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Home My WebLink About9213-zFOn. M /~0. & TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No.Z?8.~.~. ....... Date ........ 0c.~...7 ......... , 1~.~... THIS CERTIFIES that the building located at .. ~.~g..Had. bot..i~o~1 ....... Street Map No. ~lq. za.v~s p.~Block No .......... Lot No. ~Y .... ~reenpo2.t... ~¥, ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated April. 28, 197.7.. pursuant to which Building Permit No. 92.13Z.. dated ..... Ap~'i.q .28., 19.77., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .P2$va,%e o~.e...fa~:il.y..d.~/e..~.~.ng ...................................... The certificate is issued to I~ &. I~:2s. B.o ~/es.~cm ~wn~xs ................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval AV-g. 2~...~ Q?~ .b.~]..R.:. ¥.:]?.~.e. ..... UNDERWRITERS CERTIFICATE No...~:3~76.~.7....S.ep.t.,, .2.6...~.?.7 ............... HOUSE NUMBER ... 1+50 .... Street..S..nlkg .b~'.b.oA'..R.o. q4 ....... .~.~.e.~p.o.~t... ....... .... Building Inspector k FOR~/~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BU~t-DING PERMIT (THIS PERMIT, MUST BE KEPT ON THE PP, EM~SES UNTIL FULL CoMpLETIoN OF THE WORK AUTHORIZED) N? 92' 3 Z ro ........................................................................................ ~, .............................. ~ .................................. ~ CZ~O_~c~.L~.' ~ ~., and approved by the pursuant to application dated .......................~]__~..: ...... ~ ............. , 19., -~ Building Inspector. ~.:~ Fe~ .._:.._..: .............. .../. ...... : .............. :..._'~.. ..................... J: ....................... Building Inspecto~ THE ,NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY [-"-'~JT[ ~ ,~ ~' ' ' 85 JOHN STREET, NEW YORK, NEW YORK 10038 l'.'Septembez~*26, 1977 .~,,pl,¢.,~an~a. an/'. N 357687 THiS CERTIFIES THAT' 922279 only the electrical equipment as described below and introduced by the applicant hat. eden the above appllcaEion number in the premises of Rhdda Weston, 450 Snug Harbor Rd., Greenport, N.Y. wase.,a,ni,,,don SeptembeP 22~ 1977 .ndfoundtobe,ncompllance.lththorequirement, ofthisBoard. FIXTURE ?ECEPTACLES OUTLETS SWITCHES 514 48 DRYERS FIXTURES RANGES FLUORESCENT FURNACE /ROTORS FUTURE A1~PUANCE FEEDERS OVENS DISH WASHERS EXHAUST FANS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO OF FEET SERVICE DISCONNECT OTHER APPARATUS: 3- G.F.I. G.F.C.L smoke detector 4 ton AO unit Post Light PAul Burns- Town Harbor Lane Southold,.N.Y. ;, - S , -E"., ' , R ,.V, I C, E J AW O J NO OF HI-LEG A W G NO, OF NEUTRALS A W G NO OF CC COND OF CC COND OF HI LEG OF NEUTRAL 1 2/0 , _,'i, , ',, LIc#282E :~-,, ( ' ~ '~ I,' ' , ', ~ ' , ;~: -:,u /* GENERAL MANAGER 11971,~.,_-,, , , - - -: Th,s certificate must not be altered in any mannerl return fo the office of the Board if incorrect Inspectors may be identlhed FOI~ NO. 6 TOWN OF SOUTHOLD , Building Deportment Town Clerks Office Sou~hold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Co 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 farm 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 site plan requirements where applicable. 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 as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspechon of buildings or premises, or other pertinent in- formation required to prepare a certificate. Fees: 1. 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 ...... ..~./....~ ./.. Z..~. ................ New Building ...... ~ ...... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ............. .~..~..~7~.~.......~..~. ~i.'~....../~... ........ ~..~... ...................................................... Owner Or Owners Of Property ...~,~. .......... ~.~....~.~. ....... .~....~.~...~... ........................................... Subdivision ...~~~---~,......../~./,~. ,.*s~....~..~.,.Lot No....':~.....~'~.,., Block No ............. House No ............. ...................q-~ ~d~./);~ Permit No...,~' Z~Dat. Of Permit .... J. ..... ~...[..Applicant .... Health Dept. Approval ..... ~...-.~..°..T..~.,..~. ..................... Labor Dept. Approval ......... /~-~/,~. ............................. Underwriters Approval .............................................. Planning Board Approval .... ..~J'./~.. ........................... Request For Temporary Certificate ........ .?...~... ....................... Finczl Certificate .......................................... Fee Submitted $ ........ ...~./...~..~. ................. Construction on above described building and, permit meets all applicable codes and regulations. Sworn to before me this Notary Public ....~ / County