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HomeMy WebLinkAboutZ-9648FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No... 7,964.8........ Date ..... Au9=:t 2? ................. 1979 THIS CERTIFIES that the building ............................................... . Location of Property ..Zqueatrian Avenue. & Fox. Atreenue.......... F'j4hers..IHlnand House No. let County Tax Map No. 1000 Section .... 09 ...... Block ..... 04 ........ Lot .....02......... . Subdivision ...............................Filed Map No. ........Lot No. ............. Requirements for a one family dwelling prior to conforms substantially to the Certificate of Occupancy 79648 ...... Apra) -..23....... 19 5.7. pursuant to which . • • . • • • dated ..... , . • , . • • . • • .. 1979. , 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• ,il Famy.Dwelling..................................... The certificate is issued to .. Righarcl , A.. ,and• Martha M, ,Howard .. • (new ,owners), (owner, of the aforesaid building. Suffolk County Department of Health Approval ............N/R• • .. • ... • . ................ . N/R UNDERWRITERS CERTIFICATE NO .................................................. ......... '/" .......`.... ..... ..L...... . Building Inspector (No inspection made as of 8/22/79) Rev 4/79 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. 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 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. B. 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 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 informa- tion 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 ., August 20, 1979 New Building ............. Old or Pre-existing Building .... X....... Vacant Land Location of Property . no. #............. • • • • • • Equestrian. Avenue., .Fishers Island,. N.. Y. House No. Street Ham/et Owner or Owners of Property , ,Richard A. Howard and Martha M. Howard, his wife County Tax Map No. 1000 Section............... Block ............... Lot ........... Subdivision .................................Map No............... Lot No......... . Permit No. .......... Date of Permit ..........Applicant .................................. Health Dept. Approval Labor Dept. Approval ........................ Underwriters Approval ........................Planning Board Approval ...................... x Request for Temporary Certificate .....................Final Certificate ....................... Fee Submitted $ . 5; 00 ....................... Construction on above described building and permit meets all applicable codes and regulations. M. Howar Richard A. Howard and MarthApplicantby.Matth.e.ws.&.Ostran.E Attorneys Rev. 10-10J8 C��rnray IA- r_, 4 _,,_/ , _ TOWN OF SOUTHOLD PROPERTY RECORD CARD A"5 OWNER STREET VILLAGE DIST. SUB. LOT 'Aye, FORMER OWNER G L.w alt's -S S TYPE OF BUILDING ReS. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS Cf / 71 Je �[7 S. //.7�c t,l I! R 1A3� AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH BULKHEAD Total 1DOCK