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Home My WebLink AboutZ-10819 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. .Z108.1.9 . . . . . . . . . Date . . . . . . . .Racemb.er. 1b. . . . . . . . . . . .. 1901. THIS CERTIFIES that the,building . . . . . . . . . . . . . . . . . . . ... . . . . ... . . . . . . . . . . . . . . . . . . . . . Location of Property 45.375. Qgljaty. ,RpaA .48. A ,3$25. ,Y91Ip9*. A0, . . S,quthold House No. Street Hamlet County Tax Map No. 1000 Section . . 05.5 . . . . . .Block . . . 0.1. . . ... . . . . .Lot . .01.0.,000. . . . . . . Subdivision . . . . . . . .X. . . . . . . . . . . . . . . . . . . .Filed:Map No. X. . . . . .Lot No. . A . . . . . . . . . . . Requirements for a pre-existin storage warehouse building built conforms substantially to the uikli �.��r�ailr. araxo€ar�f.�ledr� ls��r€faoeaed- Certificate of Occupancy pr.lor. .tq . April. 22 , 19 .57pursuant to which $ei Ptg Permrtt-No. . . . . . . . . . .Z108.1.9 . . . . dated . . . . .Dec.ember. .16. . . . . . . . . . 19 .81 ,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 . . . . . . . . . a, stor.age. xar.eho.uae. b.uildJ..ng. on. a. ae.t :Off. .1o�. AQ6r1.3. .4p. .gr4ptA4 . by, the .Planning Board , 12/7/81 with condition* The certificate is issued to . . . . . . .LODI.G .ISLAND. GAULIF.LOWER .ASSO.CIATIQN . . . . . . . . . . (owner,a{easeB•or,Fe�en�J of the aforesaid building. Suffolk County Department of Health Approval . . ... . . . .14/R . . . . . . . . . . . . . . ... . . . ... . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . .N/R . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . *Condition--"that the driveway in the southwesterly corner of' the property be used . " �i In 4e tor' Rev. 1/81 FORM NO.6 -M TOWN OF SOUTHOLD Building Department Town Hall 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 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 peoperty 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 informa- tion 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 .November 10,_ 1981 . . . . . : . New Building . . . . ... . . . . . . . Old or Pre-existing Building . .X. . . . . . . Vacant Land .. . . . . . . . . . . . . Location of Property IkS,Middle Road :& .W15. Railroad•Ave: ,-Southold: New`York : - House No. ' . . . . . . . . . . . . Street . . .Hamlet - Owner or Owners of Property . : ?G ISLAND CAULKER ASSOCIATION • - • • • -- • • • - County Tax Map No. 1000 Section : .055 ;` , , Block . : �l. Lot. . . .:. . . . Subdivision . . . . . . . . . . . . . . . . . . . . . .Map No. .. . . . . . . . .. Lot No: . . Permit No. : . . Date of Permit . . :Applicant . . . . . . Health Dept. Approval .Labor Dept. Approval . . : .. . . • • . Underwriters Approval : . . . . .Planning Board Approval . .. • • : " Request for Temporary Certificate . . . . . . . ... . . .Final Certificate X Fee Submitted $ 5.00 . . . . . . . . . . . . . . . . Construction on above described building and permit meets all applicable codes and regulations. i V- 1 e Applicant i. ,od pt 2 / �^ ,,/ Rev.10-10-79 . /'vl el . /ep 'd`° a,l � G'o. _ G. a' '!• .9.r. r.J '. .. • •`i T , r .I r T .. •i 1 ' r '�{11 .T J , 1 iI 4,r r � 1 �T_ _ ' �_ �Q�®f SOi'1 r , i4�_. fS� 4 ��t".•, t n 1 zr -t - ,Y i :.1 2t ••. \ +- a 'wr 7. t •fit 1 r i r to - (�' .. .. -•r� 3�.�.CSr�d r rE�l.�r 1 � r y _ 1 v �1 L}J 4.s �t}st>,.VI YI t• ,� i :.y r J i rt/, •. i, y \, c ,r t J yl\ t i'fiVtF•i r i,;ts. 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