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Home My WebLink AboutZ-7197FOF, M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. g?.~ ~ ...... Date ............. ~.Br ......2.~. .... , 19 .~.~,. THIS CERTIFIES that the building located at .. $/S..NEW..~ff~.~. AY9 ... Street Map No.. ~ ....... Block No... ~ .... Lot No, .~ .... ~~... ~f ...... ~q~nts for ~ f~ly dwe~g ~ housing conforms substantially to the ~~ ~ - ..... ~r~f$~0~ occupaney b~ b.~fgre..Apr..25 ...... , 19~. p~suan~ ~o wmcn~o, z7'197' · dated ............ A~ .... ~$., 19 .~., was issued, and conforms to ~1 of the req~e- ments of the applicable pro~sions of t~ law. The occupancy for which ~s certificate is issued is ~$~. ~n~. ~Y. ~.~-%.~ ....................................... The certificate is issued to . ~P~F~V. ~..HB~..~$$k~ ..... ~F.M ............... (owner, lessee or ten,t) ~ of ~e ~oresaid building. Suffolk County Department of Health Approval D~T. e.X~.~g .................... UNDERWRITERS CERTIFICATE No.P~gU. ~.g ............................. HOUSE NUMBER . .. ~2B10 ...... Street .~C~? .~VffR~. &~ ...... ~$~$$~ ...... Housing Code Inspection August 25, 1976 3310 New Suffolk Avenue R-1 Mattituck, N.Y. Tax Roil: C. H. Wickham Occupied: Michael Maher Upon receipt of an application for a Pre-existing Certificate of Occupancy, I made an inspection of this two-story, wood- framed dwelling. I was admitted to building by Mrs. Maher and began this inspection at approximately 10:50 A.M. The first floor consists of a living room, kitchen, laundry room, dining room, one full and one half bathroom. Second floor has three bedrooms and a full bathroom. Heat is furnished to all rooms from a gas fired hot water fur- nace located in cellar of building's red brick and stone foundation. A two-car garage is attached to east side of building. I found no violations of the Housing Code, Chapter 52, Town of Southold, New York. Inspection completed at apprQximately 11:15 A.M. ~pe~ctfully ~mitted, Building Inspector EH:med FORM NO. 6 TOWN OF $OUTHOLD 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 DUPLICATE to the Building 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 Board of Fire Underwriters. 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 appficable. 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 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 in- formation required to prepare o certificate. C. Fees: 1. Certificate of occuDancy $§.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date .... .~..~.~..~. ~..~....lt..~ ~ ...~.~..7. ~. ....... New Building ................ Addition ................ Old or Pre-existing Building ......Y-,:X ....... Vacant Land .............. Location Of Property .... .~...e.?'.~.s..~:~.~...~..]:-.k....~...~..e...~.`~..~-?....~..a..~.t:..~.?.~?~..~.~.7.......(~...~.~.e.~.~.~... Owner Or Owners Of Property ..~:..~...a.~..k..e..z'.....~...~..q..kh..a..m.....6f..~.u..~.]:.._~..~...~.~.~..k...b.~.~ .................................. Subdivision ............ ~J/.A ............................................ Lot No ............. Block No ............. House No ............. Permit No ...... ~./.,~, ....... Date Of Permit ..... .~../.A. ........ Applicant ...... -...'. ........................................................ Health Dept. Approval ......... ..~./...~. ........................... Labor Dept. Approval ...... ~./..~.. .................................. Underwriters Approval .............................................. Planning Board Approval ....~.../..~.. ............................. Request For Temporary Certificate ....... -....-. ............................. Final Certificate ...... T..-. ................................ Fee Submitted $ ,5..;..0..0.. .......................... Construction on above described building and,.permi.~meets all appli~/::lble codes and regulations. pplicant ....... ~~......-~..~...~. ........... .~...>,......~ .............. ......... Sworn to. before me this . ............... day of ~...:.././/~......1~.. .... (stomp or seaJ,) _ :,~ TITLE NQ 4reO =2.201 Acres Jay porker WickhOm YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERH£AD, NEW YORK SURVEY FOR: MICHAEL R. MAHER ~ LORETTA I;MAHER MATTITUCK CfllCABO TITLE INSURANCE SOUTHOLD SAVINB$ BANK town or SOUTHOLD MICHAEL R. MAHEB & LORETTA l,~B suFfoLK co., ..~.