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Home My WebLink About9113-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .................. Date ................................. I . THIS CERTIFIES that the building ................................................ Location of Property ...~9.2.q.~.v.~....~..d....{.3.~..M.a..n.~?..H..~.~.~.........~.................Lane, Cutcnogue, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 108 . .Block 03 .Lot 013 o 008 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated ...... I~.e.g.c.h., ~ .3 ...... ,19 fff. pursuant to which Building Permit No. 9113 Z dated ...M.a?.qh...~.3., ................ 19 Y.5[, 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 ......... Private One-Family Dwelling The certificate is issued to ............................. A. Schwarz ltobe~'t J, and Patricia .............................. [owner,'fe~gee' ~r'tel~tl~ - - of the aforesaid building. Suffolk County Department of Health Approval 7-30.-16 2/'t7/7,q Robert h. Villa UNDERWRITERS CERTIFICATE NO. N379298 Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Cerli icnte Occupnncy TEMPORARY No.. Z.898.1 ..... Date .. April .... ! .1 .............. , 19.7.s. 1020 Pvt. Rd. #5 THIS CERTIFIES that the building located at . Manor. Hill. La~e ......... Street Map No ............. Block No ........... Lot No .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...FIa~..ah. 2.5 ......... , 19..'?? pursuant to which Building Permit No. 21.1DZ.. dated ...P~em. ah. 2c3 .......... , 19.77., 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 ....... I~ivat~e. Ode. Family, .Dwelling ................................. The certificate is issued to ..... Robert. Jo · Sohwa~.z .............................. (owner,:~:~rx~t) of the aforesaid building. Suffolk County Department of Health Approval ........ 7. '. .S .0.'. ~ 6 ..... 27.1.7.'..78 ....... UNDERWRITERS CERTIFICATE No .... N.~?D298 ................................. HOUSE NUMBER .... 1.020 ...... Street .... Rvffc,. Rd,. #~ .Manor. Hill. Lane .... Cu~,ohogue, ~ York Building Inspector 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. Finat 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. 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 featu res. 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. Fees: I, Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 New Building .... ~. ....... Old or Pre-existing Building $5.00 Date. ~. ,~..~?.~-?. /~./.~. ~..~.. ............ Vacant Land ............. Location of Property ./~.'~...~../~...../~./..Z..L .... .,~, .~..~.~../ .... ~. ~ .,~_-..~, .,~.~.. ~%~..~.. ........... House No. Street Hamlet Owner or Owners of Property ./~.~¢.~.~.,..~.'... ,~i. ,~.,~,7..~.~/..,~...~..,..~, .~.~.C~../¢~..z~.~ .... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No, .~././. ?. ~7. Date of Permit .~.~.2.3~..7~..Applicant../~).7~...~'~.. ,~. , . ?.--~.,.., Health Dept. Approval ...~.'~ J~...~. ........... Labor Dept. Approval ........... Underwriters Approval..N.~.."7. ~.~,.?.~. ..... Planning Board Approval .................. ., Bequest for Temporary Certificate ..................... Final Certificate .. Fee Submitted $.. ~. ~. ~. ~ .................... Construction on above described bu ildJng and pe~[tt~~~~ regu JatJons. .... ..... Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~- 85 JOHN NEW YORK, NEW YORK 10038 STREET, " 3?92 ~).,~ Ma,:ch 22,1978 ,~pp.ca,lo,, ~'o.o.y.