Loading...
HomeMy WebLinkAbout9248-zFOILM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z77¥.3 ..... Date ......... J..un,e..2.8 .........., 19..7.7. THIS CERTIFIES that the building located at . D. el~a~..6. ~r~a ........... Street Map No. Lau,¢ty....E~lock No ........ Lot No, 3~ ...... Laurel ..... I~ .Y .......... conforms substantially to the Application for Building Permit heretofore fried in this office dated ........ [,'-ay 16 , 19.??. pursuant to which Building Permit No.92?!~..Z... dated ........ Lay.. ~6., 1977.., was issued, and conforms to ~11 of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .Pr;~vat~..~z~..f.~$!Y .d~:re.ll lng. ~r~,th. ackd i t ~.o.n ...................... The certificate is issued to I'Iel~ry..Cor~w. ell ..... Owner ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval L. ~:~; .......................... UNDERWRITERS CERTIFICATE No. It ~ ~.t.. ...................................... HOUSE NUMBER ~+0~ . .. Street .. 3e~mar. ~ ..... Lau~.ol .............. · .NOTE:. Ga~.age..f. irer. etar~i~g. 20 .be. b~ .owner. .......................... Building Inspector TOWH OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N, Y. hereby granted to: ' BUILDING PERMIT Ci'HIS PERMIT MUS'i' BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Dote .......................... MII;~ ......... t6 ....... :, 19..~, l~O~W NO. 6 TOWN OF SOUTHOLD , Building Deportment Town Clerks Office Southold, N. Y. 11971 AFPLIGATION 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: ]. 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. B. For existing buildings (prior to April ]057), 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. Swam 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: ]. Certi{icate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00/3 3. Copy of certificate of occupancy $!.00 New B~lilding ................ Addition x×x Old or Pre-existing Building Vacant Land Location Of Property I~Q.l:...,,3.Q...~J~.~..~.~...~.o.~.~.l~Y...~.~.G...t..e..s..~.....~....3L..m.~...~...~..~...~.e...~.~.~. Owner Or Owners Of Property .H...e..n...z~.....C..o.~.w..e..~. ....................................................................................... Subdivision ................................................................ Lot No .....3..0. .... Block No ............. House No ............ Permit No .~.,~..~..8...~. ....... Date Of Permit .................... ~plicant ..]:..n..~...a:.~...~.....H..o..m,..e..s,.!....I...n..c..; ....................... Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planmng Board Approval ~.es Request For Temporary Certificate no Fin~ ~ertificate 3/es Fee Submitted $ .5..'.9.0.. .......................... Construction on above described building,a;_/?/permlt~-ne~/,.~,~,e;odey, n,L~nd regulations. Applicant l~5~-<w~l,~,~~ .................. ............. ...... o, NotQ~ Public .................................... Coun~ ~ ~9.°° ~ T E LocATiON OF WELLS AND CESSPOOLS $~0~¥N HE.qEIN ARE FROM FIELD OBSEEVATIONS ANDIOR f'~OM DATA o~T~I?~D FROM OTHEES NO r~ ,' ~ = MONUM~N T SUBDIVISION MAP FI£~D IN ~-NF OFFIO~ OF THE CLERK OF SUFFOLK COUNTY ON dUNE 22, 1970 A,~ FIL tZNO. 548~. R~V,S,O.$ YOUNG & YOUNG ~ ALDEN W. YOUNG //~/.O,~'~ ~'-':~G ' SURVEY FOR. i~ ~~~_q~,'~ ~ 0" .. ~ '~ ~' ~ LOT NO.. 3 , LAUREL COUNTRY.. ESTA~ GUARANTEED TO: AT LAUR EL SECURITY TITLE ~ GUARANTY CO, SOUTHOLD SAVINGS BANK TOW~O~ SOUTHOLD aY ~ co.,