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Home My WebLink AboutZ-9584 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . Z9 84 . : . . . . . . . Date . . . . . . . . . . . " . . . . .fitly .5 . . . . ., 1979 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property .560 . . . Oa- .Btr-eet,• -Cutoh��iHouse No. e� Hamlet. County Tax Map No. 1000 Section . 1.36. . . .. .Block. . . . .01. . . . . . . .. .Lot . . .044. . . . . . . . . . . Subdivision . . Eu99nIIZ- -V?5i94t:s. , , ; , • , , , , , .Filed Map No. . . . . . .Lot No. 241. .part. -of . 25 Rsquireagents for a Private, One Family Dw 111 g u1it prior conforms substantially to the $ � lei k4MRRW�tPJM X to' prll. 23.. . . . . . . . , 19 5.7.pursuan to wluolX Of oo ,io Pff19584 • • • • • • • dated . . . . . . . . . . . . . . . . . . July. .5, . 19 7 9. ,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 . . . . . . ... . . . . . . . . . . . . . PRIVATE-ONE VAKELY• DWELLING. . . . . . . . . . . . . . . . . . . . . . . . . . . . . , The certificate is issued to . . Iiax'b. . & sthelc, !. ,W,o,113 . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner,lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .Pro:-:Existing. . . . . . . ... . . . . . . . ... . . ... . UNDERWRITERS CERTIFICATE NO. . . . . . . . .Pre.-Existing. . . . . . . . . . . . . . . . . . . . . . . . . ... .d., W6, Building Inspector Rev 4/7s BUILDING DEPARTMENT TOI N OF SOUTHOLD, N.. Y. HOUSING CODE INSPECTION REPORT Location oak Q number street (Municipality Subdivisions Map No. Lot(s)ol</ /V Zj Name of Owners)' / L�a/-/L- Occupancy - �// E cr9� type own er-t,enazat Admitted by: Accompanied by: Key available`�r,,� �� o�'�.c) Suffolk Co. Tax No.fig - Source of request ZU''-� �/. /P�/�' . A/�� %f�i- Date �' Z- 9 DWELLING Type of construction hoc» F"A.'( #stories C3.ci� Foundation (� r-,[.r �_,�c�c Cellar fW- ire L Crawl space Total rooms, 1st. Fl $, - 2nd. Fl — 3rd. Fl Bathroom(A) 44"G Toilet rooms) Porch, type ,e5v<-/, . Deck, type /&,0,9 Q Patio, type — Breezeway Garage Utility room Type Heat,� t/ Z darm Air/ a/r 4-arr_,u-Hotwater Fireplace(s) oa-, No. Exits %X_,o Airconditioning Domestic hotwater o sr Vic Type heater Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. 6&0ra o f-�zt�vc Swimming pool Guest, type const. Other VIOLATIONS:_ Housing Code, Chapter 52 Location Descri tion Art. Sec. Remarks: Inspected by: Date of Insp. 7- = Time start/'moo end gLr05- - 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 .similor 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 .....DAY...2,...19 7 9......... New Building ............... Addition ................ Old or Pre-existing Building ....X......... Vacant Land ............... Location Of Property ..Oak..Street,.,;Cutchoque., New,Y;ork,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,....................................................... Owner. Or Owners Of Property ... ............................................. Map of g Euene Heights 24 P/o 25 Subdivision ...... . ......... ................. ...................Lot No. ......&... Block No. ............ House No........ . . PermitNo. .................... Date Of Permit ...................:Applicant .................................................................. Health Dept. Approval ............................................Labor Dept. Approval ................................................ . UnderwritersApproval ..............................................Planning Board Approval ........................I................ Request For Temporary Certificate ........................................ FinaJ Certificate ......N.................................. Fee Submitted $ ........5:0 0 Construction on above described building and permit meet able ,cod and re u'ations. Applicant .... ........ ... . .. ...... . .......... t......................... .... ...... illiam H. Pric , Jr. as attorney/ gent Sworn to efore me2th's �r� _ ................ day f (stamp or seal) Nato �.�,.......... ... oun... D q . �... 1? ;eft .ew o 52-3161935 Suff lk Count7 Term Expires Mareb 30. 19-r— BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location ,C -e number & street Municipality Subdivision r`rC�!- = � ��rT.� Map No. Lot(s)d</- Name of Owner(s) ��IZ04 z-) Occupancy type own er-trat Admitted by: Accompanied by: Key. avail able`�o& oP�o Suffolk Co. Tax No. loon -1.54-ao-OcIS/ Source of request .zeil �/ ?/,�� . ,071/�OrF,,Uj Date 7- 2- 79 DWELLING: Type of construction #stories Foundation C,--AZaX r ,Ccic -Cellar�lri L Crawl space Total rooms, lst. Fl � 2nd. Fl — 3rd. Fl Bathroom(/) Qd�� Toilet room(s) Porch, type Deck, type .f1��d Patio, type Breezeway Garage Utility room Type Heat ,�s t`i2�o Warm Air i:7.e lz 5C/lt. )-Hotwater 'Fireplace(s) ou.z'_ No. Exits %wo Air.conditioning Domestic hotwate �i C Type heater Other .ACCESSORY STRUCTURES: Garage, type const. Storage, type const. 6U0o,0 I—xe4"Z Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. 1 Sec. Remarks: Inspected by: Date of Insp. Time start r'fo ,P end a2!05-