HomeMy WebLinkAboutZ-9680FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No....?968Q ........ Date ... S.eptemher.1..7............... 19.79
THIS CERTIFIES that the building ................................................
Location of Property....135. Lave. Lane .......... Mattitur—k .
House No. Street Hamlet
County Tax Map No. 1000 Section .... 1.4.1. .... Block ..... 04. ....... Lot .....03a ........
Subdivision ...............................Filed Map No. ........Lot No. ....... ... .
Requirements for a commercial building built prior to
conforms substantially to the
.... Apra 1. 23....... , 19 5.7. pursuant to whit BUMUI� No��y ......Z.96QQ ......
dated ..September .17............ 1979. , 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 .........
..........................Retail Store........................................
The certificate is issued to .........1 r=e .A.. NQrri.s.
(owner, /ed6Y3#4
of the aforesaid building.
Suffolk County Department of Health Approval ............... X/1$ .......................
UNDERWRITERS CERTIFICATE NO ....................... X/1$ ......... i..............
...... ...
Building Inspector
Rev 4/79
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
/3�L
Location " 01,Z- Z.4auc
number & street
Subdivision
Map No.
.- *_ I-/.
Lots)
Name of Owner(s) 1510 c/ CEP
yi4�/�y v7`TL �
Occupancy
e) kowner-tenan
Admitted by: Accompanied by: .-[F
Key available Suffolk Co. Tax
Source of request IC;�N,o�h� _ Date ?/. 0
%
Type of construction �AC, #stories
Foundation fro ,Lc . Cellar,=/l Crawl space
Total rooms, 1st. F1 I wd 2nd. F1 — 3rd. Fl—
Bathroom(s)
lBathrooms) — Toilet room(A Q 4j�
Porch, type Deck, type — Patio, type
Breezeway Garage Utility room
Type Heat 4�L/,r- ��Tarm AirHotwater
Fireplace(s) No. Exitconditioning__Z-
Domestic hotwaters Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const._
Other
VIOLATIONS: Housing Code, Chapter 52
Remarks:
Inspected by:
Date of Insp. q— /Z -19
Time startff'Z�end _T .50
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 occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Date . • ,August 30, 1979. • , ,
New Building ............. Old or Pre-existing Building .... X....... Vacant Land .............
Location of Property Lot #2 on attached survey of Young &Young• dated• July 17 , 1979, ,
House No.
Street • Ham/et
Owner or Owners of Property .....Bruce •A: • Norris , , , • , , , , • , , , • . . . . ................... .
County Tax Map No. 1000 Section , ,141Block ....4 .......... Lot ... 30 • • • . , , , ,
Subdivision .................................Map No............... Lot No.............. .
Permit No. .......... Date of Permit ..........Applicant ..................................
Health Dept. Approval ........................Labor Dept. Approval ........................
Underwriters Approval ........................Planning Board Approval ......................
Final Certificate X
Request for Temporary Certificate .................... •••••••••••••••••••••
Fee Submitted $., 5.00 •......,,•„
Construction on above described building and mJA meets all applica odes and regulations.
Applicant < .. .Li// • ... .... .
ichard F. Lar attorney for applicant
Rev. 10-10-78
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