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Home My WebLink About12289-Z Unit 2FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THlS CERTIFIES that the building ....C.°.n.d. 9.m.i.n.i..u.m .Unit ~2 East.~.i..n.d..S.h. 9.r.e.s.l Location of Property 5..2.8.2. .0.0..C.: .R :. J~.q .8 ............................. .Sp.u.t..h.o.l.d. ...... House No. Street Hamlet County Tax Map No. 1000 Section .... 0. ~..~ ..... Block ..... 0. ~ ........ Lot ...... 9.0.2 ........ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated .... ~c.ck..2.4 ......... 198..3. pursuant to which Building Permit No..1.2.2.8. ~.Z .............. dated .. fi.P. ~../.1..2. 9. ................ 198. 3.., 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 ......... .... C on.~Qmin.ium. ~n%t. Y~.g .fort .re~.L~emt.ial. ~.~ ............................. The certificate is issued to ..... ~ O ~ ~A. S ~ M~ T I~ %.,.. l ~.C ................................. rowner, of the aforesaid building. Suffolk County Department of Health Approval ..... S.z 5. J ~ ................................ UNDERWRITERS CERTIFICATE NO. ~t N658152 Plumbing Certification 1/4/85 Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FUII COMPLETION OF THE WORK AUTHORIZED) 12289 Z ~. ....... ~..~,,,~,~... ............ .......... , is hereby granted to: ~//~,fL~,------ ~,-~'Gf/'~ ' Pel~is~ion _-~'-~ ..... ,~.~.....~....~.~.Z./.. ....... ......... .~.......~...~:~...........~.~...~ ....... ............................................................................................................. ..... County Tax Map No. 1000 Section ..... ~.~.-Z ........ Block ...... ~ ....... Lot No.../,,).O~..: ...... pursuant to application dated ...~..G?~.......~...~.. ................. , 19.Zw~, and approved by the Building Inspector. pERMIT iNCLUDES APPROVAL TO REMOVE EXCESS FILL FROM ABOVE PREMISES BY REGRADING LoT DRIV£WAY cONSTEUCTION CEsspoOL coNSTEUCTION C~LLAE CONSTEuCTION Paw. 6/30/80- THIS CI=[~TIFIES TPIAT ~~is Board. FIXTURE [ [ [ FIXTURES ~ RANGES IC~KING D~CKS [ OVENS [DISH WASHERS I EXHAUST FANS T ET ~EPTACLES SWITCHES ~ ~Rcu~ w T H P DRYERS [ FURNACE MOTORS ~TURE A~ANCE FEEDERS ~SP~IAL REC'PT3 TIME CL~KS I BELL 4UNIT HEATERS ~ MULTi-OUTLET [ DIMMERS SERVICE DI~NN~T S E R I C E ~1 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. OF SOUTHOLD OFFICE OF BUILDING INSPEC~R P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date //~1~ Building Permit No. Owner ~0 ;~ ~T~ (pleaSe print)Q Plumber ~ ~r~n~'~ ~(please ' I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plUmber's signature) S~n to before me this ~ day of ~33 ~%3~ , Notary Public,,/~~ County Notary Publ~ No~zy Public, State o~ New York No, 4761496 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 featu res. 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 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 April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date..~g~.~,..%9~ ...... New Building × Old or Pre-existing Building Vacant Land Location of Property Unit No. 2, 52820 CR 48 (Eastwind Shores)~ Southold Hou~ No. Street Hamlet Owner or Owners of Property . .S. QL..A.R..S..~,~'~.. %~(~ ..................................... County Tax Map No. 1000 Section 51 Block 005 Lot 0.02 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~2..2.8.9.~.... Date of Permit .~./.2.9~.~.;3.Applicant . .CakQla ......................... Health Dept. Approval .... $ .-.5.~R. .............. Labor Dept. Approval ........................ Underwriters Approval . ~658 [52 .... Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $...5.: .0.0. ..................... Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10-78 Applicant .................................................... C . o-=Fl z I / W