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Home My WebLink AboutZ-14820FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Pre Certificate Of Occupancy Z14820 August 20, 86 No .................. Date ................................. 19... One family dwelling THIS CERTIFIES that the building ................................................ Lo ..... 3155 Soundview Avenue Mattituck, N.Y. " cation o! rropercy ............... ; ............................................. House No. Street ' County Tax Map No. 1000 Section ... 09.4 ...... Block ..... ! ......... Lot 1 5 Subdivision ............................... Filed Map No ......... Lot No .............. requirements for a private one-family dwelling built conforms substantially to the prior to: Certificate of Occupancy. ........... A. p..r.i.1..2..3.,, 19.5.7. pursuant to which B~i~l~ll;gqo ............ .Z.1.4.8..2.0... dated ...... A u_g~.a t. 2 D., ........... 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 family dwelling garage and enclosed porch. The certificate is issued to Ronald E. & Doris E. McGreevy ' "' ...................... of the aforesaid building. Suffolk County Department of Health Approval No record - pre-ex is ting UNDERWRITERS CERTIFICATE NO .... No record - pre-existin~ Rev. 1/81 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANI Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ 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 property showing all property lines, streets, buildings and unusual natural or topographic featu res. 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 New Building ............. Old or Pre-existing Building ?. .......... Vacant Land ............. HOU~ NO. Street Ham/e~ Owner orOwnersofPrope~ ~l~.~ ~ .~%~,~..~ ............... County Tax Map No. 1000 Section .~~... Bock ~ ....... L~t' .~/~.~ .... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .... 'b~.~ ........ 0.('. ,~,..~, .~. ~C'..~/... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ~/"'- Fee Submitted $ .......................... Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10-78 Applicant. ~.~..~..'/~. '.. ~/'/.--C'~~ ........................ 300 1 STATE OF NEW YORK ~ COUNTY OF S[/FFOL}ft SS. RONALD F. MCGREE~V-Y, being duly sworn~ deposes and says: T½at he wos first at premises No. 129E Avenuem Matt~t,~ck, N. Y. ~ ]950 or ] ~5l~ soon r~fter the house was built. The premises were owne~ at that t~e by ~y unc3e who f~rst occuoied the house. That w~thin a couple of years after the house was built the garage sod the er~closed porch were added. These additions were con?leted de'~inLtely prior to Apr:il of 1~:~57. The mremises stayed [~ the family by transfer of owner- ship to my ma~'emts and tber~ to me ~p to the present ti~Te. The house was always used as a pr']vate or~e No other al. terat~ons h~¥e been ~ade after April of 1057. Sworn to before me this d !% 'AP OF PI-'4 O P E F/LTV :~Jr2VEYED FOP_.?... ~,~'--~-~l-cz ,, . AND Pl. ~ BA2BA2A A: .F'LY, F,1A!.q t. .AT '!'OVTtq OF .SOU. TI~O'L D 212..UE EAST l,r.~,).O L,I.L.02: I~;1LE o 20,0 ~ ~0, 0 h,.";O O SCALE ;~O'-' t' :'~ ,Q, ll~Ol',,l. PI'P~."' AtZ~A- O. ~...~mbo~,,~__ seal ~taU ....-- to be ~ valid true ~" Guaranty* I~