HomeMy WebLinkAboutZ-5183 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Cleric's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z51.3 . . . . . . Date . . . . . . . . ...J=e . . 6. . . . . . . . . .. 197,� .
THIS CERTIFIES that the building located at Cedar. .Point .Eas-t -Drive Street
Map NoiCe;dar•Beach AR No. . . . . . . . . . .Lot No. . .�
f3 Y'9t�iti? �. .L ' C�. . n. , t�t Y10tt. �.Il�,
conforms substantially to then COd@
datitbetare A.pre . 23 ., 1957. . pursuant to which Qccupsney
dated . . . . . . . . . .June . . . 6 . . ., 19..3 ., 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• one •family. dwelling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to .Alf;red• Mahler . . . . .Ownew . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval - . existing . . . . . ... . . . . . . . . . . .
UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOUSE NUMBER. . . . . . . . . . . . .Street. . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . .
Building Inspector
HOUSING CODE INSPECTION
June 6 , 1973
#920 Cedar Point Drive East
Southold, N.Y.
Tax Roll: Alfred W. Mahler
Subdivision: Cedar Beach Park #90
Lots 102 and 103
Upon request of the Southold Town Building Department,
I made inspection of this one family dwelling and found
no violations of Local Law #l, Housing Code, Town of Southold.
I was admitted to front entrance by Mrs . Mahler and
accompanied by Mr. Mahler on inspection which began at
approximately 9 :20 a.m. and terminated at approximately
9 :45 g.m.
ARe ectfullWsubItted,
Edward Hindermann
Building Inspector
EH:tle
a OWN OF SOUTH OLD
Building Depiartment
Town.Clerks Office
Southold, N. Y. 11971
APPLICATION FOR CSRTIFICATE OF OCCUPANCY .
Instructions j
A. This application must be filled in typewriter OR ink, and submitted in c.fup4e-e�-e 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 1973.................
New Building .................... Old or Pre-existing Building .....X ?`. ... ... Vacant Land ............................
Location Of Property ..East Cedar Point Road, Southold, New York
..........................................................................................................:.................
Owner Or Owners Of Property Alfred W. Mahler.
.......................... .....................................:............................................
Map of Cedar Beach Park situate 102 & Map No. 90
Subdivision at„ Bayview,„Town of..So.uthol�ot No. 103 Block No. ...... No. '
...... . ... . House
New York
Permit No. .................... Date Of Permit ....................Applicant ...................:..............:............:......:....:......
Health Dept. Approval ............................................Labor Dept. Approval ................................................
Underwriters Approval .................................................Planning Board Approval .
Request For ..ol;..... i 8 Pre-existing„Use„
Fee Submitted $ 5.00.......................... -
Construction on above described building and ermit meets ll op able cod and regulations.
Applicant ......... ......... . ...................... .......
Alf d W. Mahler
Sworn o before me this (a <5 7 3
/ bt
.........6. day of ... ...1973................. (stamp or seal) C� . 7
Notary Public ..........Su " "
ffolk County MAUREEN E. VILLELLA /f¢ �y(;: /qo
'. '.... NOTARY PUBLIC, State.of New York %� Q
/� • No. 52-4101129
Qualified in Suffolk County °
�� 999ddd
Commission Expires March 30, 1975
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FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Clerks Office
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions /
1Yc lzol J Cb i
A. This application must be filled in typewriter OR ink, and submitted in dtqRic-ete 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 :MaY..31......1973..................
New Building .................... Old or Pre-existing Building .....X . .......... Vacant Land ............................
Location Of Property ..East Cedar Point Road, Southold, New York .
......................................................
Owner Or Owners Of Property Alfred. . ...W.....Mahler ............ ................................
....... ...... .... .. .
Map of Cedar Beach Park situate 102 & Map No. 90
Subdivision 4... ay„v„iew,...Town„of Southo.Wot No. .103 , Block No. ............ House No.............
New York
PermitNo. .................... Date Of Permit ....................Applicant ..................................................................
Health Dept. Approval ............................................Labor Dept. Approval ................................................
Underwriters Approval ..............................................Planning Board Approval ........................................
Request For A:KWxiSyr tom. Pre-existing„Use...
Fee Submitted $ 5,;.00..........................
Construction on above described building and ermit meets II ap able cod on�lations.
VM
Applicant ......... ..... ................... . .......................
Al d W. Mahler
Sworn o before me this Y `l 7 3
June 1973
........... 5-1
�3
Notary Public ..........Suffolk . County MAUREEN E. VILLELLA
NOTARY PUBLIC, State of New York
// • No. 52-4101129
Qualified in Suffolk County / r
VVV y `•V�- Commission Expires March 30, 1975 ll
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