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Home My WebLink About9282-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 7'~.~.7~ ...... Date ............. .S.~tg.~...8. .... ,19.77. Ave THIS CERTIFIES that the building located at .. Deep. I~.o~Le. D~..&. N.,S~S~ Street Es~ Map No. Deep. HoZe ~lock No .......... Lot No..~ .... ~a.~$%~k. · ~..~ ......... conforms substantially to the Application for Bufld~g Permit h~etofore filed in ~s office dated .......... P~y..~2. , ~9 .~7 pursuit to whi~ B~ding Pe~it No .... ~282Z dated ....... 5~. ~ ..... , ~9 .~., was issued, ~d co~orms ~ ~ of ~e requ~ ments of the applicable pro~sions of the law. The occup~cy for w~ch ~s ce~ificate ~ ~sued is . .~..~$~g. P~Q~. ~$~.~ ~..~qg~.~.....(~P~P~ ~ ~ appeals) The ce~ificate is issued to .Garas.mimo~.. (Je~ry). ~otolos..~. ~/i~e ..... o~e~s... (owner, less~ or ten,t) of the aforesaid b~ldinE. S~o~ County Department of Health Approv~ N.~ ~ ............................... U~ERWRITERS CERTIFICA~ No ............................... ~ ........... ~q~ :...q~..~.he~. gq. be..t$~vg .~o. e.o~e, ................................ FOV, M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI>,EMISES UNTIL FULL COAAPLETION OF THE WORK AUTHORIZED) N? 9282 Z Permission is hereby granted to: .................... t, ta.C,t,~u~. ..................................... to ~. :.~.z..4 ...q.e.~ ..~?~.t. z~ ~...~.~z. ~.$~.. ~...q.o...Z...'~<~.~b...r.e..~.e..~ ..~....a.e..e...e. ~...~. ~. ....................... at premises I~ated at ...~¢....~.....Dee~t-..~ol.-.C.~e~--ga~[ ........................... ; ............... .................................. I~..[ufla~k..~a..&. ep.. HoLe..~..la..~.,....:..~.~~ ............ , t~ application dated .................. ~.~...12....Lo ~ ? ............... _, -;19"~1"- ,~ ,, and~. ~. ~roved,, ,, ~, by,the, ~: Buildi~ Ink.tar. - ~ ~ ~u~j~,~cll: l~: ,-"T, HE:,NEW, i YORK,, BOA,RD ,~ - FiRE UNDERWEITERS :' · =llf~ul~ '~ I "'-'"'=[] ' ~ -~ t---- ~ .- ~.)., .1_, . ....~ .... - ,.~ , :, - ~ .~ , ~-.-0.~.. ;_, ~ , ~:,,,-,,, ....,,.,-~o ..~,,=, ~ o~, = ~ -- ~ :,,-, 5'3 7 7 8 L 4. I~Jl ' ' ,I Iii21 ~ ~, ir ''llh'~1-II Ill ' 'u , . t~ ' ,~i~ ~,~,, Jer~y ,~o~olos.'~ Ne~' S'uffo~ Av~,,-i eo~. -of deep' Hole~r,2'. & Locust Ave. ;~X~RE ~ ' [~'~T~C~S ~" -'; , ;, , ,FIXTURES' ~L HLJff:] : RANGES ]w -- C~KINGDECKS OVENS ~il DISHWASHERS EXHAUST FANS ;~i~ ~ n~,,,~lb{:~,h~ ~, ' I'~," ::~ ~' :, ' = I'" -~ -< =:' I ~[~_ l-~ ~ , ..,.: Lt_ '... ~[[~D~YE~Sj~i~ L'~?FURNACE'~OTO~S, '-s ~tO~'~ AP~ANCE'FEEOE~ SPEC~L~[C'Pt ~)ME~O~KS ~EL[' ~iTHEATERS IMULTI~UTL~ DIMMER5 ' ' '~,' '"~L ' m ...... , . , ., ., ~, ,, ~t ~.P NOOFFEEt .... ; ' .~2 ....... ~ ....... :,.~ ....... h.......,,.,~'~ '.;m-nl--ql- -I~1:~;~111::. h' ~i~ :~ !hJd I1[:1 ~.T .~. [ I _ :.-I -- ,- ,~ -~ - ~ f ~ ~ ........ - -- - , ~1 Ii_. :]I~:1 -I1-: ~II-"-III~H:-t~ 'i-lh'i -E-ii f~ .... ~ n : ~m'~n' :l~",~i~:~;~/'.t~~'~ ~gi,~?~i'",~"~,,:~.,',' .~,. ,,,' , ;, % ':.,,':.;,S..~,~.,,,~;~l~:::~ ~I~"~:~R~R~! ,il,,{ ..,, h h, ,, .' , , "'Z [l],~hli~i ]ll~filll;;lll:~ll ~1 ,. ~1~II1~ I It ~:1 : ' *~P- ' D % ,.. ,,;,.,,,, , , lil-=t,~.~fll-_~ 'll:-II-~,-I I'- ~'=1~'I~ "t t~, IS ' ;'-" ' l~)ltM NO. 6 TOWN OF $OUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLIGATION FOR GERTIFICATE OF OCCUPANGY 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 Jrt- 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 Bq'lding~ ................ Addition~ ....... Old or Pre-ex, i~ling Building .~ ............ Vacant Land .............. Location Of Property ...~.~....~~~ x/L/~V~ --~'~"7' J ,w c~'''~''''''''~{'''''~'['~ ...................... ' Subdivision ..0-;~.....~:2~.~.~...~...Lo, No. ,,I.~,~.... Block, No o,..~T.,. ..... House No .....: ...... Permit No .~..~....~.~.:Z, Date Of Permit ~.'../..~/.?,.,'~....Applicant .,,/~,~...~-_......~. .............................. Health Dept. Approval ...... ~ ............~. ................. Labor Dept. Approval ................................................ Underwriters Approval ....... ..~. ......... Planning Board Approval Request For Tempora~dficate .................................. ~:inctl Certificate ........... ~ .... ..... ^'""°"' ...... ,worn ,O De*ore me this ................ day of ............................................ (stamp or Notary Public .................................... County ,~/ , FOR~ NO. 6 TOWN OF SOUTHOLD Building Deportment 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 triplicate to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buddings, 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 electricol 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 s~te 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. Certtficate of occupancy on pre-existing dwelling or land use $5.00 ~ 3. Copy of certificate of occupancy $1.00 , I ], Date ..~ ...... ?.. ..... /....'. ............... Building .................... Old or Pre-existing Budding ............................ Vacant Land ..... .~...~...~./.....~T...~.~ New Location Of Owner Or Owners Of Property ...~.'..~..~}?~t~ / ~'~0/.C~ ~ Subdivision ~/~,~-J~.~...~;~....~.~,.~,....~-'~,?.~ ...... Lot No../.Y.~. .... Block No..,¥:,.,. ...... House No...~ .... Permit No..~...~'.~...,.'~..... Date Of Permit ..~..//..~/.~/..~...Applicant .... ~./-A.'~.'2.~..~.~....z~,...2~,..~. .......... Health Dept. Approval ....... .~'. .......... ,?. ..................... Labor Dept. Approval ........................ T. ...................... Underwriters Approval ...~ ................. Planning Board Approval Request For Temporary Certificate ............................ Final Certificate .....~ ....................... Construction on above described building and arians. Applicant ......................................... Sworn to be{ore me this ................ day of ............................................ (stamp or seal) Notary Public .................................... County