HomeMy WebLinkAbout9127-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z17317 Date SEPT. 19, 1988
THIS CERTIFIES that the building ADDITION
Location of Propert~ 2180 PETERS NECK RD.
House No. Street
County Tax Map No. 1000 Section 32 Block 01
Subdivision XX Filed Map No. XX
ORIENT
Hamlet
Lot 06
Lot No. XX
conforms substantially to the Application for Buildinq Permit heretofore
filed in this office dated MARCH 28, 1977 pursuant to which
Building Permit No. 9127Z dated MARCH 28, 1977
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ADDITION TO EXISTING DWELLING.
The certificate is issued to
LATHAM~ G. RITCHIE JR.
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO. N357862
PLUMBERS CERTIFICATION DATED N/A
9/27/77
B~ilding Inspector
Rev. 1/81
TOWN OF SOUTHOLD
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.o §127 Z
Permission is hereby granted to:
~.~..~.....~......~.o....~.~...~.....
101 ~rem~
Build an addition on existing dwelling
at premises located at ....?...e..~...e.~....~.~.,,~.,k...~..o..&..~.. ......... .(]~.~/¢~. ..............................................................
Orient
pursuant to application dated ~&~ 28 19 e~ and approved by the
Building Inspector.
TOWN of SOUTHOLD
OFFICE OF BUILDING (NSPECTOR
Receipt NO. 0357:[7 Tow.Hall
Southold, New York 11971
Date.....~...//.. Z..../.?..?.. .....................
,ece,vedo, ..... ....... ..............................................................................
- ....
~or .... &.O..:.....Z....~.:.~.Z.~ ......... ~ ......... ~.....P..~..~~...~ .........................
Fee for
Fee for
[-] Yard Sale [] []
Cash
........... .~..¢..~. ...............
Fee for Fee for r~.~wtificate
[] H.l.C. I-] Building Permit I~1 of Ocdupancy [] Misc.
Building Department
........ ~= ~u,vey eT 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 informa-
tion required to prepare a certificate.
C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New Dwelling.$25.Q0, Accessory ,.$]0.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $I0.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ..~///~./~..~.- ...............
NewCons truction ...... Old or Pre-existing Building ............ Vacant
. ~ Land .... : ........
Location of Property ...... .~./.~.~ , '
wner or Owners of Property ..........
County Tax Map No. 1000 Section ........ Block
................... Lot.. ~.~ ..........
Subdivision ' '
............................. Filed Map No
........... Lot No ...........
Permit No ........... Date of Permit .......... Applicant ..........................
Health Dept. Approval
........ Labor Dept Approval
' ' ° ......... Planning Board Approval
Underwriters Approval ............
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building and.~mit meets all applicable codes and reaulations.
Applicant
.-. ,a-,e.~e / -/''' ' '~:2'~ ................
~ 0 .z / 2312
~l.>,?
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.:
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
REMARKS:
[ ,~NAL
DATE ~//~
INSPECTOR
//
'NEW:;YORK BOARD OF FIRE' UNDERWRiTERS "
'' BuREAu OF ELEcTRIcITY '
-:' 85 JOHN STREET, NEW YORK, NEW ~ORK 10038
o~ly the electr~al equipment ~ &crlbed belom ~d ~ntroduced by t~ applic~t named on the above appllca~on number in the pre~n~ez of
~?~d~eorE~ E/ Latham~rPe~er ~eek-on Pr!vateRd., 1000' EYo Narrow River Rd.,
~ Ogient, L.I. ~, ~.
p2e b~ :22,
wa~ ~sami~d on Se m r 19 7 7 and found to e in compliance with the requirements of this Board '::
RXTURE ~ : FIXTURES
, OUTLETS SWITCHES
I2 , 13 11 '12
DRYERS FURNACEMQTORS ~. FUTURE~APPLiANCEFEEDERS
RANGES
OVENS EXHAUST
TIME CLOCKS
UNIT HEATERS MULTI-OUTLE
SYSTEMS
NO. OF FEET
DIMMERS
Orient, L.I. 11957 LIc.608E
D
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by