HomeMy WebLinkAbout12398-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certi[icate O[ Occupancy
No... Z.1.1.7.61 ........ Date ........... ~lg.l.y.. ] .............. ,19.83.
THIS CERTIFIES that the building .. a c c.e.a ~ o r y.. b u ~-2.4 ~ ~ g .........................
Location of Property .. B.6 7 5 ......... E e c or~ c. BAY./3 o.t~ v ~?.cl L.~ ~ c.%1. .....
House No. Street~ ~ ......... Ham/et
County Tax Map No. 1000 Section .... 1.2 6 .....Block .... ~...~.. .... Lot ..... 1.5., ~
Pa~ts of
Subdivision .... ~..L .. D.o~ns ............... Filed Map No.. 2.1 ..... Lot No..1.~, .1 >.,..~. ~.1
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.... dun.e .2.9 .......... 1983. pursuant to which Btfilding Permit No. J 2.3.~.8 ¢ ..............
dated ...dune..2t0 ................. 19.83, 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 .........
· .accea.soeg..hu ± ~_d.£ng ..........................................................
The certificate is issued to ............ KEN2q. ETH..~.~ B&O. IgN ...... ,' .
of the aforesaid building.
Suffolk County Department of Health Approval .............. NAA ........................
UNDERWRITERS CERTIFICATE NO ..... iq / ~
Building Inspector
Rev. 1/81
l~'ORl~ NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is hereby granted to:
............. .......................
. ~/o ~ ...... ~....~...~~ .............. ,
,o ...~ ......... ~ ............... ~ ......... ~.~~..~4~ ..........................
........... ~ ................... ~..~ ................ ~ .............. ~ ............................ ~ ................. , .......... ~.....z .....
Coun~ Tax Map No. 1000 Section ...... /~,.~... Bilk ........... ~ ..... Lot No ....... ~Z.Z..Z..
pursuant to application dated ................................ ..~...., 19..~.~ and approv~ by the
Building Inspector,
Fee $.....~ ................
................ ~..z2~.>c.~.~ ..............
Budding Insl~ector
Rev. 6~30/80
TOWN OF SOUTHOLD
Building Deparzmen[
Town Hall
Southo[d, N.Y. 11571
APPLICATION FOR C,qRTIFICATE OF OCCUPANCY
Instructions
This application must be filled in tyDewrlter OR ink, and su~kted in duplicate t~ the~ Building inspec-
tor with [~e following; for new buildings or new use: . ·
1. Final su~e~ o~ property with accurate location of all buildings, property lines, streets, and unu~al
' n3tur3J or tooo~reohic fe3~ras.
2. Finet approval of Heei[h OepL of water suoply end sewerage ~ispos~l--(~.9 form or equalk
4. ~ommerclal buildings, Industrial 'buildings Multiple Res dencas and similar '
~ ~m?,.a cer~fma~e of Code compl anc~ from the ~,~h + ..... ~__. b~,il?~gs and mstalla.
o, ouaml{ Plannino Board a~.~-~ ~ .... , .... '~', .... ~, ? ~gm~er respons o~e tar thb buildin~
- ~-~-~, ~ ~u.~ple[~a site pla~ r~q~lrements where applicable.
For existing buildings {prior to ~pril 1957), Non-conforming uses, or buildings end "pre-existing"
land uses:
1. Accurate ~ey of peoperty shewing all praperty lines, ~re~ts, buildings and ~nusual natural or
topo~rephic fee[utes.
2. Sworn s,atemen, o[ owner or previous owner as to use. oecupan;y'an~ cbnbitio, of
2, ~a~e of any housing code or safety inspection of buildings or premise% or other pertine~ informa.
t~on required to prepare a ce~ifica~e x .
Fee~:
1. Ce~ifJca~e of occupancy $5.00
2. Certificate of occupency on pre-existing dwelling or land use $5,0~
3. Copy of certificate of occupancy $1.00
New 8uitd ng ' ' ' 'X'X' '(*s'h' 'e'd') Old ° P .... ' '"
· , ~ ,.~ ,°~.Cre'ex~sTmg ~uddmg{X)., ....... ~ ~Vacant Land '. .........
~ou~e No, ' "$~rf.,,~ .............. .'..'.
Owner or Owners of Property . Kenneth p. B~o.w.n ~' "~4
Count'¥ Tax Map No. 1000 Sect on 126
· ~ ................ Block . . ,~, 15.1
.Pc. ..................... ...'
Subclivis~on :-,. ; ~, , "',',',',',',',','J~,,-/~
*.; ........................ Fi~ed Man r~l,~ o~'~ , ~ ~'2'..'7'~ ' t
I~%~,'~/'/ z.~ ! '--'- ....... ~ ...... LO.T~.~O.
., _ ......
Permit No.I ..... Da:e of Perm ~ ~ .~ ·o ·
App . ·
He,kb Dept, royal ....................... Labor Dept. Approval .... ~ ........
Unde~rkers Approve/ ........................ Plenni~g Boerd Approval ~ '
Request for Temporary Certificate · ' ....
..................... F~n~l Certificate
Fee Submic~ed S 5.00
Construction on above described buildin~ ~d P~;c'~eT~ at~ e~c~bl~o~es and
A~!~nt Rudolph H. Brier, Attorney for Applicant