HomeMy WebLinkAboutZ-5449 / FORM NO. 4
I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. 7,5149. . . . . . Date . . . . . . . . . . ...Sept . . . 14 .__ :, j9.73.
THIS CERTIFIES,tIhat the building.
Ii ._R d:a. Xoungs...Ave. Street
Map No. .xx. . . . . . . . . i lock No. . . . g. . . . .Lot No. •xx. •Southojd. . .Niy. . : . . . . . . .
conforms substantially to th
b& before -ApriI 23 1.9 57. . pursuant to which to A occupane
y
dated . . . . . . .Sept. . .14. .. . . . . ., 19.73., 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 Business'. building-,. .(.retail store$, -restaurant• e•tc). . . • . . . . . . . .
The certificate is issued to Flora. F. .Lesser. . . • .Owner . . . . . • • • • • . . . . . . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval pre.-,.ez1,st1ng . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE No. ,preweuisting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOUSE NUMBER.-. ,. . ., , .5!+560. . Main.'Sty .Southold
NOTE s . Parkin& .approved. .by.Bd. .Appeals• 1-973 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Building Inspector
S TATE OF NEW YORK )
ss. .
COUNTY OF NEW YORK)
MORRIS B.' KESSLER, being duly sworn, deposes and sa s :
That he is an attorney of the State of New York and
represents FLORA F. LESSER,- who resides at 20 East 74th
Street, New York, N. Y;z;, and. who is the owner of "H. C.
Bohack and Other Stores Parcel" located in the town of -South-
old, County of Suffolk, State of New York, legally described
as follows:
"BEGINNING at a stone monument at the point of
intersection of the east side of Youngs Avenue
and the south side of Main Road; running thence
north 730 231. 301 east along the southerly side
of Main Road 186'.70 feet; running thence South
100 24 ' east 1.78.43 feet to a post; . running
thence south• 710 36' west 80 feet to a pipe;
running thence south 740 32" west 110.30 feet
to a pipe on the easterly side of Youngs Avenue; - .
thence north 90 17' west 179.15 feet along the
easterly side of Youngs Avenue to the corner,
the point or place .of BEGINNING. "
Flora F. Lesser acquired this parcel by deed dated
January 2, 1959, which deed�was_`,record'ed ih.-the'office =of the
Clerk of Suffolk County. on January 14, 1959,_ in Liber 4572,
-Page 476.
Based upon information supplied affiant by Mrs.
Lesser's agent, there have. been no alterations or additions
to the structure since it was acquired by Flora F. Lesser, ,.
except as affiant has been informed that the parking lot was
enlarged.
Sworn to efo e m t ;
loth ept e 1973.
VINCENT E. CUCCI
Notary Public, state of New York
No. 24-0816550
�� F'" Qualified in Kings County /
( Commission Expires March 30, 1914
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 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
Date ,September 10 1973
New Building .................... Old or Pre-existing Building ..............X........... Vacant Land .........:..................
Location Of Property .Main Road and Youngs Avenue
.... ..... ............. ...........................................................................:.........
Owner Or Owners Of Property .....;'IpO :.c?...F.r...Lesser.............................................................................
Subdivision ................................................................Lot No. ............ Block No. ............ House No.............
Permit No. .................... Date Of Permit ....................Applicant Charles W. Gatz for
Jahn I`2a2incswski•
Health Dept. Approval ............................................Labor Dept. Approval ................................................
Underwriters Approval ..............................................Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate ..........................................
Fee Submitted $ 5.,.QQ...........................
Construction on above described buildin a ermit is all appli le c s and regulations.
Applicant . . ..... .... .. ............ . .........................................
Charles W. Gatz for J Malinowski
Sworn
yto®before me this C
day of �apt-Q.M 2q-V (stamp or seal) �11,j I
Notary Public .................................... County
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Z 80'00 REVISIONS YOUNG & YOUNG
° '4OoW' tee' , 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
ALDEN W. YOUNG HOWARD W. YOUN
PROFESSIONAL ENGINEER AND LAND SURVEYOR
30� olsOn 5 LAND SURVEYOR. N.Y.S. LIC. NO. 12845 N.Y.S. LIC. NO. 45893
110. n M Qn T 0o�,y� SURVEY FOR: - -
„W Helen
Fr or, JOHN MALINOWSKI
e of
3°28'40 form. S w
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5.1 s -
AT GUARAN EE TO: ;iI
SOUTHOLD s'
TOWN OF
SOUTHOLD ti
SUFFOLK CO., N.Y. eY
SCALE: DATE: NO.
1 = 30 AUG.31, 1973 T3'4�T'58