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Home My WebLink AboutZ-4575FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ~i~.~ ...... Date ........ I~h.. 2 .......... , 19. ~. THIS CERTIFIES that the building located at ~O~'. ~ ............... Street Map No.lia..t~lJA'lm~k. ][J~J~k No ...........Lot No..~ ~..~. ~...~.~$~.. ~..~.... conforms substantially to the ....... .......... Apt. JJ~, 19 .... pursuant to which~ ~ .~ dated ....... ~Oh .2 ...... , 19.~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...~i~te. ~e. f~mi~ twel. l~g ..................................... The certificate is issued to .. ~. &. N~S. ~. ~lt~ ....... ~n~l .............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...~X$S~.~[ ................... FORM NO. 6 TOWN OF SOUTHOLD Building Depaffment Town Clerk~ 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 Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, an6 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 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 in- formation required to prepare a certificate. New Building .................... Old or Pre-existing Building ....... ~ .................. Vacant Land ............................ Location Of P ..... ,, Bayer Road, Mattituck, }~ew York Own~e? Of Pro-erty Paul Bittner and Helen Bittner Owner Or tviap of ~p~.~.~.~).~;..~.~..~.~.~...~.~.~.~.~.(~.~...~.~..~.~.~.~..~i~.~ Subdivision ..hia.t.~:L~lzo.k..~sJ.g~.t~ ..................... 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 $ ..~..:~...0..0. ......................... / Construction on above described building and pe~'~i.t,-fne~..,all 9pplicabl~ codes and regulations. Applicant '7 ................................................ ~alter C~orge Kapp, Attorney for Owners Sworn to before me this .....~.~h.... day of .....~..e..~..~.~..r.z.s...Z..9..7..~. ...... (stamp or seal) Notary Public .................................... County JOHN L 5CHMITZ Notary Public, State of New Yolk HOUSING CODE & PRE-EXtS~f~ ,INSPeCtION February 29, 1972 Mr. & Mrs. P. Bittner 50~ Bayer Road Ma~t£tuck, NeW York Lot ~ 35 Mattituck Heights Amended Nap l184,Paul Bittner & wf. LOt 36 Mattituok HeightsAlnend~'a MaP ~ 1184 p~Ul Bi~tne~ & wf~ The office asked me to make this inspection. AboUt 2:30 P.M. Mrs. Bittner admitted me and I inspected .,~his. one £am~ly-dwelling and detached garage on lot ~ 35. I found no violations. A sketch of the ~lOOr plans Respe~u~ly su ~l:~mitte~, Build'lng- InSpector file~ un~ "HouSing