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Home My WebLink AboutZ-5238FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No: 52a$....... Date ............. " .. A ...... 197 THIS CERTIFIES that the building located at . ojd . Ste;; yard 1-e Street Map No?9�44e37s. APtBlock No...g.......J...Lot No. "%1+..... t7+ iti1 .. .a +. conforms substantially to the bu:Lbe:`bra g r ear dated ....... 19.�7. pursuant to which o.Pri1..23..., " d dated ........ thi4.. 29 ..... , 19 . ? : , 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— c e. �frpmi1y.. xmve."s 14 .................................. The certificate is issued to .. zae..., h s6i r ..... Qwne= .......... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .F n..;PUt #L9........ . UNDERWRITERS CERTIFICATE No... �:ZP'!-. ' $ = ?g ............................... HOUSE. NUMBER. 2.30 ........ Street .....(31n . sh. pyo-^ i..1a........................... Building Inspector FOPM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 11991 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 responsiblefor 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 Date.......June..2h,..19.7.3............. New Building .................... Old or Pre-existing Building ... 9 .................... Vacant Land ............ t............... Location Of Property ...Old Shipyard Lanex Southold, N, Y, Owner Or Owners Of Property .4?gXae.S:....d..�?7:baa..SChgerler .............................. , .......... Subdivision .... F ourider,,,,,,,,,,,,,,,,,, ,,,Lot No. ...U.... Block No............. House No............. Permit No ..................... Date Of Permit ......... Health Dept. Approval ................................. Underwriters Approval ................................... Request For Temporary Certificate ................. ^ Fee Submitted s5... ..........Applicant..................................................1............... ..........Labor Dept. Approval................................7............... ..........Planning Board Approval ........................................ ...................... Final icate ............... Construction on above described building and'permit Sworn to before me this 29th... day of :......June and Applicant ..........,/ .. ....... ........ .......... ry 1 r O as attorney Vim. 0-1 73 Notary Public ...5.0 NA....,,,,,/ .. County (stomp or seal) /( 5.1-?, 9- A AKY R CURRY /y I !)J Ngow #'ublfc, State of Maw Yak e t4_52-0830410 elClj-66 �y Qualified in Suffolk County Term Expires March 30, 197r�l 7-S 29 June 1973 PRE-EXISTING C.O. AND HOUSING CODE INSPECTION Eugene Schooner and wife 230 Old Shipyard Lane Southold, New York Lot #74, Map #834 - Founders Landing The office asked me_to'make this inspection. I picked up the, keys from George Smith & Son's office. Mrs. Schooner was there so admitted me into the house about 2:OO p.m. On the second floor is two large bedrooms with 7'5" ceilings wi£h Large windows -.L 10% light. In the basement is three risers - no rail on open side, but hand rail on: wall side. There is a:detached garage with roof over attached patio. The house, garage andyardsappear inverygood shape. I completed the inspection about 2:15 p.m. and returned the, key. Respectfully submitted, George H. Fisher Building Inspector FORM NO. 6 TOWN OF 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 duplicate to the Building Inspector with the ,following;for new buildings or new use: 1. Final survey of properay with accurate 'location of all buildings, property lines, streets,, acid 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. S. Submit Plonning Board'opprovol of completed 'site plan requirements where appi'rcoble. 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. Dote of any housing cbde 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. •CeYtlficate�of'occupanbc on'pre-existing dwelling or land use $5.00 3. -Cdpy of,certificate of aCcupancy $1.00 Date .........3 E1.?r; ... ......... New Building ..... old or Pre-existing Building ?�.:.:... ......... Vacant Land ........: •- . Location Of Property ... S"."WK. Alt .....;.:. s 3f Owner Or Owners Of Property ..:. 4t ilt.+'r.4 w.. .... r... 11�$e e}" ......... :.... Subdivision ... ................:.Lot No. .... Block No. .......... House No. .....:... Permit No ...,... ......... Date Of. Permit ... ...............Applicant: ... .......................................... Health Dept. Approval ...: ..... :.. .. ................Labor Dept. Approval' Underwriters Approval ...... ......... .,................Planning: Board A oval Request For Temporary Certificate ................... ............... Fina Certific to ...:... Fee Submitted $..&.99 .................. Construction on above described building and permit me applica a codes and regulatio Applicant ........... ............... aS Sworn to before me this { 2h... day of xe (stamp or seal) Notary Public ..................... County Ry a. CURRY`, ` Notary Public State of New Yerk No. 62-U30410 Qualified s ours hk.6, 19Y � , t 1 Tenn `Expires March Jb, 1931 ;01 f� w ' `� it r.:v � (. y —� C_..�i �• � I t � �<"��:' I U � , . �' • €t(,n',{'`, g+{+�;` s w f s r a) Nd � y ; Id. � Lvu+1 � �Y 4T—bf ty,y.L""$..i.� kat✓� Clot` x f� w ' `� it r.:v � (. y —� C_..�i �• � I t � �<"��:' I U � , . �' • €t(,n',{'`, g+{+�;` s w f s r a) Nd Id. � Lvu+1 � �Y 4T—bf ty,y.L""$..i.� kat✓� Clot` w� it r5xt ' n � ' 6.1 4-4 L3 e7 7 -3 C) ca�cje-e-ce o Aix