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Home My WebLink AboutZ-5231FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No..Z.~.~3.1 ...... Date .................. .~'..~.....~.., 19..~.. THIS CERTIFIES that the building located at . E/S .O&y .A~ .............. Street Map No... xx ....... Block No ..... X~...Lot No. = ...$~.Si}..l~..~.IC~J[Z.. ~,.~.~ ........ conforms substantially to the ~ . _ ........ - oode dated .. b~fortt .~l~rll 23.., 19 .~. pursuant to which dated ........... ~l~. I~.., 19. ?3., 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 l~tvate. ~ze. f~lily .d'~Lling ........................................ The certificate is issued to .J,. Edwar~ .Bro~.. O~er ............................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval l~e-. axis~,ing ..................... UNDERWRITERS CERTIFICATE No.. P~.~.. ~lTJ, W~iil~g ................................ HOUSE NUMBER.. ~tl'~ ....... Street .......]~$Y..~,W$ .................................. 1, Ii. ds ~aXX ~ound attXe st~t.r v~Ll sse216b 2,) ~eeda sow roof repair ' 30~e . . [ Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Delm~tment 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 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 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. Date June 20, 1973 New Building .................... Old or Pre-existing Building ....... .X.. .................. Vacant Land ............................ Location Of Property ~E'~.a..s..t.~.s'~i.~d.~e....~..f.~.B.~.aZ~..A.~.v..e'.n.~u.~e.:.~.E..~.~i~.~.~2~ ............................... Owner Or Owners Of Property ...J.:....E...d..w...a..r...d....B..r..?.~ ................................................................................. Subdivision ................................................................ 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 $ .5..:..0..0. ........................... Certificate requesied certifying building and premises conform to present zoning requirements. Building cons. tructed more than 50 years ago. Construction on above described building and permi~t,'f~eets all apl~-9~le codes and regulations. Applicant ..~, ....... ttobc:Fr~ W. Tasker, as at~'~_~j; }'~'~"~"']~'a~i'~"~l"J~'~wn Sworn to before me this 20th day of June , 1973 Notary Public .........S..u..f..f..°..lk. .............. County BABETTE C. COi~ROY (stomp or seal) June 26, 1973 HOUSING CODE AND PRE ZONING C.O. J. Edward Brown Bay Avenue East Marion, N. Y. The office asked me to make this inspection. About 1:25 P.M. I admitted myself with keys left at the office. The bedrooms have few base plugs. In the attic; there is no rail around the stairwell opening (Sec. 216). New piping for the upstairs bath has been installed, but the ceiling of the pantry has not been repaired to complete the job. The yard is not mowed. There is a two car garage and two minor accessory buildings. In general, the house appears to be in good condition but sections of the roof need reshingling and some painting- Sec. 302C. I completed my inspection about 1:50 P.M. George Fisher Building Inspector