The URL can be used to link to this page

Home My WebLink About10433-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14346 Date April 18 ................................................. ,19..% THIS CERTIFIES that the building ......... /~..d.d.i.'q.~ .o.~.s ............................. Ln~ti~nrP~ort,, 1295 Old Harbor Rd. New Suffolk House No. Street Hamlet County Tax Map No. 1000 Section 117 .Block 03 ..... Lot 010 Subdivision X .Filed Map No ...... Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated October 9 19 79 pursuant to which Building Permit No. 10433 Z dated ...... Qt. ~.o.b.e.r. ..... 1..0 ....... 19.7.9., 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 ......... -- Construct Deck & Watch Tower Additions to Existing Dwelling-- The certificate isissued to REED, JOHN D. & SUSAN POPE of the aforesaid building. Suffolk County Department of Health Approval ...... .N./..R ................................ UNDERWRITERS CERTIFICATE NO ............... N./..R ................................ Rev. 1/81 Building Inspector lrOl~I NO. ~: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 10433 Z Permission is hereby granted to: .... ~.,..//.,.,~... ZT.,,Tf~co~ ............... 2~.Z~.~.~.... ~/~ce-~ .~....~.~..y. '~....' 5~,'i~....~ .................. '. ................... '. to ...C&~../~.~c..T.....~C.../C...~.....~.~./...t~.~. ....... /..~....~,~, ~ ;z~.~.x,z~ ............................... ~ ................................................................................................ at premises located at~.../~..F,~.~.....~,~..../'-~,~,~'<F~f~...-/~..~b~,7-....,~.~-~ Building Inspector. Fee $./.~...:~ ....... FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG DEPT, TOWN OF $OUTHOLD Instructions This application must be filled in typewriter OR ink, and submitted ~ 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 electrica~ 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. S~bm;t Planning Board approval of completed site plan requiremeqts where applicable. 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- t~on required to prepare a certificate. C. 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 5. Updated C.O. $15.00 New Building ............. Old or Pre-existing Buildmg ............ Vacant Land ............. Location of Property .................. ~ (~,~-~ o House No .... Street~ /) Ham/et Owner or Owners of Proparty .¥ . .-..., Is . .- ............................................... County Tax Map No. 1000 Section .....''./J.--~ ..... Block ~"~ Lot $15.00 Date ........................ Subdivimon ................................. Filed Map No ........... Lot No .............. Permit No./.0. y.,,~.-~.. Date of Permit .......... Applicant...~./~L-/ Health Dept. Approval ........................ Labor Dept, Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Tempo rary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and peJ'mit meets all a[xplicable codes and regulations. (~..,,~_'~ L~ ~..t..ID ~', ~,9.....~H' ~ Applicant~~ · · ~. ~-..~~~' .................. TOWN OF SOUTttOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 TEL. 765-1802 Mr. John Reed 1295 01d Harbor Road New Suffolk~ New York Re: BP 10433Z Zssued: October 10, 1979 Expires: April 10, 1981 ~n_~. Wm. Jacob Dear Mr. Reed: Mr.. Jacob informed me he has completed his part of the permit. The framing was approved December 18, 1979. You will need to call us for any further inspections. If you have any questions, please feel free to con%act me at any 'time. Yours truly, GEORGE H. FISHER Sr. Building Inspector A??r,O~TED AS NOTED ~, ROt] 4 FINAL ALL ~,BING FOR C 0 s~ALL MEET OF T'HE N Y & ENERGY FO~ OR CobiSTRUCT~ON ERRORS , OR TJFICATE