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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