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HomeMy WebLinkAbout9231-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No. ZS0.b?. ...... Date ............ E.o.y...1.6. ......., 19.7.7. THIS CERTIFIES ~at the building located at . .Yennecoi.t Drive ........ Street Map No.Yep~qe¢0.t.t~. Pl~lock No ......... Lot No, .3~ ..... Sotxthold...N..,%.,. ........ comforms substantially to the Application for Building Permit heretofore filed in this office dated ....... .~.y.. f. , 19. ?.7. pursuant to which Building Permit No. 92.3.1Z.. dated ....... Ma~.... ~...., 197.7.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Pr.:~v~.t.e..~.w~..~$.ng p. op~..w.i..t.h..f.e.n.c..i.r.~g .&...a.c.q .e.s.s.o.r.y.s ................ The certificate is issued to ~rn..a.rd .~ :..V..at3..Ppp. e.r..in.g .... 0.w.n.e.~. .................. (owner, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Approval .N.,.R ~. ............................. UNDERWRITERS CERTIFICATE No... 1436272_1. .... Nov. 2.. 29.7.7. ............... HOUSE NUMBER ... 2.30~ ... Street .... Yermeco.tt.Dr. .... Snutho&d ......... ...... Building Inspector FORI~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH*OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION, OF THE WORK AUTJHORIZED) N? 9231 Z 'pursUant to applicaii~n-dated ..] ..............: ...... J]~.:....~...] ............. , 19~..v~ and ~pr~ed by Building I~ector. Permission is hereby gmn{~;::l to: ,' to ......................................................................... ; ................................................................ *. ................ ~. ..................................... :..~'f:~L?.'LLL...: ........ ~'. ...... · .............. :...:.'..:.:....'.... :..: ........................................... '. ..... ot premises Iocoted ot ....~....~.....~.~.......~..~?.?.?~.~......~.. .......................................... : ............................... .i,~eep..tt,m, ~.~ .....~..,., .................................... t ................... ~"~- ..... ~' ............................... t ......................· ............ the FORM NO. 6 TOWN OF SOUTHOLD , Building Depaffment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcation 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 dlsposaI--(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 installations, a certificate of Code comphance from the Architect or Engineer responsible for the building. $.Submit Planning Board approval of completed site plan requirements where applicable. B~ F<~r existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" la~d 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 inspection of buildings or premises, or other pertinent 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 $1.00 New B~tilding ..~.....~../..,~,~t/'a~..C,~....~.~/-OJd or Pre-existing Building ................ Vacant Land .............. Subdivision No ............ oc.2%NO' C/Uoust Permit No..~'.~-~../.~_Date Of Permit ,~./~./..,~..lApplicant ..~...~....:..~....~.:...~..~..~.,M..~ Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approva~-~-~ ....................................... Planning Board Approval ...... ~~ ............. Request For Temporary Certificate ........................................ Fin~ Certificate .......................................... Fee Submitted $ .~..~... .............................. Construction on above described building and p_..e,~i~t meets all applica~e codes Sworn to before me this ....... ........... FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date .... (owner or authorized agent of own/~ ~.2 (add;~SESA~T/~(rE°rNaC~;i~r;z~L~egeen~,~i °aWnv~)latlon of. J Zoning Ord,nance ~..~-/./~...~...~Z... Other Applicable Laws, Ordinances'or Regulahons ........................................... at premises hereinafter described in that/.~~~'~"~'~...~~.i /z /~ // (state character pf./~oJ~ahon) · ~- 6" ~ ~/~ '. ,~ ~,o~,o~ ~...~~o~..~ ..... ~..~.~....~..~.....~.~.~.z..z.~z.~.:2.~ ........... (Store section or poro~r~ph of ~pphcoble I~w, ordinance or re~ulot~on) YOU ARE THEREFORE DIRECTED AND ORDERED to comply w~th the lead-and to remedy the condit,ons a~on.ed forthwith on or before the ...................... ./..~./.. ...................................... day of ....... ~ ~"/~~.~~ .............. , 19~...~ ~...~e pr~emises to which this O~DER TO REMEDY VIOLATION refers ore s~tuated at Fadure to remedy the conditions aforesaid and to comply w~th the apphcable prowsions of law may constitute an offense punishable by fine or impn.sonment or both. FO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~VN CLERK'S OFFICE SOUTHOLD,~ N. Y. ORDER TO REMEDY VIOLATION . (owner or authorized agent of (address of,~ner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violahon of: Other Applicoble kows, Ordinonce~'or Re~ulotions ............................................. ~, ~o~,~o, ~..~~..r2~ ..... d~..~ ...... ~..¢,...z.~.~.z...<.~.~.~:.Z .............. {St~e ~ecfion or paragraph o{ .pphcoble law, ordinance or re~ulotion} YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the I~ond to remedy the o. ~...~e premises to which this O~:~>ER TO REMEDY VIOLATION refers are situated at .................. County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of Iow may constitute on offense punishable by fine or imprisonment or both. NOTE - LOT NO'S,I~E FEIE 10"1',1/',,~ OF ~[NMECOTF PA~_W_~O?~. FILE -- SUFP?LX COUNTY CLE~'50~'FI~E ~,E, ~AP N0. SfS7,