~ 966677 THIS CERTIFIES THAT onl~ the elec~cal equip~en¢ ~ described bel~ and i~tr~uc~ by the appllca~t na~d on the able application numbe~ .Robert J. Schwarz, ~nor Hill Lane, Cutchogue, L.I. , the follo--ingW iocation; ~ Basetnent' ' ~ '~ FL ~ and foot,rd to be in co~pliaitce ~itlt the reqt~re.te~tts of FIXTURE ~ OUTLETS SWITCHES 31 40 FIXTURES RANGES OVENS~ DISH WASHERS EXHAUST FANS OTHER APPARATUS: Motors:l-lhp , r'~ 2GFCI - ,,: 4/0 '~' 1 smoke detector ~ ; Robert J Schwarz ' .......... ~ 'P.O. Box 627 ~ ': ' ' : ',', "', ';~,: GEN r , '11 :,. This certificate must not be altered in any manner;, return to the office of the Board if incorrect. Inspectors may be identified by their credentials, TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. YJl1971 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 dispasal--(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 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 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 formation 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 ............... ;~ ........ New Building .....~.. ........ Addition ................ Old or Pre-existing Building ................ Vacant land .............. Location Of Property ...,~Z~4'./~..Z~..~.~'.~.~..,~.~.~?,~..~-.....Z ............... .~z~Z~,~/.~.~.~i/~?2~...:. ..... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. ~.~ ~ . .~ . ~/~ ..-~.. ..... ~ -~ ~-' c~~ ~/~ ~_~ . ~ ;z~'- Z?· .-~ .~? ~V - ~.,... . /,,¢:~,~ ?__.~. Permit ",'o. ,...: ........... ,... Date.,.Of ':':rm,t ....... ........... Heo,th Dept. Approva, Dapt. Appro a, ................................................ . ~ /.,.:.. . Underwriters Approval :~:...,~. .¢.../. ............ Planmng Board Appraval Request For Temporary Certificate .~ ................................... FinaJ Certificate .......................................... Fee Submitted $ .~'.~.......-rz~... ...................... Construction on above described building and.~p~mlt meets all ol;~li¢obl~ codes and regulations. .... ................................... Applicant L/ Sworn to before me this ................ day of ............................................ Notary Public ................................... County (stamp or seal) ,)Vc~f,.-ft~ o oo,~ of THE WATER SUPPLY AND SE~RCE~i~S~IO$~L'/~¥STEMS P ,SUFFOLK cOUNTY DEPARTMENT OF HEAL po. -^PFROVAL OF Co. STRUCT~ON . ~,A~E_.~3 ~l~'r'7 ...,s ,,:F.-.O. '7-~ A??RO'v'ED__ ~" ' oo¢ Of MA IAI 170,4 D (N.Y.S 1?le 25) TEST HOLE lop soil loam gro~ sand gra~ r~NAI' ' t?E SHOWN THUS ~.o .~ws~oNs I YOUNG & YOUNG I 400 OSTRANDER AVENUE, RIVERHEAD, NE ~ ,; ~ i *LI3~EN W, Y.oU~I~ Hj oo~1 {O(ffCtt~O o( THE LOCATION OF WELLS AND .CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR FROM DATA OBTAINED FROM OTHERS OF .EALTN SERVICES APPLICANT: ADDRESS TEST HOLE top soil sond sond son# & 170 ' tf'A'~ER ~SERVICE-'PRIVAT'E I~/./. $ F ' ' YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK AL.DElhi W. YOUNG HOWARD Wo YOUNG iSUEVEY FOR: ROBERT J. SCHWARZ 8 PATRICIA A. SCHW~t?Z 'LOT4 "NII/VOR SUBDIVI$1OIV OF ~IERIVER ADEL " fTCHOGUE SOUTHOLD SUFFOLK CO., N.X. ~ =100' DATE: oO¢ THE WATER SUPPLY ~-O SE~A~.J~S~,~SAL/'SYST~$ FOR THIS SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY APPROVED TEST HOL. ff 0,0 top so// sand . ?_,,_ £ra~_. sand sand gra~ IZO' NOTE: · -- MONUMENT ELEVATIONS ARE SNOWNTHUS ~.o NEA~s~ W4~ MAIN q MILES ~ ~ UNAUTHORIZED ALTERATION OR ~DDITION TO THIS SURVEY IS A VIOLATION-OF'$ECTION 7209 OF THE NEW YORK STA'I*E EDU~ATION LAW RE. VISIONs YOUNG & YOUNG ~ 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ~LDEN W, YOUNG' HOWARD W. YOUNG ~URVEY FOR: i~OB~RT J. SCHWARZ e ~,47'R/C/,4 A. SCHkVAt?Z ~or 4 "MINOR SUBDIVISION OF' WERNER ! T~VN OF' " SOUTHOID ' SUFFOLK CO,, N,Y. I'~100' DATE: