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Home My WebLink About9148-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UP-DATED Certificafe O{[ Occupancy No. Z14338 Date April 16 .................................................. 19..86. THIS CERTIFIES that the building .......... .Iq.e?..D..w?.l. 1. ¢.Bg ........................ (aka-Lakeview Ave. ) 430 Southold Location of Property Salt Marsh Lane County Tax Map No. 1000 Section ...0.6.8. ...... Block . 03 .Lot. 013 Subdivision ........ X. ...................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... M..a..r.c.h. .... .3.0. .....19.7..7pursuant to which Building Permit No. 9148Z dated ....... ~.a.r. qh....3.1. .......... 19.7.7, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy ~r which this certificate is issued is ......... ....... New Private One Family Dwelling ....... The certificate is issued to ............... .C?..P,~..~.c.~A.~,.~.,..ff.O.S.E?.H., R. & Wf. (owner,~xelr~I~ of the aforesaid building. Suffolk County Department of Health Approval . 7-SO-39 UNDERWRITERS CERTIFICATE NO ........... ~3.~ ! ~ PA .............................. This Certificate of Occupancy was up-dated to include the County Tax Map # and the second road name. Building 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) N9 9148 Z Permission is hereby granted to: '~r~.d~:~..~:~.~_d~.u~..~m.p.....A/~.....~...B~,Carm~chael & ~, ..... ~u;~;~ fi~,~l~ ...... to .j4~LJ~..nc~r...~.ae..,['-~.,,il~..~,~.~lli~g .................................................................................... at premises located atN,Z.2,..~a,l.t..2,/az2.~..Lal~ ....... ~t;~.t, ltd.) ........................................................ [..~: ............................................ Y.e~.an&¢ .......... N..~o ................................................................ .-. ......... pursuant to application dated .................. J~klt ............ .~.O ............. , l~.~'.J.., and approved by the Building Inspector. Fee $.. ,~.;:~.~.tk.O.. ......... NO, ~ TOV~N OF SOUTItOLD BUILDING DEPARTMENT Town Clerk's Office South&d, N. Y. Certificate O[ Occupancy No. Z8~%0 ...... Date Ja~mary ...... .1.6 ........... , 19.. 7.8 THIS CERTIFIES that the building located at L~3D..~9a1~..Mar,ah. Lane ..... Street Map No. ~ Block No ..... Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...t~aztch .... 30 ....... , 19..77 pursuant to which Building Permit No. dated ...]~ia~.'.(:h .... ~1 ........ , 19.77., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is (owner, lessee or tenant) of the aforesaid building. . Suffolk County Department of Health Approval .... ?.--.~073~ .................... ~!.,. HOUSE NUMBER ~+30 Street S~.lt Marsh ~a~..e ........... Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPMGATION FOR CERTIFICATE OF OCCUPANCY instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate 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, 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 aT 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 ar land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ............................ ~......../. ...... New Building '~ Old or Pre-existing Building Vacant Land Location Of Property ./.~. ?. ........... .~.~.'.~.Z~.~.~./~.~.~.,..~.~.,~.,'...'~... f~r~;~,.~'..(~.'. ...... ~ner Or ~ners Of Dropedy ...... ~CJ.:/.~...~.....~.ZC:~ ................................ Subdivision ............ ;.............~: .................................... Lot No.....m%.~'... Block No........--~.... House ..... ........................... Underwriters Approva~ ........................................... Planning Board Approvol .... L ..................... Request For Tempora~ Ce~ificate ........................................ Final Certificate ..... ~ ............................ Fee Submitted $ .................................... Construction on above describedA buildingjlcant. - a"d it meets Sworn to before me this ................ day of ............................................ Notary Public .................................... County (stamp or seal) T~JST HOL.~' SUF'~', CO. D£PT. F HEALTH E~VIC.E~,. ~ ..... ......... ~,~ THE WAT~ SUPPLY AND /~o ~ DATE: ........... ~ , ~ DIS~L,~Y~TEM8 FOR TH[5 RESI- ........ :~ DEN~ WIlL CONF~M TO d/e~Tr SEI,4ERF, L. ~OTE$ 5pE Ctp/C.,,l,-Fi O~ ~ ~ ~AN~ 'WITH A~ R~(~P 5HA~ A~ OSTAIt4 ALL CUtLDIM~ D~F~ 2.% 2,5 O',,',aqF_'A / Ag,CH I T '~C T, _ ' t.....~.~- .... .¢ .-- - . , a. t~STAb~O~ op SI E..~STING / LOWG I~L&,',-O AxI F__.N , / AFt:~o~,. LOCAT 10 M, / oF N~N .SEF~C vIF-w Av~. ~ PLOT PLA~ tI' ~50'- O" APPROVED AS NOTED -' 2LO'' x 2;0"× ILO'` I I [ pAD ---~._~ ~L 'l Y4,""' k'~°'' ." - -' ?',- 7-'-' MTL. 'po.,sT~. b FLOOR, P, LAN ~ . , ~ , ~. , ~ ~ ,, 40. 4 LATCH ~i~'T 90oR, $0~-/E.D t..J L_P___.. CATCH G,IO .~pEC 1 F/cAt'T'/ r~ I0,5 Io,4 HM 3~z- SJ~T H~ 475- R~s~u ~T~ ~T'H g~H r HALL- ~M~ CHIM~4~' AMD ,-,,., ~',-~ COk.L,gT. (uoT 'SmU'~OLD, hm.W ¥0~,~, ~PEC! FfCATIONL.% ~CALF_ OAK \ / \ / 0 X