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Home My WebLink About9126-zNO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificnte Of Occupnncy Map No ~J(._~/~.~Block No. ~.~.~./.~.....Lot No,. / ./'j, ~ ~---~- conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... ~ r?..~.../../~[.., 19. ?.~. pursuant to which Building Permit No. ?./..~..g..2 dated ........ /'.,~. · ?..~:.. ~ ?, 19.~..~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is "' i". .......... '"~ ............... '~ ................... '/ ................ The certificate ~s ~ssued to f~.~-. ~,, ~,...-~.:. ~,~.: .~. ,~/~.~..~ .~. .......................... (owner, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Approval .~...~../..~,.. /~.~ ~....~..~.Y~ UN, ,RWR TERS C ,RT CA E ..... ...... .... HOUSE NUMBER .... . .~0~f? .... Street.. :~.~:"': '~'-.....~...~..~. f.../f:..,..~:~...:.../~/'~ FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTHOLD, Iq.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9126 Z Permission is hereby granted to: ,~e~e~s ,, ~,,.,~a~t ........................................... ............. t ~t....~.e~e~...~.e ......... to ~L~..~v...o~e.. ~:~l~l.y.. ~rett.~t~k~ ..................................................................................... at premises located at ...1.o~..t;~...'~}ec'"~"}-'O~.~-'b~"'~ea' ................................................... ............................................. · . lur~..I ~l~md,..L~u~ ......... ~e~.t .................................................... pursuant to application dated ........................~......~.1~ .............. , 19.~..., and approved by the Building Inspector. Fee $. ~.~. R..2.~. .......... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall 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 Inspec- tor 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 dlsposal-(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 installa- tions, 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 Apt'il 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all propertv 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 qr premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancv on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date .... :, ?.u.~.~...8.~..~.9..8.3 ...... New Building ............. Old or Pre-existing Building ..... .~.~ ..... Vacant Land ............. Location of Property 580 ?lure Island Lane Or±ent House No. Street Hamlet James Latham Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section 015 Block 07 Lot 006 Map of Orient-by-the-Sea Subdivision . . .S.~.c..~.o.~..T~.o. ................. Filed Map No ..... .3.4.4,4. .Lot No ....~.4.9 ....... Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval . ..................... Request for Temporary Certificate ..................... Final Certificate Fee Submitted $...~: .0.0. ...................... Construction on above described building and permit meets ail applicable codes and regulations. Rev. 10-10~78 Applicant William H. Price, Jr., Attorney for James Latham C~ ~ C-~. '~0~' TOWN OF $OUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructlone 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, o 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 1057), Nan-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 ~ ,~./i ..5_./7.. Z· New Building .....~.. ....... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ........ ~..O.........~..C..~:.~......~.. ...... ~.,/~'...~..,~...~.,~.../.~.~.......,~..;.-~..~. ...................... Owner Or Owners Of Property .....'~...~..../~..~.........~..~.....~...T-~..~. ............................................................... Subdivision ,.~.~..!i..~.....~...,,..~.,~..,.,~..-~.....,...~....~.. ......... Lot No. ~..~..... Block No ............. House No.~.?. Permit No...~../....'~...~..'..2::... Date Of Permit ..~..~...?.~.!?..7.~pplicant ....... ..'~'~....~.......~.~......~t~.~....~..~..~.. ............. Health Dept. Approval ..i..-7....~..~...~..~.~. ................ Labor Dept. Approval ..; ............................................. Underwriters Approval ...~,....~.....~.../.~...~..~.... .................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fined Certificate .~. .................................... Fee Submitted $ ..... :.~.~..O..O. .................... regulations. A licant ..:... pp -~-...../ ............................................................................. ~. ........... Sworn ,to/before me this ,../..,.~,..'.,Z~,..~ day of o....~,.~../.~..Z...~ (stamp or soal, : · ' THE NEW YORK' BOARD OF FIRE UNDERWRITERS - : · - BUREAU OF ELECTRICITY -~- 'pm . ' . 85 JOHN STREET, NEWYORK, NEW YORK ![0038 . : v,,t; october 26, t977 ~,p~c,,tlo,¥ . ' . THIS CEETIFIES THAT only the electrical equipme~ as described bel~ a~ introduced by the applicant named on the above applJcatlon number in t~ premises of Ja~es P. Latham, Plum Island Lane, Three ~¢aters Lane & Kings Farm ~ Orient, L~. ~ ~ ~ ~ ~ ~.~yo~o~.r~o~o~; ~ s~o=~=~ ~x] ~21. ~ 2=d ~'Out~ide i , ~ ~. se~g. '~ ~ ~,~o% October 20,' 1977 ~ ' ~T~ - ,, . ~'~'~ ~"" I ~la[~C'PT~ TtMECLOCKS BELL ~UNITHEATE~$ MULTI-OUTLET DIMMERS Motor%s: 1-1/ihp. 1-GFI 1-GFCi 1- Smoke Detector Paul R. Burns Town Harbor Lane Southold, L.I. llgYl Lic. 282rE eENEZ~L ~ ' -: Per-- This certificate must not be altered in any manner; return to the office of the Board [( incorrect. Inspectors may 'be identified credentials.