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Home My WebLink About9101-zFORM NO. 4 TOWi~I OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.ZT.?.11 ....... Date ............. ~Ttme., 1.0 ..... , 19. THIS CERTIFIES that the building located at ...8./.~...(3.R.27...(.~l.i.d.d.l.e..R..d).. Street Map No..X.x ......... Block No...~.~ ...... Lot No... X,x... lia'ct;:i..t.llok .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .............. l~a~..7., 19 .~.7.. pursuant to which Building Permit No.. dated ........ lga!'...2.1 ......., 197..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 . .P.r. iY.a.t..e..o.n.~..f.a.m. 1..1¥..~w..e.l~l.n.({ ...................................... The certificate is issued to Inland..Itome.s .Ine..to. l[ol~lg.. Chal~l.. P. ak ............. (owner, lessee or tenant) Of the aforesaid building. ~ ~-- [~ 'l '7 ~ Suffolk County Department of Health Appr,~Kal .... , ................................ ........................... HOUSE NUMBER ...... !338.0... Street .... .Iy[;i..~<t~Le. ~O~<1...(fl]Pv2.7. l ............... Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9101 Z Permission is hereby granted to: · ~.~..~.~...~Lo.~.~.~....~.~.g ......................................... ............... ~:I~.~.ti.~.~.~ ........................................... ro .~.~.~C..~?~....o.~?....£.~.~...q.~z?.~L~..~. .................................................................................... at premises located at ...~./.~....O..~..~.....(~./...,~-.~]~L.~.~;g.~.] ............................................................. ................................................... ~a.t.t £$.~.ck ....................................................................................... pursuant to application dated ........................... .?:~-~..~.......~. ............. , 19..~..~..., and approved by the Building Inspector. Fee $...~..~...,..1..~ .......... Building Inspector FOILM NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office Sou~hold, 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, ~Aultiple 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 oil 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 $1.00 Date June 10, 1977 New Building ....~.... ........ Addition ................ Old or Pre-ex/sting Building ................ Vocant land .............. s/s location Of TM ~roperty ...................................................................................................................... ...... Owner Or Owners Of Property ..~p~g...(~t.~.~..~...?...~:..l~.. ................................................................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. .................... 3/21/77 ~nland Homes, Inc. Permit No. 9101Z Dote Of Permit .................... Applicant .................................................................. 7-$O-19 - 6/8/77 N/r Health Dept. Approval ...~. ..................................... Labor Dept. Approval ................................................ Underwr,ters Approval ..... ~...~..~. ............... Plonn'ng Board Approval ........................................ yes Request For Temporary Certificate no .... Final Certificate yes Fee Submitted $ .5.......O..O.. .......................... Construction on above described building and~--per, l~itTe~a~}icable codes and regulations, App',cont ..,..~..~~.f..Ei~fi~;"~. ~J.),~'~'/l/.~k-. .................................. ....... ..~,.,.~... day of ....~.~..~..,.~...~./, ...... (stamp or s'~e~ / Notary Public ........ ' ' -~.~...o..~.?. ........... County TOWN DF SOUTHOLD OFFIBE OF BUILDING INSPEP. TOR TOWN GLERK'~ OFFI:E: 50UTHOLD~ N, Y. Mr. Ro Kammere~ Commissioner of Public Works Suffolk County Yaphank Ave., Yaphank, N. Y. Date ....................................................... Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Laws of the State of New York, this is to n0tifythe Commis~ sioner of Public Works of the County of Suffolk that :.4~ .'.,~..,~ 't ........ m ............................................................... has applied to the Town of Southold for a permit to construct a building os shown on tho ottoched plot pian~ submitted in triplicate, doted ...... .... ~.~. .............................. *nd titled ... ~...~...~.~,~}5.~..~.~~aek'O~O~ We shall withhold tubber action on this application ~r ten days or as otherwise provided in the aforementioned ~ection 239K. Very truly yours, Building Jnspecfor Town, of 5outhold, N,. Y, 3/~4/77 APPROVED to the Town Of SoUthOla pursuant to Sec. 239~K of the Gene=al Municipal Law subject to ~tate8 condition~ l No addi- tional access pe~it~e~ to CR27. No ~it r~uire~ under Se~ion 136 of Big~y LaW, S~OLK CO~ D~P~'. PUBLIC ~$ R. M F~R, $"iO~R . TDWN D F S D UTH OLD OFFICE OF BUILDINB INSPECTnR TOWN OLERK'~ OFFIOE Mr. ,~. ~;~e~e~" Commissioner of Public Works Suffolk County Yophonk Ave., Yaphank, N. Y. Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Laws of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that ...... .~..~...~..~.~..i.~.~? .~....~n~; ~ ~ .~,~..~...~!..~L.!~.~.~..f~'. ................................................... has applied to the Town of Southold for a permit to construct o building as shown on the attached plot plan, submitted in triplicate, dosed ...... ~Ve sba{{ wlthho{d further oct{on on th{s app{{cat{on for ten days or os otherwise provided in the aforementioned Section 239K. Very truly yours, Building Inspector Town of Southold, N. Y. I"?- %~C.T~ o,,,.L _._er.. L ,s..~--r' 't APP~ROV~D AS NOTED o~ IoLo' .! /4' 4"