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Home My WebLink AboutZ-14379FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate O[ Occupancy No. Z14379 Date May 2 .................................................. 19...86 THIS CERTIFIES that the buildhng ................................................ Location of Property 1000 Old Harbor Road, New Suffolk, N,Y. County Tax Map No. ] 000 Section 11.7 ...... Block . .(15 ........... Lot . .10,1.1. ~ ], 2 ...... Subdivision ............................... Filed Map No ......... Lot No .............. ._ Req.uirem~nt,s..fQr ~,OD.e, Fam~ily Dw, elling Builtprior to conforms substantially to [ne--~ppm~t~rr-~o, qt-u/larng c-mr~--rtea~omre-fiteu-in-thi~ uffice-d'atefl- Certificate of Occupancy · .Apr.&[. 2.3.,. ......... 19 .5.7. pursuant to which-Bu~qd~4>em~it-N~ ............ Z1433.9.... dated ...M.a.y.. 2. ................ 19...8 6 , 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 . One .... F.~.mi.l.~..d.w.e. 1..1.i.n.~..w.i.t.h.. a..c.c.e.s.s. 9.rx. s..t.r.u.c.t..u.r.e..(g.a.r.a, ge.)..w..i.t.h..~ .u.e.s.t...rg.o.m...a.nd toilet teem; also a ?.u.m..p. house. SUSAN H. KWIT The certificate is issued to (owner, I'e~e'$tit~,e'~ ..................... of the aforesaid building. Suffolk County Department of Health Approval ..... .N/.A. ................................. UNDERWRITERS CERTIFICATE NO. . .N/.A. Building Inspector Rev. 1/81 Update of Pre C.O. #Z10318 FORM NO. 6 TOWN OF SOUTHOLD Building Depa, b,,ent 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 usa: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic feature~ 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 Underwriter~ 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and install~ 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~:onforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pz'operty 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 inform~ tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on preexisting dwelling $15. O0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date April 29, 1986 1.0.00 Old Harbor ~oad .C.u.t.c.hpgu~ Location of Property ........................................................ House N¢~ Street Hamlet Owner or Owners of Property Susan H. Kwit 117 Block .5 Lot ~.~.. 1 County Tax Map No. 10OO Section ........................................... Subdivision ................................. Filed Map No ........... Lot 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 ,~Jbmitted $ .1,5.. ~p ........................ //7, Construction on above described building and permit~ meets, S itions, Copy og ?re-C.O. #Z 10318 dated ,. / 12/23/80 at:Cached. Applicant ........... : . , ~ ................. William 10-10-78 STATE OF NEW YORK) SS.: COUNTY OF SUFFOLK) WILLIAM WICKHAM, residing at Old Harbor Road, New Suffolk, New York, being duly sworn, deposes and says that; I own property adjacent to the residence Of Susan H. Kwit at Old Harbor Road, New Suffolk, New York and am personally familiar with the pump house located on her property. I have personal knowledge that the pump house was constructed prior to 1957 and that there have been no changes or additions to it requiring the issuance of a building permit or certificate of occupancy. I make this affidavit to request that the pump house be included in the Certificate of Pre-Existing Use for the other struc~tures located on the property. ~~//~~ / / ~, Sworn to before me this 29th day of April, 1986. Notary Publ~ - - JULIE BAUERNFEIND FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. Z 10518 THIS CERTIFIES that the building ................................................ 1000 Old Harbor Road, New Suffolk, N.Y. Location of Property ............................................................... House No. Street Ham/et County Tax Map No. 1000 Section ....q.~.7 ..... Block ....0.~. ......... Lot.. 7.O.'.'1.?..&. ?.2.... Subdivision ............................... Filed Map No ......... Lot No .............. Requirements for a One Family Dwelling Built Prior to confo.us substantially to the ..~li~a~ie~-fe~.l~ai,td.i~}g-..~em~.it--he~,et-ofe~e-filed-.i~-~~a~- C~.t~f~at~ of..Qccupancy .z.~03.1.8. ..... .... Al? .r.~!. 2. .3., ....... ,19.5. .Tpursua nt to w~e.*~+~.~ t-~m~-v,e,.- ........ dated ...D.e.c..o.m.~.e.r...2)., ............ 19 .~..0, 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 . 0~e .... F.~$ly..DW~.l.l.i.n.g..w.i.t..h..A~c..e.s.s.q .ry..S.%..r¢. 9.t.u.r..e.(.G.a.r.ag.e.}' . .w.i.t.h...G.u.e.s.~...RRq .m' ..~nd Toilet Room. The certificate is {~sued to Harold F. and Jane V. Lundine of the aforesaid building. Suffolk County Department of Health Approval ... N/~ ................................... UNDERWRITERS CERTIFICATE NO .... BI/B, .......................................... Building Inspector l