to which Building Permit No..83~+.~Z.. dated .......... D.O.c . .19., 19.~.~., was issued, and conforms to all of the req,,~re. ments of the applicable provisions of the law. The occupancy for which this certificate is issued is l~.ri~ate, one. family..dwelling ................................... The certificate is issued to .. ~ve~.sSde..t~o~ea .In.c ............................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Ap.r.$~...2.3 . .1.97.5 ................. UNDERWRITERS CERTIFICATE No.N~.8698 ...... AI~-i..ih.....I.9.76 .............. HOUSE NUMBER .... ~ ..... Street . .N..o.r.~.h...~..y~...e.~..R..o.a.d..E..x.~. ............. .......... .... Building Inspector ~ FO]E¢~ NO. 2 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. 8343 Z Peimission ii hereby granted to: L~ Date ..................... ]l~qtP,, ......... 1.9 ............. , 19..~.~.. ~, ':~_ . ~ ~ ......... : ....................................................................... ~ ~.~ ~-~ ~ ~; ¢ ~ nt: t .... ' [ic~ti6n dat~ ~ ...... ..... -~;~[~_~,~,~P.,,, ..... ~ · .......................... ~ ......t~..: ......... , 19...~, and approved by the 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 mk, and submitted in DUPLICATE to the Building Inspector w~th the following; for new buildings or new use. 1. Fmal survey of property with accurate location of oil buddmgs, property hnes, streets, aha unusual natural or topographic features. 2. Fmal approval of Health Dept of water supply and sewerage d,sposal--(S-9 form or equal). 3 Approval of electrical installation from Board of F~re Underwriters 4 Commercial buildings, Industrial buddings, Multiple Residences and mmilar buildmgs and mstallat~ons, a certificate of Code comphance from the Architect or Engineer responmble for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existmg buddmgs (prior to April 1957), Non-conformmg uses, or buildings and "pre-ex~sting" land uses: 1 Accurate survey of property show~ng oil property lines, streets, buddings and unusual natural or topographic features. 2 Sworn statement of owner or prewous owner c~s to use, occupancy and condition of buildings. 3. Date of any housmg code or safety inspection of bu,ldings or premises, or other pertinent in- formation required to prepare a certificate C. Fees: 1 Cer, ficate of occupc~ncy $5.00 2. Certificate of occupancy on pre-existing dwelhng or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ............................................... New Building ..... 3C ........ Addition ................ Old or Pre-ex~sting Building ................ Vacant Land ............. Location Of Property ~./~...~o,...B~ie~..Road~...$2.5.~...~/.O..Ge&a~..~v~..r.~c~ .............................. Owner Or Owners Of Property .... ..~...~.~.b.'F.A...q~P..l:...B..e.~.s..l:.e. 7. ....................................................................... Subd~ws~on ............................................................... Lot No ............ Block No ............. House No ............ Permit No ....8.3.&3.Z, ...... Date Of Permit .J.g/.kg./.?.~.. Applicant .~%.V.~3.$~..g..~..~...C~..~..S.s...'f..~..q: ....................... Health Dept. Approval 4./.2~/.7.6...-..580].8.6 ........... Labor Dept Approval ................................................ Underwr,ters Approval .~../..~.~.../.?..~....-.. ~.2..7..8..6..9..8. ......... Planning Board Approval ........................................ Request For Temporary Cer, ficate ..................................... Final Certificate ........... .~ ........................... Fee Submitted $ ...5.:..0..0. .......................... Construction on above descr,bed build,ng anccL pe_~mit me,ets all gf~licablf' cod~s and/~egulations. App~icont .................................. :~¢~-a~....~...~ ......................... RIVERSIDE HOMES~ INC. by Edward Wolferslorf~ Construction Sworn to before me this - Superintenda (stamp or seaJ) THE NEW YORK BOARD OF FIRE UNDERWRITERS ~- ak BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 m,., April 14, 1976 ~,e~..,.,.~,,.,,,,m,. 848537 N - THIS CERTIFIES THAT - only the electrical equtpment as desc~bed below and introduced by the applicant named on the abote application number in t he pre.ttses of D wight & Carol Beasley, ~side North B~view Rd., 525' e/o Ced~ AVe. Southold ~L. I. m ,~you,,..,.~ ~o~.,,..~' ~"~"'~"' ~ ~" ~' ~ ~"'~ ~': out side ~,.~,,o. m,,~ RXTURE ~ ~ FIXTURES ~--' ~ RANGES ~COOglNg DECKS, OVENS DISH WASHERS EXHAUST FANS ECE~AC~SI SWITCHES ~ ~ I ~ ~ ..... , ~ ..... t SERVICE DI~ONNSCT i E ER } ~ ~ v I- C~ -~- ..... OTHER APPARATUS [ ~.~.O.[. Towle & Son Inc., 33 Lincoln Avenue, Mastic Beach, L.I. 11951 hic. 550E This cerhflcote must not be o[tered in any monnet: return to the o|fme of the Boord ~f incorrect II~pectors m,,? Im ,denhfmd by Ibr-, rredenhols SUFFOLK COU~ITY D£PARTYi~riT OF HEALTH SERVICES ',~, [~:x ~'~4 APPLICATION FOR APPROVAL TO CO~tSTRUCT /~?_L::,~.A~,~,¥. lleo2A PRIVATE SE~'~AGE DISPOSAL SYSTEM AND A WATER SUPPLY 3. Public t,~ater Cbmpany Name DiStance to main. ] ,' ,% Lot size: Widtlt/~,,~,,feet Length~feet 'l. Se;,mge Disposal System: ~O0~gallon septic tank: Precast .z~ .Equivalent Bloc~ B. Leaching pools: t)umber of pools Precast~F~Block~., Special ~f private well, fill in the fol- !o~ring blanks: ~,, ?aqk capacity ~,/~- gallons [3. ,_~mp G.~lo ~, ~-JT~tal .... ~11 depth C,.~,~pth~ ground water E~?iY~moun~of water in well ¢o / Heal th Services Reference Number (For Health Services Dept. Use) u~d~rsig~n~. CERTIFIES: "Construction of authorized installations will be in accordance · .~)~h:the Surfak County Department of Healtll Services' current standards thereto." This ?,~]¢at~on ~ll be valid for one year from the date of approval indicated below and may renewed it' a current local Building Department Permit is in effect. === =: == :~m TRE DEPARTMENT OF HEALTH SERVICESm USE ONLY. Based on the information presented here- ','~, it is the opinion of the Department of Health Services that an adequate and satis- ~:¢tory Sewage Disposal System end ~l~ter Supply c~n be installed on this plot. ~PPROVAL DAT~ ////~/~F S!CNED ~cv, 4/t/73 ONAUTHORIZED ALTE~.TION OR ^DDITIO~ TO THIS SU[~VEY IS A VIOLATION OF SECTION 7209 OF THE N~W YORK STAT~ ~UCATION ~W COPIES OF ~]S SURVEY ~AP NOT BEA~INg Tier le