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