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Home My WebLink AboutZ-23526FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED PRE EXISTING C~RTIFICATE OF OCCUPANCY No Z-23526 Date MARCH 6, 1995 THIS CERTIFIES that the building. Location of Property. 300 BOISSEAU AVENUE House No. Street County Tax Map No. 1000 Section 63 Block 3 Subdivision Filed Map No. ONE FAMILY DWELLING SOUTHOLD, N. Y. Hamlet Lot 5.3 Lot No. conforms substantially to the Requirements for a Two Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23526 dated MARCH 6, 1995 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 TWO FAMILY DWELLING WITH ACCESSORY GARAGE * The certificate is issued to HARRY & VERONICA SWEPPARD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N 717834-FEB. 18, 1969 PLUMBERS CERTIFICATION DATED N/A *THIS UPDATES PRE(X) Z-10619 ISSUED ON AUG. 5, 1981. ~Bui ding Inspector Rev. 1/81 Be Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 'i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. .2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction ........... Old ar Pre-existing puilding..~ ............. 'ttu£ ~ocation of Property, ........................................... House No. Street Hamlet ]nwer or Owners of Property.. :ounty Tax Map No 1000, Section.. 063 ..Block 3ubdivision .................................... Filed Map ............ Lot ...................... )ermit No ................ Date Of Permit ................ Applicant ............................. tealth Dept. Approval .......................... Underwriters Approval ......................... ~lanning Board Approval ......... ~ .............. quest for: Temporary Certificate ........... Final Certicate ........... ?ee Submitted: $....~.-~..~.~..~i ................. /" ............... ........ STATE OF NEW YORK) ) COUNTY OF SUFFOLK) SS: DANIEL T. SMITH, being duly sworn says: I live on Mechanic Street, Southold, New York and have been a builder in that area for more than 40 years. On November 11, 1968 Frederic P. Rich acquired title to premises known as 300 Boisseau Avenue, Southold, on which was located a two-story house and garage, which house had been con- structed more than 50 years before. Shortly after acquiring title, the said Frederic P. Rich engaged my firm to make inter- ior repairs and alterations necessary to improve the interior and make it more suitable for habitation and to divide the in- terior space into two separate apartments with modern kitchen appliances and modernization of bathroom facilities. These in- terior alterations were made in the fall and winter of 1968 and the early spring of 1969. The alterations were completed in the early spring of 1969 and final bill rendered on June 12, 1969, which was paid shortly thereafter. Sworn to before me this~day of July, 1981 STATE OF NEW YORK) ) COUNTY OF SUFFOLK) SS: FREDERIC P. RICH, residing at 52965 Main Road, Southold, N. Y. 11971, submits this affidavit in support of application for certificate of occupancy on house located on parcel shown as Parcel B on the annexed survey map known by street number 300 Boisseau Avenue, Southold, New York on ground of "pre- existing"land use. Said house (and garage) was constructed and used many years prior to April, 1957 as a private dwelling, said house being more than 60 years old. The property was purchased by me on November 11, 1968 and the interior of the two story house renovated, modernized and altered by Daniel T. Smith shortly thereafter in such a way as to make it suitable for two family occupancy, all in the manner set forth in his annexed affidavit. Ever since that time the house has been rented to two families for private occupancy. I am informed that at the time of said renovation, since it did not entail any structural changes to the exterior no build- ing permit was required and no certificate of occupancy was then issued. As the present owner of the house I now make application for a certificate of occupancy on the ground of "pre-existing" land use. Sworn to before me this 29th day of July, 1981 Pe~Ce~, Bo.F~v~o, Oa~lawr~ A[V~., Ext. .0