HomeMy WebLinkAboutZ-4584 FORM NO. 4
TOWN OF 50UTHOLD
BUILDING DEPARTMENT
Town Glerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. .~i~?,~F..... Date M~?T!b 19.72.
THIS CERTIFIES that the building located at ..SlAMOOd 7?Ti~'! Street
Map No. SMVOOd Aa>~ttck No...........Lot No..'j.....~OVtthlld ~II.Y. .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ...........OCf+ Zit, 19. 57 pursuant to which Building Permit No..1.~i . .
dated C1Ct 2~ . , 19. 57, was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is P.lirl,t! . en! . fPmily..drTel].S.Tt~ .
The certificate is issued to John. ll[li~t - • lfi4Eine?i pVl1lfi~ ~ • BdviB~ ~ .8»saII -
(owner, lessee or tenant) pTlslrit l~M1Ula
of the aforesaid building. KOTZIfOtlslIIg C!A! SalplOtioa KaPth 14~ 19rJ2 0.8•
Suffolk County Department of Health Approval . ps! lzistitu . lI.$............ .
tbna! >i 390 ~
Building Inspector
FOHM NO. 6
TOWN. OF SOUTHOLD
Building Department
Town Clerks OfFice
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building
`z Inspector 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 Boo rd of Fire Underwriters.
~l 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and
installations, 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 property showing all property lines, streets, buildings and unusual natural
ar topographic features.
2. Sworn statement of owner ar 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 in-
formation required to prepare a certificate.
DatC ..%~Ax'Cs11..~~s..1972
New Building Old or Pre-existing Building .............X............ Vacant Land
Location Of Property Seawood,rlcrea,. Section I, Bayviewr, Towns of Southold, New York
Owner Or Owners Of Property Edwin Foy and Susan Foy
Subdivision Seawood ACrea~..SeCtion I .,Lot No.... Block No House 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 $ ....`~.e.00
Construction on above described building and permit meets all applicable,r-,p-de/s 'and regulations.
Applicant ........................1,
.~.rr..v.....(l/J""'.`~'~
Robert W. Tacker, Attorney for Applicants
Sworn to before me this
^f
„13th day of ..azi~'CIIr,,,1972 (stamp or seal)
Suffolk
Notary) Public County
Lr~C~C~i ~ IZC..P ((~~jj NOTARY
p~`'f!r=' y
Suffolk Co ~~Ir, ~'Jp/G
Ter 'a'e of Ne
m Cr,;~irc:. Maoch53p ~~9~Z5 art
,
SOUSIDIG CODE IDTSPECTIOtJ
March 14, 1972
Eduin 6 Susan Poy Seauood acres, Seg. I,F2575
390 Seawood Drive Lo! # ?
Southold, Neu Yozk
i made this inspection es,reyuestad in "Application
For Certificate of t)ccupancy", Datsd March 13, 1972.
About 11000 A.M. Mss. Foy admitted me to this one..
family duelling. The building appeared in good shape,
I did not,ics a minor vertical cr:ok (about 3/ib at the
top) in the fotmQation. I notice no violations. There
are no other buildings on this parcel.
I completed my inspection about 11:30 A.M.
Respectfully submitted,
w:~.-~
George Fi. Fish4r
Building Inspector
A sketch of the !loot plan is in the Housing Code f11e.
B.P. # 150 `Z, 10/23/57 John Weight, new dwelling
C.O. # Z 2'53 2/Z6f59