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Home My WebLink AboutZ-9198 y J KQ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerjc'. Oiriue 3omhold, N. Y. Certificate CAF Ckcupancy Noz9~.~.~.. Date ................:SEPT.. 19,8 CFIL.P~Z y~ N i A IJATM fl~ 1'I47N THIS CERTII+'IES that the ~ located at Street Map No Block No........... Lot No............... . RE6IUIREHEUTS FoR P CELLRR gUli,~ ' ~R~'o" "-ib"COiissi~uc~ie.l conforms substantially to the [o~E ADOp-r[D J~Nk Q' ~7L' CE ~ dated 19.... pursuant to which ~i~ No. L .9 ~.98 SEP~ 7..., 1978., was issued, and conforms to all of the require- dated meats of the applicable provisions of the law. The occupancy for which this certificate is 18aued38 A NO*~ HA~~TAEek CL"Ll>ti~~ The certificate is issued to W. M..... r E r ~3 E.~.... . (owner, Wit) of the aforesaid building. Suffolk County Department of Health Approval N'. ~ UNDERWRITERS CERTIFICATE No......... ~ P' . HOUSE NUMBER ~ ~ 5 Street /A w A T tl A s ~'AT /f SOVTFIOL~ Building Inspector F0811i NO. 6 TOWN OF SOUTNOLD Building Departmorrt 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 Boo rd 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 os 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 - ~ i ~ I 7 S~~' 9 S / Dote New Building Old or Pre-existing Building Vacant Land Location Of Property .-............If ~ A Rif A , ~Ifi 5 . Owner Or Owners Of Pro ert W, M 1- C / ~ t= ~ P Y Subdivision ................................................................Lot No............. Block No............. House No............. Permit No Date Of Permit ....................Applicant P PP ...~a........................... Health De t. A royal N:~'..........Labor Dept. Approval Underwriters Approval ........................N:.~..........Planning Board Approval ......N..A......-............. Request For Temporary Ce Qificate Final Certificate Fee Submitted $ Construction on above described buildin9(°vr~ pperl(\~~it meets I~I lap\plico codes and regulations. Sworn to before me this day of (stamp or seep Notary Public County y~, ~ /?c a` / y ~3 8" ~ Z-~~98' TEL. 765-1802 ~05pFPOL/f TOWN OF SOUTHOLD G OFFICE OF BUILDING INSPECTOR u., TOWN HALL SOUTHOLD, N. Y. 11971 ~o! ~ y~o August 21, 1978 Mr. William Feibel Hiawathas Path Southold, New York 11971 Dear Mr. Feibel, A Certificate of Occupancy # z1875 was issued to you for the orginal dwelling. Later a cellar was put under this dwelling, and a permit was not required at that time. There- fore a Certificate of Occupancy was not required. Yours truly, GEORGE H. FISHER Senior Building Inspector