The URL can be used to link to this page

Home My WebLink AboutZ-9413 FORM NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z9417, . . . . . Date . . J941gArY. . N. . . . . . . . . . . .. 19. 79 THIS CERTIFIES that the building located at . 5.25. , rJ.rchard Stree-:t � Map No. . . . . . . . . . . . . Block No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P�GU'Iri- S FOR ONE FAMILY DIIELLING BUILT PRIOR TO conforms substantially to the C9Kx h�T21 T CLTr OF OCCUPANCY dated Apra . .? . . 19.57 Pursuant to which Z9413 . dated . . January- 34. . . . . . .9 19. 79, 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 . . . . . . . . .:ita. Co. .VTgg; qi .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner, iee-orn of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . .P.re�-Exis:tyi.ng. . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . . . . . " . . . . . . . . . .Pre--'FAcx'S.V-;'IF . . . . . . . . . . . HOUSE NUMBER . . . . 325. . . . . . Street . . . . . . . . . . . Orchard .E ree►.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �,. �?ra ent, .Ne��z prl� . . . . . . . . . . . Buil in Inspector County Tax Number 1000-25-2-13 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location / / number & street Municipality Subdivision Map No. Lot(s) Name of Owner(s) ��iT� �. C{/G,/_o Occupancy / / V'4 C/J�o type owner-tenant Admitted by: : 4 `9Ies locl,a Accompanied by: Key available Suffolk Co. Tax No.,.xgoae Source of reques7_� �t /(� d J/�C�c r Date Z 7 MFELLING Type of construction L,tydo'D ,��Q�-fc- #stories Foundation� ,�j�,(��l�a�ti� ��ellar Crawl space Total rooms, 1st. Fl 2nd. Fl 3rd. Fl Bathro.om(s) ;Fll/s7/01�a Toilet room(s) Porch, type ,v Deck, type Patio, type_ Alo i_,2 Breezeway Garage Utility room Type Heat Warm Air ore_ X/i�ro Hotwater Fireplace(,2 4w.f,Le. No. Exits Airconditioning — Domestic hotwate ' %l. Type heater C7-s/S Other ACCESSORY STRUCTURES: Garage, type const. -� �� Storage, type const. Swimming pool Guest, type const.. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. o ��USc digU/�,u/J Ro x,4s 7_4/ ao r.6 C;ff<X Remarks: . Inspected by:&�� Date of Insp. / /Z �/ 17 9 Time start2 30 /P/4 end 0:S-b PH i 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 Dote .. 1/26/79 New Building ................ Addition ................ Old or Pre-existing Building .....X........ Vacant Land .............. Location Of PropertyTax Map Designation: Dist. 1000, Sec. 25, Lot 2, Blk: ..13 Orchard Street, **Orient, "*N.Y. (See attached survey) Owner Or Owners Of Property ...Rita Cooke Woglom .."....................................... . ..................... ................................... Subdivision ................................................................Lot No. ............ Block No. ............ House No.A Z S. PermitNo. .....................Date Of Permit ...................:Applicant .. ........ ................ ..........................I Health Dept. Approval ............................................Labor Dept. Approval .......................... .. .................. UnderwritersApproval ..............................................Planning Board Approval ......................................... Request For Temporary Certificate ..... Final Certificate X Fee Submitted $ ......54.Q 4.............I....... Construction on above described building and meets I pp a and regulations. Applicant . ., .. .. ......... ............ R 1ph H. Br er, Esq. , Attorney for Sworn to before me this R to Cooke oglom . fi:�i. day of .,Tat7�uax .,...z.9 ... .. / ' •� .. .. Y 7.�.. ..... (stamp or seal) Notary Public ,p; fglk.................. County r