The URL can be used to link to this page

Home My WebLink AboutZ-11806FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z.'l.q. 8. Q~ ......... Date July 26 19 83 THIS CERTIFIES that the building . .~f.~.-.o..~.i~.~.i..ng ................................. Location of Property . .'[5..5.3.Q~2.~..E~.~..~..VE: .................. $o~.~hol~ ............. House No. Street Hamlet County Tax Map No. 1000 Section . . .0.~..2 ...... Block ....Q'] ......... Lot ....Q'I6 .......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore ~ed in this office dated ..................... ,19... pursuant to which Building Permit No ...................... dated ............................ 19..., 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 ......... .... 1797..a.n., 9.2.2.~9.e, ,e.q,u.iDm. el2.~' ,~l~q .Bus,ness..as. a.Bpro~d, b.y..the ........ Pla~_ning Board The certificate is issued to , .. O.O.i~AS.8. ~RANSi:~Ot~S. S.& ............................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO .... ~.e.n.d.J:.n..~ ...................................... Building Inspector Rev. 1/81 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 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 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 peoperty 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 ~ecuoancv on gre-existinc dwelline 3. Copy of certificate Of ocCupancy $1.00 land use $/,~/$5.00 26 JULY 1983 Date .......................... New Building ............. Old or Pre-existin~j BuildincI ............ Vacant Land ............. Location of Property . .1.7.5.... ?.0.1..S.S.g.A.U....A.V.g.~.U.g .................... S.O. ,LT.T.~.Q~..9 ............ House No, Street Ham/et Owner or Owners of Property ..... .C.O?.P..A.S.S.. , ~ ~.A.~ S. ~..0?.~.S....S...A.: ......................... County Tax M ap No. 1000 Section ..... 0. ,6 ,2 ....... B lock ... ,0.1 .......... Lot....0,1.6, ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ 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. Rev. 10-10-78 1000Ul THE NEW YORK BOARD OF FIRE UNDERWRITERS [~'~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,.re 3uly 26, 1983 ~,,,icoti../Vo. o,/i,, 224650-83 N 6 1 0 8 2 9 THIS CERTIFIES THAT Compass Transport $.A., Boisseau Ave. Pt. 25 & ~.-~el Ave., Sour_hold, N.Y. in the followlng location; ~ Basement [] 1st Ft. [] 2nd Ft. Sertlon Block Lot wo~s examined on July 18 , 1983 and found to be i. comella.ce with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT DRYERS FURNACE MOTORS FUTURE APFUANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E R V I C E 1 3/o Paul Burns Town Harbor Lane $out~old, N.Y., 11971 L~C. #282 P,r ~! This certificate must not be altered in any manner; return to the office of the Board Jf incorrect. Inspectors may be identified ~ credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.