HomeMy WebLinkAbout9098-zTOWN OF $OUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificate Of Occupancy
No. Z.~.8.~..8 ...... Date ......... ~.eP~...1 .......... , 19.77.
THIS CERTIFIES that the building located at . .~/.~..~.]~.7....(.~.~ .d~..e..R.d?.. Street
Map No..xx ......... Block No. xx ....... Lot No. xxx... ~o.u/;ho3.~l.. ~t.,.~ o .........
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ............... ~.a.r....~,819.7.~.. pursuant to which Building Permit No. ?.0.9.~..
dated ......... .~.r... 3.8 ......, 19.7.?., was issued, and conforms to all of the require-
ments of the applicable provisions of the law, The occupancy for which this certificate is
issued isB.u.s..lo.e.~s...b.u.l.~..d./~g..w$~h...a.d.d./, t.~o..n..&..a~,.~.e.r.~.~.~.qn. ....................
The certificate is issued to . .L.~.~.a..B.a..~.~.a~ ....... .~..n.e.~ ............................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval ...N. ?.R.o .............................
UNDERWRITERS C RT ICATE 7737. .... ..............
HOUSE NUMBER ....~.69~0 ..... Street ..... C~q27...¢l~d&~Le. l~d) ..... aou.~ho~Ld..
Building Inspector /
l~OE~I NO. ~
TOW~ OF $OUTHOLD
I~UILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE P~REMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No. 9098 Z
Permission is hereby granted to:
. ~.~3..g.e.....C...o.~..s..t..r...u..q.'.q .i..o..~....C..o....~.~ ...A/.Q .. Li~.a Barzac
.................. S.o.u.thold ...........................................
to ...~.~.~.~...~D....a...d,c].$..tj.Q~..On..e~i.a.~,~q~,..hu.~ines.s..hu~ld.£n~ .......................................
at premises located at ...~/.~,.,~.~.,~.~.l.e...J.~oafl......(.OLff2~.)...,So:p, tb.o3.~ ............................................
pursuant to application doted ...................... ]'(~r. ..........1.8 ............ , 19.~.7..., and approved by the
Building Inspector. NOTE: Subject to Planning Board site requirements
Fee $..2..~ :..0...0. ...........
Building Inspector
FOI~M NO. 6
TOWN OF $OUTHOLD
, Building Depmtment
Town Clerks Office
5outhold, N. Y. 11971
APPLICATION FOR GERTIFIGATE OF OCGUPANGY
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. Approvo~ 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 os 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:
t. 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 .......................
New BU Idin Addition/J//' Old or Pre existin Buildin . ..i ' cant L n'
g ................... , ............. g .g, ............ va o a ..............
Locat,on Of Property ............./....~...~.../.~........~..~....../~... ........... ~4[.~...~./Y~..~..~ ...............................
Owner Or Owners Of Property .............. ~
Subdivision ................................................................ Lot No ............. Block No. ;~ .......... House No .............
Perm, No..~..~.f.~...~Lf.... Date Of Permit'.~,~..Z..Applicant ..~...~-~.....~.'~.-.~.
Health Dept. Approval ............................................ Labor Dept. Approval ................................................
Underwriters Approval .............................................. Planning Board Approval ........................................
Request For Tempor?~ Ce~ificate ........................................ Final Certificate ............ ./.~ .............
Fee Submitted $ ....................................
Construction on above described building and~/rmi~tmeets ,~Jl a(~l!oab/l~L,~:)des and regulations.
Applicant ......... ~ ..~~. ~.. J .~ ~.~~-~~ ~= ..................................
Swom to before me this ~ ~~~ ~ ~
........... ~... day of ..:~.f.-~.....(~(..~,..[.. ...... // (stamp or seal). , ,
Nota~ Public ....... ~[[~/~/~.[( COa. W ~:~/~; ~-
JOHN WICKHAM, Chalrman
FRANK S. COYLE
HENRY E, RAYNOR, Jr.
FREDERICK E. GORDON
JAMES WALL
TP ¸
Southold, N.Y. 11971
'April 18, 1977
TELEPHONE
765-1313
~r. Edward Bags
Laughing Waters
Southold, New York 11971
Dear Mr. Bage:
The £ollowing action was taken at a regular meeting o£
the Southold Town Planning Board held April 4, 1977.
RESOLIFED that upon explicit instructions £rom the Town Attorney,
Robert Tasker, the resolution dated March 21, 1977 disapproving the
site plan o£ Barzac be rescinded and the site plan be approved.
Yours truly,
Copy to Building Inspector
JOHN WICKHAM, Chairmaa
FRANK S. COYLE
HENRY E. RAYNOR,]r.
FREDERICK E. GORDON
JAMES WALL
Southold, N.Y. 11971
September 6, 1977
TELEPHONE
765- 1938
Mr. Edward Bage
Minnehaha Boulevard
Southold, New York 11971
Dear Mr. Bage:
The following action was taken by the Southold Town Plauning
Board at a regular meeting held August 22, 1977.
RESOLVED that the Barzac property conforms with the site plan
presented and approved with the exception of the lighting on the
sign instead of the building which is acceptable.
Yours truly,
Muriel Brush, Secretary
Southold Town Planning Board
Copy to Building Inspector
JOHN WlCKHAM, Chairman
FRANK S. COYLE
HENRY E. RAYNOR, Jr.
FREDERICK E. GORDON
JAMES WALL
Southold, N.Y. 11971
March 24, 1977
TELEPHONE
765-1313
Mr. Howard Terry, Building Inspector
Town Clerk's 0£2ice
Southold, New York 11971
Dear Mr. Terry:
The 2ollowing action was taken by the Southold Town Planning
Board at a regular meeting held March 21, 1977. This information
has been transmitted to Edward Bage, who represented Mrs. Barzac.
~ESOLVED that the site plan 2or the addition to the Barzac
building, North Road, Southold, be disapproved because o2
insu22icient bu££ering as a result o2 the orientation o2 the
building.
Yours truly,
(