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HomeMy WebLinkAboutZ-10453 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z10453. . . . . . . . . . Date . . . . . . . .April 14. . . . . . . . . . . . . . .1 1981 . THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 1930 Marlene Lane Mattituck, New York House No. Street .Hai;/et- County Tax Map No. 1000 Section . . .144. . . . . .Block . . .02. . . . . . . . . .Lot . . ,032. . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . e az rem n or o f mily e.11 ng built prior to conforms substantially to the—/ p} sa �on- lf�tngetnir �naore�fiRnroffice�datec � A pr.i l. 23. . . . . . . . . . , 19 . .5')ursuant to whichnl3mg ernnt -0 c c u . . . . . . 1095.3. . . . dated . . . . . . . . .A p r i 1 14, , . . . . . . 19 8�. ,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. Qne-FAj4ily, Dwellin�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . .1JQT1AY .T. ,and, Janet L. Womack of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . N•/R . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/81 . BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. .Y. HOUSING CODE INSPECTION REPORT Location / q3© /�/,�2LcNc=. �4�yC' /-1c96TiTu+�k—/y� number & street Municipality Subdivision — Map No. — Lot(s) -� Name of Owner(s) ����r� % r( �.O,U�T �• �/C��-/F1�� Occupancy �-- type owner,,- - Admitted by: 2x-jE Z. ZJd/-.//jc-/6Accompanied by: Key available —� Suffolk Co. Tax No. /y4/— coot" o a�- Source of request /[, Date W4&1� 7 DWELLING: /" Type of construction C,yodo &Z,r"Ec #stories Foundation f j 6f,,d-e/C Cellar �� Crawl space��e Total. rooms, lst. Fl S 2nd. Fl — 3rd. Fl Bathrooms) oit, Toilet room(s) Porch, type- Deck, type Patio, type Breezeway Garage Utility room Type Heat (emu,/-- ,p(_ ' Warm Airn6�/ :r� Hotwater Fireplace(s) — No. Exits 1-Tu d Airconditioning Domestic hotwater y 5 Type heater ©�L irtry1 Other (,��� /mac r �n1 ACCESSORY STRUCTURES: Garage, type const. Storage, type const. -� Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. 1 Sec. Remarks: Inspected by: Date of Insp. x L Time start�?,•oc) end ° /® . �•d7 FORM NO. 6 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 . , April 7, 1981 . New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . . . . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property . . 1930, Marlene, Lane.,, Mattituck,. New. York . House No. Street Hamlet aa Owner or Owners of Property , HENRY T. WOMACK, JR. and JANET L. WOMACK 27O' 5-2-3;� County Tax Map No. 1000 Section 144:00 . . . . . . . Block 02.00 . . . . . . Lot . 032.000 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 . . . . . . . . . . . . . . . . . . . . . . . Fee Submitted $ . 5...0.0. . . . . . . . . . . . . . . . . . . . . . . . Construction on above described building and permit meets all applicable codes and regulations. WIC WICKH & RESSLE .C. ` Ur Applicant . . by igail A. W ckham /"1�1 Rev.10-10-78 I�1 Cosc - - Iqg I (� � _-...�...._...._r.+._ _r_.__w•. •.r M. •. .L..._.a.• J•i•I.rrIJ_,r,y.Y'.,.�►.�. _._ rw_J_W__._�..r♦, � ' � '.: •. �: i. •� �: .+. � ' _, 1. 1 _�_r.W rw.Yv+••_r Ml!_..wr..w•.r_•_•L.►_....-__ Y. 45 l ._ ... . ,.. ) �.. �,rj"C �] 1;S _ UNAIJIII•�kl/. AIT!kp 11' l { ! 1 GI 4u TO S S t I tY 1; '. .!r,• A1.•••lu. r CfInN f�pv OF T"ItNJV I'I1tJ,.t p MUCANOt4 tnu•. `" 1i R sl.,rt. �. ,. I['Y 1 ►/Y �.� C IES/fIF THIS SU V1Y 111C 11• ; SUCV MP,;.krtf^'iil Li SrA1,sHAII Ill Q Cit. P%:;TffS li(. hLn i QFa' TO III[r; C/•Ito ItIR;r. i1t�U !. t= J lli L1 �1 1� AIPAQrh. 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