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Home My WebLink AboutZ-5449FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ZSt,49 ...... Date ............ Sept .... lbr. ..... , 19.F~. THIS CERTIFIES that the building located at ... MaLta. I'~ .&. ¥otmgs..Ave. Street Map No..xx ......... Block No .... xx ..... Lot No..X,~ .... go~tthold...h,¥, ......... conforms substantially to th ' · · ~ te. oecu aney ~ -befot~e. Ap.l~il. 23-.., 19.~.7.. pursuant to which~~P~[~t~l~o~oZ~ . . . dated ....... 8ep~;...1.1y ....... , 19.~.3., 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 Business. huildlx~g.. (.retail .stores,. restaurant, e.tc) ............ The certificate is issued to Flora. F., .Lesser ..... 0;~ner. ........................... of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant) pr.e.-., exlztll~g .................... UNDERWRITERS CERTIFICATE No..lal?O.-~X:l. St:l~tg .................................. ttOUSE N UM BE R ............. Street. · .5~,.5'00~..Sbe~20. t 514-5~[1 I' · 5'h-.~.60.. Main. S.tl,. $outhold NOTE s. l:t. arking, app.r, oved..by. 24..Appoals. el.973 ................................... Building Inspector / STATE OF NEW YORK ) ) SS..* COUNTY OF NEW YORK) MORRIS B. KESSLER, being duly sworn, deposes and says: That he is an attorney of the State of New York and represents FLORA F. LESSER, who resides at 20 East 74th Street, New York, N. Y;, and who is the owner of "H. C. Bohack and Other Stores Parcel" located in the town of South- old, County of Suffolk, State of New York, legally described as follows= "BEGINNING at a stone monument at the point of intersection of the east side of Youngs Avenue and the south side of Main Road~ running thence north 73° 23' 30' east along the southerly side of Main Road 186.70 feet~ running thence South 10° 24' east 178.43 feet to a post~ running thence south 71° 36' west 80 feet to a pipe~ running thence south 74° 32' west 110.30 feet to a pipe on the easterly side of Youngs Av~nue~ thence north 9° 17' west 179.15 feet along the easterly side of Youngs Avenue to the corner, the point or place of BEGINNING." Flora F. Lesse~ acquired this parcel by deed dated January 2, 1959, which deed was recorded in the office of the Clerk of Suffolk County on January 14, 1959, in Liber 4572, Page 476. Based upon information supplied affiant by Mrs. Lesser's agent, there have been no alterations or additions to the structure since it was acquired by Flora F. Lesser, except as affiant has been informed that the parking lot was enlarged. FORM NO. 6 TOWN OF SOUTHOLD Building Deportment 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 duplicate 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 3. Copy of certificate of occupancy $1.00 $5.00 Dote ..... !. 2.Z.}... New Building .................... Old or Pre-existing Building .............. ;,~ ........... Vacant Land ............................ Location Of Property ~"i~ Re, ad ~c] ~r,~ ,nq~ ~r~ · Owner Or Owners Of Property Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No. .................... Date Of Permit .................... Applicant .......... _ ~h.~ '~· :~ ..... ~ ~_ ~ .c~. ~ .............................. ~J Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Construction on above described buildi t~le~ t regulations. APP ' ica n~,~K~mr..._~.a~.l_.....: - ·: ................................. Sworn to before me this · /.¢~.... day of £~b~ ........................................... ~.-. (stamp or seal) Notary Public .................................... County ~,~*C, .~tule o~ }Iew York 8~85 - Suf!elk County ~ --- Tt~r,n ~xplres March 3~ Ill '~.. GrOC~oul formerly L. oie~ 69.~ LI5 youNGS 4vENUE