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HomeMy WebLinkAbout9227-zF$1E~ N(k 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, BI. Y. Cerlificnte Of Occupnncy No. Z90.02 .... Date ...~te~y. .... 5 ............. , 19..7.0 THIS CERTIFIES that the building located at .165.. Dram Dri.~.e ........ Street Map No. ~4.650 .... Block No ....... Lot No ......... 66 ...................... conforms substantially to the Application for Building Permit heretofore filed in this office dated April 27 , 19.77. pursuant to which Building Pemit No..922.7Z. dated . . May.. /~ ........ , 19.7.7., 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.~.ATE. ONE. FAMILY..D¥.~.~LLNG ............................... The certificate is issued to l~ober.t .~. of the aforesaid building. Suffolk County Department of Health Approval Mart~ns ............................. ( owner, ~1~ /*/27/.78 ~.obent .Vi~ 3 a .... UNDERWRITERS CERTIFICATE No ...... ~3829Q1 .............................. HOUSE NUMBER .~.65 .... Street ....... D~w~. Dr.i¥~ ....................... ............................................ Gr. aenpo, r.*,. ,~!ew. Y.o. rk ............ Building Inspector I~ORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) ~ ~ ~o,~ .................... ~/ ......... ~./.......~,.......:~ Permission is hereby granted~t<): , ..~.-.~..:.,.~ ......... ~.~..~.~.,.,.~.: ............ ~.~ ~.~,...,~ ~' ,o ......n...::...::~ ...... ~...::~ ..... ~::,...:. .................................................... :.;;;;:.;;::.:...:~...~.~. ......... .~.::. :.:: ................................................ pursuant to opplicetion d~ted .................. ~ ........................ , 19 ........ , ~nd epproved by the Building Inspector, ~e ~.~.:.:: ....... FOB~M NO. $ TOWN OP 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 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 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Mulhple 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: ]. 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 inspection of buildings or premises, or other pertinent in* formation required to prepare a certificate. C. 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 $].00 ,~,~]L ~7, 13~78 Date X New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property 165 Zg/~,q ~)/?~/~, Owner Or Owners Of Property ....................................................................................................................... ...... ........................... Underwr,e ^pprova, .................. P,on. ng Board Approva ..... .................... Request For Temfl~,~ry Certificate ........................................ Fino] Certificate ........ ~ ............................ Fee Submitted $ .....%~.. ............................ Construction on above described building and/$)ermit me.,ts all a~pli~5~le code~and regulations. Applicant .~..~....... ~:.. 5~...~ ............................... Sworn to before me this- ~-- 7 ~/~ (stamp or seal) ................ day of ............................................ Notary Public .................................... County :-'* x _ THE NEW YORK BOARD OF FIRE UNDERWRITERS~,,:~, pm * ' * - ';- BUREAU OF ELECTRICITY F---' ,'; ~ ~ , 85 JOHN STREET, NEW YORK, NEW YORK 10038 :; ;?f ~L '~ ,~U ~gy the eg~tdcal equipment ~ desc~b~ betow and int~uc~ by the apphcant ~med on t~ ub~e apphcatto~ ~umber ~ the 'Robert W. Mart~ns, 165 Dawn Dr., 'Greenport, L.I.' -: ~,, ,~_~ .... , , -,-~ , ~ , FIXTURE RECEPTACLES ~l * - : FIXTURES , ' RANGES COOK NGDECKS~ OVENS D SH WASHERS~ EXHAUST FAN DRYERS ~ FURNACE MOTORS J ~TURE ~PLIANCE FEEDERS SPECIALREc'pT] TIMECLOCKS [ BELL ]UNIT HEATERS JMULTI-OUTLE~[ -- DI~ERs ' TE SYSTEMS SERVICE DISCONNECT NO, OF _ ', -' ~ / S E -~ R ~ 2-Smoke Detector 1-2.97 Grill & Fan Sal Prato E!ec. Wiggins L~e , ~, Greenport, L.I. Lic.1049 E cerHficm~e mu~ no~ ~e o~lered ~n any monner; ~e~urn to the off~ce o~ SUFF. ~ HFuI. LTN DE:I~T. APPROVAL ~o~£~CK VA~ 'ruYL. P. c. ~.~i~l: ~UF'F. CO, OE:Fr'r. Cl(l HF-,ALT,H SERVIC. EIS ' ITATtlM£NT OF INTI:N¥ ; FOR APPROVAL OF ~NSTI~UC~qON ONLY [ O~NC~ WILL C~F~M t OF H~LTH, SERVICE~, ~7, · , SUFF. co. ,.~^-~ U~. Xm'"ovX~ { .. s..oX' ~0 ;~'~ L. ANE ,/ OF'THIS SURV~ MAP NOT ~O~SJ~ ~AL SHALL NOT ~ CONSlg~I~ ~ ~LI~ T~U~ CO~ IlUl'l", CX). DF, PT. Ofr HEALTH IlJlt¥lCJll ~"NT OP' I NT FO~ A,"'e'~OVA~. O~ CO~4~-~',UC~OH O4~LY '{~{~ WATE. I~ ~UPPLY AI;L~ DA'Ti:: .... ...... DISPOEAAL SY'B*'I'I~wI$ FOR THIS O~C~ Wl~ ~F~M ~ H,~ REF. NO: ........... STANDMDS ~F =UFFO~ CO, Norms CEDAR CHALETS LTD. ,:.,.o,, ,,,,;s,(;Nl~l, FOR: DATE. I~¢~q~ 60NTBACT No. DRAWING CEDAR CHALETS LTD 915 WEST l~t ST., NORTH VANCOUVER, B.C. (:usTo~ m~smmq) ¥OR. [bATE' I ~4 ~'~, ~.~! rZ:. SCALE: DRAWN: CONTRACT No, DRAWING No, , ~ ~ ~_ ~ ~ v .~ II ~ ' ' ~ I , " ~~ , . . ~, ~ ~ v ~' _~ v ,- - ~ t · 0 --- - :';Z'ZTF7 ~'_ -"~-:L:-:2'2 -'~z .............. _ ................................................................. J t i Nor~ CEDAR CHALETS LTD. (:USTOMI,ESI(,NEDI'OR, DATfi:'--~''~'~:~,'~': CO"TRACT No. DRAWING NO. .,~'. ,:~' .4-'- ,~," 4-'- ~::~" -4-L ¢=>" ~'-~' ~" . ~,. ~" ~L~" ~L~" ~,_~' ~ I , ~ , ~.~~-,.~ ,~, 1' ~ : , / ~ ' ' , ,- _~.,/ ~ ' , I I ' Nor~e~ CEDAR CHALETS LTD. .:.**o~ .)ESI(;NED .:OR: DATE: "~,' /~ CONTRACT ~ ~ Nor~ CEDAR CHALETS LTD. ~~ [ '15 WE"T '. ST.. NORTH VANCOUVER. B,C. FOUBDATIO~~U~ SCALE: I , ~i -~ ~ , ~ , , Jk Nor~ .,~CEDAR~, ,. ~.. .o.,.CHALETS,~.=,,~., ..~. LTD. CUSTOM ~ Nor~ CEDAR CHALETS LTD. [ -- '1' WE~ 1~ ST.. NORTH VANCOUVE", TYPiC£.L CX'TCQIO~ WALL Dr~ Th-,~t ® 9_- 2" X e" ]-DP Pu~.-CE @ f5'-o" D.C. NOR-WES NORTH VAHCOUYER, B.C. /.../ - 5UPPUgD IbV k~O~- ~,V~5 b"tb" PO%T FOil br-_~a~,, CCHTP. U 5~AQItq C, \¥&LL Dg'T/klLS ,~ ~OTTOI;, b' ,~ b' \',JOOD Po%T LUkh_",TI4 ]-0 %L'iT . 5]-AKIDARD COKICEE]'E Dr/'TA,1L $ I~1 · ' ] ~J~ ~ PLY ~ FLO~ ~ LTD ,,. ---- ..---- / f~1 ' I m Nor~ CEDAR CHALETS LTD. ~...o. ,)ESI(;NED FOR, ~"~ ~'Z ~1~ DATE: ~~ DRAWN: ( ,'TYPICAL C P....o %% -. Nor-5~ CEDAR CHALETS LTD,, $15 WEST 14 ST,, NORTH VANCOUVER, B.C, CUSTOM DESIGNED FOR: D~--F~NI L SCALE: DRAWN: CONTRACT No. DRAWING Nor-~ CEDAR CHALETS LTD. 916 WEST lit ST.. NORTH VANCOUVER, B.C. CUSTOM DESIGNED FOR: SCALE: DRAWN: CONTRACT No. DRAWING No, . ' ~ -t~ ~ ,,~ , x~ ~ ~ ~ ., O ~w ~ ~ ~ "',, ' 'Nm~ CEDAR CHALETS . i d L i CUSTOM DESIGNED ~L¢ CONTRACT No. CEDAR CHALETS LTD. IIII II tlXII' ~ ~,~ Ill II , II ~.1 ' ~ ' - ~-~~ ~ ~ III Nor~ CEDAR CHALETS LTD~ 915 W~ST 1~ ST., NORTH VANCOUVER, B,C. : r ~ ~ ~ ~ ~t I ~ i