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Home My WebLink AboutZ-9567 AFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. Z9567 A....... Date ......... June -269 . . . . . . . . . . . . . .. 1". THIS CERTIFIES that the building ................................................ Location of Property . •19 j. Oak • A�',A................. Southold*. Ne Ye House o. Street Ham/et County Tax Map No. 1000 Section .. DM ...... Block ...... 02 ....... Lot .....010........ . Subdivision.. Cloose. $ay. $Mated • • • • • • ..Filed Map No. ........Lot No. 152-155 #. incl. Requirements !or a privata on• !a>m!1 dwell built conforms substantially to the rio �p�Certificate o Occupancy p ri96ri1. 23...... • . 19 . 5.7pursuant to which 13000gMEW No. ...2956:7 ...... • • • • • • dated ...June, .26, ................ 19 . q9, was issued, and conforms to all of the requirements of the applicable provisions of the law'." Mt occupancy for which this certificate is ismelt'i O ........ ...Privrate..one. family .dwelling ............................................ . The certificate is issued to ..... William•F.•K84JLa.&'7'/!e•••••••••••••••••••••••••••• (owner, JWX of the aforesaid building. Suffolk County Department of Health Approval .. N/ R .................................... UNDERWRITERS CERTIFICATE NO......... . Rev 4/78 r 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 surrey 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 ..Jung .25,..1979......... New Building ............. Old or Pre-existing Building ...X........ Vacant Land ............. Location of Property ... 1,95 .OPk..AVe-ALIQ, . Sauthold, . Mew. Yoxk ....................... House No. Street Hamlet Owner or Owners of Property .. Frances..Willets. & .Rosa Jones . (Estate. of. Mae .Macri a) County Tax Map No. 1000 Section . $�X .77.... Block .. .?........ Lot. . 10 . , , ... , . , , Subdivision.................................Map No ............... Lot No............... Permit No. .......... Date of Permit ..........Applicant . Albert -J.. Arias . . . . .. . . . . .. . . . Health Dept. Approval ........................Labor Dept. Approval ........................ Underwriters Approval ........................Planning Board Approval .................. ...q Request for Temporary Certificate .....................Final Certificate ..... 1�............ Fee Submitted $ .. 5. -.RQ ...................... Construction on above described buildingqo i ee I' I des and regulations. � `/ �I j Applicant .................. 1ph Bruer, as atto ney for Albert o-�oaa J. Arias `� 4V MARY DIANA TER NOTARY PLIKIC, State of New York No. 52-4655242, Suffolk County Commission Expires March 30, 18 .), IT Cd Coffin i I (f).4 r, N EES. 4- �4 I A/IfE s `a .L>. G�.^U�n 1Z r) 0 1 .Z l J CJ l M _4 It I o = i ro r7iPC-- D = S�Grk' `7C.%Rvc s'E Frf AT '300 7-1-10LL:?, /U Y 7 `lam'! IC; !+k C��=I:7 t .*'c. ✓�C r ,jGT�: Co. Tan lYlcx�i �-. r qtr fi,cw : N JN ORIZED ALTERATION OR ADDITION CO IS SURVEY IS A VIOLATION OF S T N 7709 OF THE NEW YORK STATE ATION LAW. IES Of TM1S SURVEY MAP NOT BEARING T LAND SURVEYOR'S INKED SEAL OR BOSSED SEAL SHALL NOT BE CONSIDERED 081 A VALID TRUE COPY, GUARANBEES INDICATED HEREON SHALL RUN ONLY TO BFFE &-SON FOR WHOM THE SURVEY 15 PREPARED, AIM Oh HIS BEHALF TO THE TITli compANY, GOVERNMENTAL AGENCY AND LENDBdG INSTITUTION LISTED HLREON, AND TO EHE ASSIGNEES OF THE LENDING INSTI- TUTION. GUARANTEES All NOT NOT TRANSFERABLE t0 ADDITIONAL INSTECUTIONS Di WNEOUEM Guaranteed 1`0 ff je C/7/Cdgro Ti He lnWt-=76e Comot v arxd -ftp � xtHjalcl Savings Sank as �rfr�=e�{Bea' .lu�7e 8,1�T�7 . eb,asr crc VAN 7Z yL,P. �. --7 ,- cin ry •• � I '{vr7rne iuu+St (T) I A/IfE s `a .L>. G�.^U�n 1Z r) 0 1 .Z l J CJ l M _4 It I o = i ro r7iPC-- D = S�Grk' `7C.%Rvc s'E Frf AT '300 7-1-10LL:?, /U Y 7 `lam'! IC; !+k C��=I:7 t .*'c. ✓�C r ,jGT�: Co. Tan lYlcx�i �-. r qtr fi,cw : N JN ORIZED ALTERATION OR ADDITION CO IS SURVEY IS A VIOLATION OF S T N 7709 OF THE NEW YORK STATE ATION LAW. IES Of TM1S SURVEY MAP NOT BEARING T LAND SURVEYOR'S INKED SEAL OR BOSSED SEAL SHALL NOT BE CONSIDERED 081 A VALID TRUE COPY, GUARANBEES INDICATED HEREON SHALL RUN ONLY TO BFFE &-SON FOR WHOM THE SURVEY 15 PREPARED, AIM Oh HIS BEHALF TO THE TITli compANY, GOVERNMENTAL AGENCY AND LENDBdG INSTITUTION LISTED HLREON, AND TO EHE ASSIGNEES OF THE LENDING INSTI- TUTION. GUARANTEES All NOT NOT TRANSFERABLE t0 ADDITIONAL INSTECUTIONS Di WNEOUEM Guaranteed 1`0 ff je C/7/Cdgro Ti He lnWt-=76e Comot v arxd -ftp � xtHjalcl Savings Sank as �rfr�=e�{Bea' .lu�7e 8,1�T�7 . eb,asr crc VAN 7Z yL,P. �. --7 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location/ QS 0i4 of Otic number & street Subdivision oAvsc TZ5 Map Name of Owner(s) ZZ7— A/- y kinunicipaiitiy) . No. Lots) 16-2 - /SS s"C/_ Occupancy - �owneft-te�nant�� typ e Admitted by: _:54 Accompanied by: Sc -L;; ' t - Key available Suffolk Co. Tax No®/O Source of request "/2 6"/. Date DWELLING: Type of construction 66boxp #stories Foundation L�iYF.fi/ LCOC/�_ Crawl'space — = ice• Total rooms, 1st. Fly B,rs 2nd. Fly4�04ca..'24 3rd., F'1 Bathroom(s) p,(,c Toilet room(A) - Porch, type Deck, type — Pafio, type Breezeway___— Garage - Utility room 1 Type Heat "Warm Air Hotwater. Fireplace(s)--, No. Exits - 7T&o Airconditioning Domestic hotwate o ,Q Type heater�,uKZ?_=5K�- . Other --- ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 . Remarks: Inspected by: Date of Insp . 6 -ZS -7'? Time start3=end 3;/-57 6�I�, D40 No,escription Remarks: Inspected by: Date of Insp . 6 -ZS -7'? Time start3=end 3;/-57 6�I�,