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Home My WebLink About9074-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Cerfificale Of Occupancy No.. Z893 ~ ..... Date . .¥egruar.~: ....... 16 ....... , 19.. 78 THIS CERTIFIES that the building located at . 1.~0..Pike..St4 ............. Street Map No ............. Block No ........... Lot No .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...March ..... 8 ....... , 197.7.. pursuant to which Building Permit No. 9Q.7.~?.,.. dated .... h~.;e, eh . .8 ....... 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 ...lie s.taurant .&. Ap~r.t~en~; ........................................... The certificate is issued to ......... Joseph. La.er ................................ (owner, 1~,~~ of the aforesaid building. Suffolk County Department of Health Approval ..... ~7./.R. ........................... UNDERWRITERS CERTIFICATE No. N373999 N373997 HOUSE NUMBER 1)+0 Street Pike Street Mattituek, NY Building Inspector FOE~I NO. ~ TOWN O~ $O~?~OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 907 Z Date .......................... ~.R~.C ]~ ....... ~ ........ , 19.....27 Permission is hereby granted to: ..... ..Z..o..s...e.r. ~ .. ~ .a..n..~.e..~ ........................................... ........................ ,~t, Ke,,,,,s,.t,. ........... .~.a...t..t...t..t..u...e.~ ..... to ....m..a...k..e.....a.. ,%~.e..~ ~.~ ~..q.n.....C...b.,u. ~.l~....a..d...d..~.O~.,.0.~...e Xi ~.t ;i, ng...b~,~ ~e ~.~ at premises located ot ..... 5/.~q..2~ke...~.~......(E/....~..En~e.uca~ .......................................... ............................................. Natiita~k ..... .N...Y ............................................................................. pursuant to application dated ........................... ~.~. ......... ~i ......... , 19....~.~, and approved by the Building Inspector. Fee $...2~.'.Q.O. ......... · 'B~iiJ;~'~ Inspecto'~ 1' ................... l~Olt~I NO. $ TOWN OF $OUTHOLD , Building Departmmit 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 disposals(S-0 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 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 Building ................ Addition .....~ ......Old or Pre-existing Building ....~ ...... Yacont Land .............. Location Of Property ......... P./..I~..~.. ...... .~...t ........... ~..~...-~../...L .~.....c..~./.~..t....~..:..~.~. .......... Owner Or O ne. Of Property ................... ............. .............................................. ............ ubd~wsmn ,~_.~ ~ ' ' ' ~3.-.~.:.~-;...~..~-~.~-~; ............... :/..v .......... lot No ......... ~.. Block No .......... ,,. House No ............. ! ~? rn-~g ~'~ 3:~3~ ........................ Underwriters Approval ...&...~..¢.~.?~....~,.~.......~....-.~..~.~.Plonning Bo~rd Approval ........................................ ~oque~t For Tempom~ Ce~fficote ........................................ ~n~ C~i{ic~t~ ...~... ............................ Construction on obovo described building end ~rmi~ee~l~ Opp~ c~,s end regulofions. Sworn to before me this ..~..~....,...~. day of...~~....../..~..~.~..... Not,~ Public ~.~i ..... County (stomp or seal) THE NEW YORK BOARD OF FIRE UNDERWRITERS Is BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NEW YORK 1OO38 Oa~'e February I ~ 1978 ~pplicatlonNo. onfile THIS CE~I~IES THAT N 3 7 3 only the elect~cal eqmpment ~ deBt.bed ~l~ a~ Kenneth Joseph Langer, P~ke -~-~ · was examined on J~muary ]SO, 1978 OUTLETS [] 2nd Fl. Section Block OVENS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS DIMMERS Ke~nePi~ Jo~,~ph [.anger, ;3ox 247 P[~e S±reet i'~atti tuck ~ [-.I. 11952 AMOUNT P/EASE REMIT BY CHECK OR MONEY ORDER TO THE ORDER OF THE IqEW YORK I~DARD OF FIRE UNDERWRITERS AS CASH SENT BY MAIL WILL BE Af ~RISK OF SENDER. BILL PAYABLE AT THE NEW YORK OFFICE ,85 JOHN STREET, NEW YORK~ N Y THE NEW YORK BOARD 'OF FIRE UNDERWRITERS ~ g ' BUREAU OF EL.ECTRICIT~ ~ B3 JOHN STREET, NEW YORK, NEW YORK 10038 only the elecz~al equ?ment ~ ~scdbed bel~ and int~d~ed by the applleant nam~ on the able app~cat~ ~m~er in t~ pr~m iscs q( ,h~ C..f,..~ Po,, ~.ox ~_~7. P~ ..... a~t .... ~ ~,a~t~fuck~ L.f~ ~ · . :. ~examlnedon January ~0~ ~gT~ ~dfo~dto~ei~comp~i~ce~itt~there~ulrementsof~h~B~d ' '',, Motoms: t-t/2hp ~-4.0 k;.~ Wa'~er heater Kenneth J, Langer Box 247 PI", ~treef AMOUNT PLEASE REMIT BY CHECi( OR MONEY ORDER TO THE ORDER OF THE NEW YORK BOARD OF FlEE UNDERWRITERS AS CASH SENT BY MAIL WILL SE A~ NRISK OF SENDER. THIS IS YOUR BILL FOR SERVICE RENDERED AND IS NOT A CERTIFICATE OF COMPLIANCE. THIS BILL PAYABLE AT THE NEW YORK OFFICE, 85 JOHN STREET, NEW YORK, N. Y. 10038 IIVC. /YJ,z~ "T' r,f 7{_.t ~/(