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Home My WebLink AboutZ-5183FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 2518.3 ...... Date ..........;=e .. 6.......... , 1973 . THIS CERTIFIES that the building located at Cedar -Paint -Fart -Drive Street Map NoCedar Be8eh & No........... Lot No. ..102&1.03. ... Southold - X *Y & � � � �'o'�'s,aL•ssfr,�,s-sssst'sa�saae'a':w�1'.v'J'l yr.!e'!'@'S'i'l�y�' dated ..........SUM ... 6 ..., 1973 ., 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 ...Private - one - family. dwelling ..................................... The certificate is issued to . Alfred. k1ahler .....Owner ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ... existing ................. . UNDERWRITERS CERTIFICATE No ................................................. . I10USE NUMBER.............Street................................................ . l ........ ..�... Building Inspector HOUSING CODE INSPECTION June 6, 1973 #920 Cedar Point Drive East Southold, N.Y. Tax Roll: Alfred w. Mahler Subdivision: Cedar Beach Park #90 Lots 102 and 103 Upon request of the Southold Town Building Department, I made inspection of this one family dwelling and found no violations of Local Law #1, Housing Code, Town of Southold. I was admitted to front entrance by Mrs. Mahler and accompanied by Mr. Mahler on inspection which began at approximately 9:20 a.m. and terminated at approximately 9:45 p.m. Re ectfull7ttLe Edward Hindermann Building Inspector EH:tle TOWN Or SOUTHOLD Building Department 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 duo4eate 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 $5.00 3. Copy of certificate of occupancy $1.00 DateM4Y...31...... 1973 .................. New Building .................... Old or Pre-existing Building ...... X .......... Vacant Land ............................ Location Of Property East Cedar Point Road, Southold New York .................................................................................................... Owner Or Owners Of Property ....Alfred W. Mahler .............................................................................................. Map of Cedar Beach Park situate 102 & Map No. 90 Subdivision- , Town„ of Southol�ot No..103 , Block No ............. House No............. k New Yor Permit No ..................... Date Of Permit ....................Applicant.................................................................. Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For .Cex1;;L7.CiA:t.Q..A.f..... RNjVxi&N*atjLW8 Pre-existing„Use, Fee Submitted $ 5,.,00,,,,,,,,,,,,,,,,,,,,,,,,,, Construction on above described building Applicant ..... Sworn So before me this /....... day of...June....1973................. t Al d W. Mahler cod and regulations. ...................................... (stamp or seal) Notary Public Suffolk......... County MAUREEN E. VILLELLA . NOTARY PUBLIC. State of New York No. 52-4101129 C. ualifi�d in Suffolk County Commission ExpiressMMarcarch 30, 1975 r_A re - MAP of LANA MAHLE2 K AT , BA --%-view Aj_- -TOWN OF SOU -1 -HOLO, S.Y, t04 IC3 ion s tit ! ul i � N E} ;� stas"r {FYI }tY. .e k{f�l.wC V i it + L am+ 1- l.h vi -t . s::. Y ti. S 1 i c, w k i Jt i LA f3 :, a � �i , � `(" 't' C? Y 't' G7. Nf'i (`1 �,.. • l E3 �,. F-1 IG : Cl" C.t G�'CLAY ice` a 4 ��.. i--' G1. M.i C� Otto L� 1 c Y� T jr \4 £ 1 (} L� 6._.. V ,Y. Y'.t i * ` 1 , .r! 1 ♦�W`. ! 1 t ` C.,k t t�� . - Cc) t.lrt It i_ke-y'--E, v to C� ft<:3�- �: • �jY� :k��?Y{ - -� - - - - -- I' 0 wwDD T ---------------------------------------- i I