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Home My WebLink AboutZ-9306 \ FORM No. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .Z 9306. . . . Date . . . . . . . . .November. .17. . . . ., 19 78 . THIS CERTIFIES that the building located at Breakwater. .4.We.st.Mill.9kreatxRoad on Lot 1 of Edggar & ne Marvin or Subdivision No. 149 MiXXXXXXXXXXXXXXXXXXX�X= . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . REQUIREMENTS FOR A NON-CONFORMING TWO -FAMILY DWELLING built conforms substantially to the kKflAKRffiM prior to CERTIFICATE OF OCCUPANCY fftftc. . Apr i 1• .2 3,. . . . . . . • • 19.5 7. pursuant to whichXZMK# £it No.Z .9 3 0 6 dated : . November. 17,, . . . . 197P. ., was issued, and conforms to all of the require- meets of the applicable provisions of the law. The occupancy for which this certificate is issued is . . a Non-Coriforming .Two,-Family, Dwelling*. . . . . . . . . . . . . . . . . . . . . . . . The certificate is-issued to .EDGAR MARVIN & WIFE . (owner,3LYs'§ 9 Uf ) of the aforesaid building. Suffolk County Department of Health Approval PRE:.EXISTING . PRE- UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . .EXISTING HOUSE NUMBER . . . . . . 50 . . . . . Street Breakwater Road, Mattituck, New York . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . County Tax Neap No. q� 1000-113-3-part of Lot 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector *This does not cover the dwelling sitting on the line of Lot No. 1 and Lot No. 2 which must be removed. / FORM NO. S ,S� n TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. ; . Certificate Of Occupancy Y No. . .Z93.Q7. . . . . Date . . . . . . . November. 1.7., . . . . . .. 197B. . THIS CERTIFIES that the building located at . 349, breakwater, Road, , . . Stet Lot 2 of Edgar and Arlene Marvins Minor subdivision No. 149 xxxxxxxxxx)g&RkBp,fxxxxxxxxxxRx. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . REQUIREMENTS FOR A NON-CONFORMING -MULTIPLE DWELLING built conforms substantially to the ftjft ig4jex�� geet � is i�� o� prior CERTIFICATE OF OCCUPANCY xhdak .to. Apr it .2 3.,. . . . . . ., 19. .5 7 pursuant to which � � i.k No. Z 9 3 0 7 dated . . . . . .November, .1;7,, , ., 19. . 71 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 . . . . . . . . . . . . . . . . . ... . . The certificate is issued to ; , , , (owner, lg�� tt of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . . . . . . . . . PRE-EXISTING . . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . .340. . . . . . . . Street pork . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. �0A le . . ! ' . . / . . . . . . . . . . . . Building Inspector *This does not cover the dwelling setting on the lot line of Lot No. 1 and Lot No. 2 which must be removed. NOTE: New Owner will have to register under the Multiple Residence Law. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 1.1971 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„5, 197�...... New Building ................ Addition ................ Old or Pre-existing Building ......A....... Vacant Land .............. Location Of Property ...Cox„N2Ckz„ Breakwater & West Mild. Road, Mattituck NY .......... ..... .... .................. Owner Or Owners Of Property ......gdgar,Margin. and Arlene Marvin (N.C....two-family Subdivision .....1�I,.inor... ... .Lot No. .....2..... Block ............ ..... .. ..No. House No. Permit No. .................... Date Of Permit ....................Applicant .................................................................. Health Dept. Approval ............................................Labor Dept. Approval . . ....................... ................. Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ..............�;......................... Fee Submitted $ ....5...00...... Construction on above described building .and permi m�e` al- pl' ble des regulations. Applicant ............ /.... ........................................ Sworn to before me this ' Jl`C o;i, as attorney ......5th... dayof ....September, 1978.. (stamp or, seal) Notary Public Suffolk County ^ JAM FLATLEY e0TARY PU PUBLIC, State of New York No. 52-466541 8 Suffolk County Commission Expires March 30, 19.& 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...5, 1978. . .......... ......... . .... New Building ................ Addition ................ Old or Pre-existin Buildin X 9 9 ................ Vacant Land Location Of Property ..,.Cox Neck, Breakwater & West Mill Road, Mattituck NY Owner Or Owners Of Property .,..,Edgar....Marvin. . ...and. ...Arlene. ..Marvin. . . .......................................... .. .... .... .... .. .... .... ......... ..... .... . .. Subdivision .......M�nor..-..:dated 4/ 7./78......Lot No. ...1....... Block No. House No............. PermitNo. .................... 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 permi ee s a a lic ble codes egulations. Applicant ............. . .. . ... .... . .... .. ...... ..................................... o , a attorney Sworn to before me this 5.ti day of...:September, 1978 (stamp or seal) Notary Public .........Suff. olk , County ....... .. JANE FLATLEY OTARY PUBLIC, State of New Yopk No. 52-4665418', Suffolk County Commission Expires March 30, 19.¢;v FORM NO. S A t\ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .L 930E. . . . Date . . . . . . . . .Noyz:�}ber. .17,. . . . 19 . THIS CERTIFIES that the building located at zxe��k,aatei & �F7e,s•t lHill.�gtr�xRoad on Lot 1 of Edgar & Arlene Marvin M or Subdivision No. lag M XXXxXX'CXXXX?I l i bYXXXXXX3�X t 4L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . REQUIRV-1.'��`iTS FOR A NON-CONFO11U4ING TWO --FAMILY DNZLLING built conforms substantially to the A*ppl (fn ding,'Pe-rm.itlh-Pld-o-.'e; ed_dadhT,%t IgA prior to CERTIFICATE OF OCCUPANCY 1. 2 3,. . . . . . . . ., 19.5 7. pursuant to which10ZM h#=1P'YK'1t No.Z. . C, . dated . . i oveinber. 1.7.. . . . . . ., 197P. ., 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 Two:'amily Dwelling* .EDGAARI WIF The certificate is issued to . . . . .. .. 1. ...�Cr7 . .. . . ; (owner,3F9§de'o i=tenant of the aforesaid building. Suffolk County Department of Health Approval . .P-::�XTSTIN UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . .1.. . . . '. . . . HOUSE NUMBER . . . . . . . . . . . . Street . . . T3 eakwater Road, .Mattituck New York . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tay: ;°;Iap No. ��»�%e 1000-113-3--part of Lot 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector *This does not cover the dwelling sitting on the line of Lot No. 1 and Lot No. 2 which must be removed.