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Home My WebLink About7764-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z15959 Date. 5. u.!y..2.0.,. 1987 THIS CERTIFIES that the building Addition · 830 West Cove Road Cutchogue Location of Property ................................ House No. Street' ......................... I:¢Jr~iel County Tax Map No. 1000 Section .. J .1.1 ....... Block ... 9.2 .......... Lot .... l.l ............ Subdivision..~..a.s.s.a..u..~.q:..A.m.e.n..d 9.d' .A. ..... Filed Map No. 156 .... Lot No. 280 conforms substantially to the Application for Building Permit heretofore filed in this office dated March 24, I 975 pursuant to which Building Permit No.. 7.7.6~f z dated . ~.a.r. q .h..2.4. ,...1.9.7. 5. .......... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Addltion to existing dwelling. The certificate is issued to RAJEAN M. SALMON (o wner,~r?Jr, r1,~t~X X X X of the aforesaid building. Suffolk County Department of Health Approval .......... .N/?. ............................ UNDERWRITERS CERTIFICATE NO ................. ~.2.4. 0..3 .2.2 ................... PLUMBERS CERTIFICATION DATED: N/A ...... Building Inspector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. ¥. Certificate Of Occupancy No. Z6627 Date A~gust 11~ 19 7~ THIS CERTIFIES that the building located at ....W.e.s.t...C p.v.e...R..~.d. ........ Street Map No, .E.a.s.s, .,, .P,t, .,, Block No ........... Lot No, .2.8. Q .... C..u.t.c.h. qg.u.e .... .E.:Y.: ...... requirements for one ~zn~_~?~,~h~o~sing code conforms substantially to the built . certificate 9f occupancy dated ...b.e.f. 9.r.e..A.p.r..2.9 .... , 19..~.7. pursuant to whmh BfKl~h~d~lo. Z6627 · ' dated ........... .A.uKu. s..t...1.!, 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 p?.i. vate o.np. f.a.r.n.~.l.~..d~.~.e.3:~..i.n.g...(a..4.d.~:~.~9.n' 776~Z ) The certificate is issued to .Ra~.ean. ~.. Sa&rnon .... (h,me~. .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval pre- existing UNDERWRITERS CERTIFICATE No pr.e- existing HOUSE NUMBER .... .83.Q ...... Street ...~./e..s.t..C. 9y~e..R. 9.a.d': ...................... Bmlding Inspector FORM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL TULL COMPLETION OF THE WORK AUTHORIZED) N? 7764 Z Permission is hereby granted to: M~a ..~,~a 1.t e n .. Salmo~ ......................................... .... .~e.a ~...~ .o.~. e...~t .............. Na~&u..B.o~a~... to b..u..~ ~.d.....a...q....a.~ ~..~.~g~...q.~...e. ~.~ ~.t.~g...~[~:L1 ~g at premises located at ..~.O.tx..~,.O. ......... ~.].e,2.s~...~.oJ_q.t,..P. rc~.p ......................................................... pursuant to application dated .......................~.~.~ .......... ~ .......... , 197~....., and approved by the Building Inspector. Fee $~5~C) ............ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filted in typewriter OR ink, and submitted m ~ to the Building Inspec- tor 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 installa- tions, 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 asto use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling.$25.O0, Accessory~$t0.OO Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50-. 00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0,00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewC°nstructi°n. .~.~... Old or Pre-existing Building ,. ........... Vacant Land ............. Location of Property 830 West Cove Road Cutch. House No. Street Ham/et RAJEAN M. SALMON Owner or Owners of Property ............................................... County Tax Map No. 1000 Section 11 I Block 02 ~ ! Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval Labor Dept Approval Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Rev. 10-10-78 Construction on above described building and permit meets all applicable codes and regulations. ,~,,L^~':can+ .... Edson & Bruer