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HomeMy WebLinkAboutZ-4682 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Tdl'682....... Date Juae 2T , 19 . THIS CERTIFIES that the building located at . $/.8 . }Tails. Read Street Map No. . i~4 Block No.... ]q[ ....Lot No.. Zi Eeat. Mariony .IT.Y...... . us• and requirements ~ M t o .0 1 .1 .onin~ conrrfddorms substantially to the d~gedinatlo~ 19.57. pursuant to which ~i~~~~o ©ceupancy Lpri1...~3 X4652 . dated June...27....., 19.72, 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 . If~C .Buailsas:.bui].dinay..built..prlor..to. znning..ordinance. & . eontinious use as antique storage & sales Etc. The certificate is issued to .Ronald • Eileen ~ • • ~ owner • of • reoord~ (owner, lessee or tenant) of the aforesaid building. . rc Suffolk County Department of Health Ap~T.,bval ..pTe~ .8~1A.t1n~ . y UNDERWRITERS CERTIFICATE No..: ~~;,r. exl8ti~ ~ ~ ~ ~ ~ ~ ROUSE NUMBER...1.jA~~.....Street..Ma321 •ROad . Rounded: N/ Reybit.e --T~ E/Layman ~ ~ ~ 4 t. S/ Main Rd Building Inspector W/ Limouse FORM NO. 8 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 71971 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. 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 $1.00 Date JunQ ...............1972 New Building Old or Pre-existing Building ..X.......19$.8....... Vacant Land n,%s i`dain Road, East Marion, N & E by Laywan; B by GIs:., Road, Location Of Property ...~}..~..~,j,AtOLLLOy...D.tt®-halt..arse....tt/....truairaea.a...huild.i.ng........... Owner Or Owners Of Property ......Ratsald J.,..:deen :lain Road Eaet Ptario~~, N. Y. Subdivision ................................................................Lot No............. Block No............. House No............. pze-ordinance Permit No Date Of Permit ....................Applicant Health Dept. Approval ............................................Labor Dept. Approval Underwriters Approval ..............................................Plannin Board A 9 PProval Request For Temporary Certificate Final Certificate ,...Pr6„ @XiBtipg„_~7,' 71 x~usii'cess use Fee Submitted $ . ~.'.u~ Construction on above described building and per meets all ap li abl a and regulations. Applicant Sworn to before me this day of Ju.se..._....1 ~ 72 (stamp or seal) Notary Public County JOSEPH 1. SNELLEN6URG 11 / Notorv Public. Store of New York Ovollfied In Suffolk County No. g2.90~atao 3U. 1974 Commlcsion EMPIan STATE OF NEW YORK) sa: COUNTY OF SUFFOLK) RONALD J. EAEEN, being duly sworn, deposes and says: 1. That I reside at Main Road,East Marion, N.Y., and am the owner of premises at Main Road, East. Marion, bounded north and east by Layman, south by Main Road and west by Limouse, assessed as Commercial -one half acre, consisting of a lot with a small building thereon. 2. That the premises are uaei for the storage and sale of antiques, and have been so used since the erection of the. building in 1956. That a certificate of doing butineea dtaa duly filed in the Suffolk County C1eY'k'a Office in 1956 for my wife, Bar=bars Eileen. 3. That the premises have been used ore aforesaid since 1956, intermittently on weekends to Jt>~cte~twq the present date. The premises, without actual location of the building thereon, are shown on the atttehed survey dated March 10, 1964. The building is shown on the survey in red pencil 4. That I am engaged in the sale of antiques on a part time basis, on weekends only, being ¦lkaz~s3s otherwise employed full time as Director of the Suffolk County Probation Department. 5. That thin: affidavit is made to represent the foregoing facts to the Southold Town Building Department, knowing that the officers thereof will rely on the truth of the facts stated, and for the purpose of m~J!~ obtaining a Certificate of Occupancy for business use, said use having commenced in 1956 and continued to the present time. Sworn to before me this 1 ~ day of June, 1972. JOSEPH ic55toteEofBNRiw York otary Qualified in Suffolk County - No.52-9091250 1974 Commission Expires March 30, . i ,;~R.,' ~ -.a"". Ni ~ ~ ~ r { ,v ( 1 ~ ~ - ~ ~ 1 ~ Y' I~{{ b 1 ti f. ~ ^ 't ~ i; 1~1 i o ~ t T ~ i _ ~ ~ ~6~ H~ ! ~'1 GotT "fl Zi 44 4 ~ , f o, ~ 3.s ~ i,. ! r r o~( ~i t}l a'{ ~ U~~ m ~ 6•~ 1 ~ R r 1 ' ~L 5xA'o } ~ ~ A Y M A fi k Iyp S i ~t i ~iJL"( ' ~ fZ 4 ~ ~ V EDEISc: xo. 3,Z, ~ N ~ ~ i~ 6 7. b ,r:-i ~'1~} pD,N o/ 2'GO~ = ~m gRta-E j - ~?,va ~ ~ ' a.P !Ot ~.B by - 8,4 StI~Y~'YF_'D MAkLH' Il), !'3f4 ! 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