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Home My WebLink About7701-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, hi.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 7701 Z Permission is hereby granted to: o z'J,~.¢...~;c%;~ ~,~g.....~..~.o.~;,:~. ,....~.0.....~..~.. Clear ge Orient to .tD,~.~,ll ..~.~W...p~.t.~.~ ~.e....~.~/.~,~.l~g ..p.~l...'~'t~ .. f~.~ ..~..a~ ~ ~a~. ................. pursuant to application dated ~ .............................. ~'&~ ...... 2.1~..:...., 19.~.~.., and' approved by the Building Inspector. Fee $..).~m.~. .......... oulmmg mspec?or ~ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. ¥. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate 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 disposol--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, /V[ultiple 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 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. Sworn statement of owner or previous owner os to use, occupancy and condition of buildings. 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: 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 .............. .,~,,/01dar Pre-existing Building ............................ Vacant Land ............................ Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approwl ............................................ Labor Dept. Approval ................................................ Request For Tempore~ Ce~ificate ........................................ Final Certificate .~ .................................. Fee Submitted $ ........ ~ ............ Construction on above described building end permit meets all applicable Applicant Sworn to before me tJ~Js ........ .............. ~ICHOLAS ~AMULA ~OTARY PUB ~,.L~O e ¥0~ ,o. regulations. THE NEW YORK BOARD OF. FIRE UNDERWRITERS ' ~ bUrEAU OF ELECTrlCI~ I--- _ 8S JOHN STREET, NEW YORK. NEW York 1'0038 '" - -' 806~136 THIS ~ERTI~IES THAT ,,nly the electrical equipment as described I~elow and introduced by t~ applicant. ~d on the ab~e application rt~mber in the premises of : , . George Kohl, Yennecott ~a the~ollowlng locatlor~; ~ Base~ne~t ~ 1st FI. ~ 2nd FI. ; · - Section Block Lot outsmd~ Jul 1975 FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS SERVICE DISCONNECT OTHER APPARATUS: (Swimming Pool) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. ~== . Ronald B. Busch . _ =_ ....... - 5~:::f2~L' 925 Long Creek D~. .?¥ .~-,~ :-:, -'~}- ' i - G~NE~ALMANAGER ~-:;'~;-~: ~;:' Southold. h.I. 11971~ :-:- :~' - :- - -: ?':{ . ~:: :- - This ce~ificote must hot be oltered Jn dny m~,ner~ return ~o the office of theBoor8 i~ in~orrecf, lnspedors mey ~e idenfi[ied FORM NO. i~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S Ot=FICE SOUTHOLD, No Y. ORDER TO REMEDY VIOLATION ........... .......... (owner 9~/authorized agent at o~ynerJ / d.~..~...~..Z,~.l~.~.~~ dd:~....~ ...... ~;, (address ~ner or author zea agent at own ~ PLEASE TAKE NOTICE there exists a violation of: Other Applicable Laws, Ordinances'or Regulations ............................................ at premises hereinafter described in ,ha~:~..~ / // , tstate c~acter at v~laTIon) / ,. o, ..................... (State section or paragraph of app~ ca~ e aw, orai a c g YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the~w and to remedy the conditions abas%mentioned forthwith on or before the .................... ~...~ .............................. The ?,remises to which thisz4DRDER 70 REMEDY VIOLATION refers ore situated at ~..~..~~~,~....~.....County of Suffolk, New York. ~ailure to remedy the conditions aforesaid and to comply w~th the epphcable prows~ons of law may constitute an offense punishable by fine or imprisonment or both. Building Inspector