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Home My WebLink About9073-zFO]~i NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT To~ Clerk's O]~ice Southold, N. Y. Certificate Of Occupancy No..~.777~ ...... Date ............ ~'u~ly.....13 ..... , 19. THIS CERTIFIES that the building located at . Oak Ave ................... S~reet Map No. qgP.~.e...B.ay.. Block No ........... Lot No, ] .83.-.1 .87 ..... .8.o.u.~;h.oJ..cl .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .............. ~iar... 8., 19.7.7. pursuant to which Building Permit No.. 9.073. Z. rjr dated .......... :I,!_!I.'...~. ..... , 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 .. Prlv.~t.e..qI~. f.~a~.7~y..~...~.-,ln~, v~-.gh, a~lrtl~[on ..................... The certificate is issued to }~gal~.e2. & .Thos..B/tb~_a · · .~r,e.~.~ .................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval }..,1~, ................................ UNDERWRITERS CERTIFICATE No...~!3~. ~ ¢!+f'~....07!13.?..].0....~.r).~7. ............... HOUSE NUMBER ..... 2.~0 ...... Street ...90!~../.~.ve ..... g.o.u'~hold ................ Building InspectOr FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, iq. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9073 Z Date Ma rch 8 19...?..7.. Permission is hereby granted to: Richter Home Improvement Co A/C Thomas & Margaret Bible at premises located at ....... .~0.~.~...1...8.~..-..1...8.7. ......... .G..o...o..s...e... ',~..a..~...~.~.t. ............................................... ........................................... ~,./.?....0...a..k....,.'~ y,~ .......... s.' ,o..n...t..n..o...z..a.......~:~. :..7. ,,. ............................................... pursuant to application dated ...................... ~..a.~......8. ................... , 19....7..?., and approved by the Building Inspector. Fee $..1..~?.?..O. ........... Building Inspector · '-i?;-. -,: i,~THE.NEW,-YORK BOARD, OF FIRE UNDERWRITERS ~ , ,-~,, I~ -CT~S~_ ¥ ~ ~ ;: ~' ~ :' , ; 85 JOHN STREET NEW YORK NEW yORK ~0038 :only t~ electrical ~uiPme~t ~ ~escrlbed bel~ and introduced by the applicant named o~ the ~bo~e appl~ation number in the premises of .~.. '. :'.."~:.~ir,.:~Tho~as.C,~Bzb.le,~ Oak Avenue n/ss.?.Southp~d,::~..~:.~.~ ~ w~examt~do~ .~ ~, -I .u:~n~..~ - - ~: ' . : attdfoundtobe}~compl~cew~htheEequt~etnentsofthtsBoard. This certificate must not be altered in "any manner, return to the office of the Board ,f incorrect.. Inspectors' may be ,dentif~e~r/credentlab. ~FO)tl~ NO. 6 TOWN OF $OUTHOLD , Building Depa~tment 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, 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 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 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 $1.00 Date .... .'./.../....~...i../....~...~. .................... New Building ................ Addition ....../~.. ........ Old or Pre-existing Building ................ Vacant Land .............. Lo,atto, Of Property Owner Or Owners Of Property .~/,,~,//, ,~.,,/~, ,~,,.'~,,,,(,~,~,,,..~..,.~'4~..~.~.~....~...'....~.~..~/./~...~..~ .................. Subdivision ................................................................ Lot No../.,~..!Z/... Block No ............. House No ............. Permit No...~....~..~.~.,~..... Date Of Permit ...~.../..~...~../~....Applicant ~./..~.~...7~..,~.....~.~....~...~.,.?..-,_~...~./~...~..//~...~.../.~..~ Health Dept. Approval ............................................ Loaor I~pt. Appro¥o! ................................................ Underwriters Approval ....~..i..~..C/../...~...'.~....~. .................... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Find Certificate ..... ..~.~ ................................. Fee Submitted $ ...... ~ ....................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ....................................................................................................... Sworn to before m .s ,,/~__ '~-?,~/ ,.,~... day of .~~ ...... ,....:.../.., (stamp or seal) Nota~ Public ...... Coun~ SECTION ?209 OF THE NEW YORK STATE EDUCA~IdN LAW. COP/ES,OF THIS SURVEY ~AAP NOT BEARIN~