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Home My WebLink About11274-z/ / FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..z..1.4.6.3.3. ......... Date ..... .~.uly. 11, 19.8.6. THIS CERTIFIES th ttl b ildi Tenn±s Court; a le u ng ................................................ Location of Property . ?.4.8. q Nassau Point; Road, Cutchogue House No. Street Hamlet County Tax Map No. 1000 Section .1..1.8 ........ Block 06 .... Lot 007 Subdivision ...M[p..~ .a.s~,a,u,. ?9.~.n.~...C.l.u.b. .... Filed Map No,15..6 ...... Lot No..9.1. .......... Properties conforms substantially to the Application for Building Permit heretofore filed in this office dated .... ~rg.n.e..~1. · ......... 19.8..lpursuant to which Building Permit No...1.1.2.7..4.g ............. dated ...... ~gJ-.Y.. ~-3., ............. 19.8..1, 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 ......... ........... TcnnSs..Cour.t ....................................................... The certificate is issued to ... J. qseph, .Cal/a~¢ ....................................... (owner,J~sReXo~) of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO .................... N/A ........................... Building Inspector Rev. 1/81 TOWN OF $OUTH0UD BUILDING DEPARTMI~N'~ TOWN HALL SOUTHOLD, N. Y.~ BUILDING P,EIU~IT (THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NV 11274 Z Date ...... ~ ...... ....w .................. , 19- Permission is hereby granted to: ...~ ~.,d....~:~.~c.A.....~:,~ ,,....~.. ..... ~r.f.o...,. ~ ~,..,~.~., ......... ~ .................. County Tax Map No. 1000 Section ...... L(...~. ....... Block pursuant to application dated ...~,~.~...~..~......~--~ ~.. ................ Building nspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY JUl I 01986 BLDG DEPT, TOWN OF SOUTHOLD Instructions This application must be filled in typewriter OR ink, and submitted m ~ 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 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 sif~ilar 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. 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. C. Fees: 1, Certificate of occupancy $5.00 2. Certificate of Occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1,00 4.Vacant Land C.O. $5,00 7~ ~.//..~. 5.Updated C.O. $15.00 Date .................. New Building . .. Old or Pre-existing Building ............ Vacant Land ............. Location of Property . ............... ~J/. ,¢2,,.~,, .'z~z~,, .-; ...... House No, Street c~ Hamlet Owner or Owners of Property ..... /.). ~.~.4~.~... . ....................................... County Tax Map No. 1000 Section .//..~. ......... Block . .~,~. .......... Lot Subdivision.../~..~..~.,..~../-....~.:/~./7'~; . . .Filed Map No ........... Lot No.. ?( ......... Permit No././.~, Z .~.... Date of Permit .......... Applicant .... /'~-...~/' ..~.~?~.,~. Health Dept. Approval .., ./I//./~ ................. Labor Dept. Approval .... ./(../<~, ............... Underwriters Approval..../~././? ................. Planning Board Approval .../~, ,//./.'.~, ............... Request for Temporary Certificate ..................... Final Certificate ,../~. ................. Fee Submitted $...(~.,..~). ................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ......................................... Rev. 10-10-78 7GS-XSG2 BUILDING DEPT. INSPECTION FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] IN/,SULATION FRAMING [/] FINAL REMARKS: INSPECTOR FIELD ~NSPF~TION 1. FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY Q,ODE FSNAL COMMENTS ADDITIONAL COMMENTS: