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Home My WebLink AboutZ-10886 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. .Z108a6 . . . . Date . . . . . . Fe.bru2r.y`:123. . . . . . . . . . . . .. 19$2. THIS CERTIFIES that the building s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 4PA95. . . . . . . . . . . .tla.in„P,oad ( .t „ 25.) . . . . . . . . .orien „t House No. Street . Hamlet County Tax Map No. 1000 Section .C 15. . . . . . . .Block . .9$. . . . . . . . . . .Lot . :914 Subdivision . . . . X. . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. X. . . . . .Lot No. . .4 . . . . . . . . . . Requirements for a private one-family dwelling built prior conforms substantially to the Application-far Buitding-furnrit-iimtvfvre-fiied7 trr this affree-ftte& Certificate of Occupancy t o April . . . . . . . . . . . , 19 .5?pursuant to which�ttitdirigBermfr'No. . . . .� 9 6 . . . . . . . . dated . . . . .February .23 . . . 19 . 2,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 . . . . . . . . . 4. private on,e-;family. i,?qe ling and an accessory storage barn The certificate is issued to . . . 'n'oodbollo�rr Properties Incorporated (owner,kww&: #9aan0= of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . n/r. . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . n.ir. . . . . . . . . . . . . . . . . . . . . . . . . . . . AV/— . . v � Building Inspector Rev. vat BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT I Location 40495 Main Road ( Rt . 25 ) Orient number & street Municipality Subdivision X Map No. X Lot(s) X Name of Owner(s) Woodhollow Properties Inc . Occupancy R-1 unoccu ied type owner-tenant Admitted by: self Accompanied by: self Key available on site Suffolk Co. Tax No. 015-08-014 Source of request Thomas E . Uhl Date 2/11 /82 DWELLING• Type of construction wood framed #stories 2 Foundation stone & poured cementCellar partial Crawl space Total rooms, lst. Fl 5 2nd. Fl 4 3rd.. F1 Bathroom(s) 1 Toilet room(s) 1 Porch, type_-,-,I ; u Deck, type oC, typeover , 'woodf Breezeway Garage Utility room X Type Heat oil fired ' Warm Air Hotwater x Fireplace(s). 1 No. Exits 5 Airconditioning Domestic hotwater yes Type heater tankless Other ACCESSORY STRUCTURES: large storage barn Garage, type const. Storage,, type const. wood Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. 1 Sec. barn holes in roof , sills bad , door and windows need fixing III 52-30-A , C 2nd stairs no hand rail II 52-27-B cellar some joists dry rotted III 52-32-A west chimney needs pointing up V 52-54-A ( 1 ) inside paint peeling thru out III 52-32-C Remarks: Inspected by: a e of Insp. 2/19/82 Curtis W . •. Horton Time start 10 : 00 end 11 : 00 �.. Q ' ko tKmd I too« a • `;;, � � 167,.E 8 ► i39,pQ ,..�_ _ � �_ h__._..;...: __ '� 'Y1 Ia 1 t4 i,5 -A ` pL/C OF- IL.G!'. 7 A X F'AkC�L •�-r a: H 1sZ T1 i!'• �iAT1�JjORLTET!*LTERATION OR ADDRIOFT j0 TNIS ,IS./4,VIOLATION OF 'i aC DO-N'ftp OF EM NEW YORK STATE MJCATJW[AW. j rQF M OF THIS SURVEY MAP NOT UA040 Gua ra►l�6 B 76•0 C h , a.J c� ;�';"lE :j1 Aa l e►cir:G r�, t: IM LMO SURVEYOR'S INKM SEAL OR ' WWSSED SEAS.SHALL NOT BE CON''SIDEREB j0 BE A VALID TRUE COPY. 77 GUARANTEES INDICATED HEREON SHALL RUN i ;L •L�'�". �.!t• •� '� '=_ • .1'•� •'- �• .oKr'TO F.. THE PERSON FOR WOM THE WRWY v'c..• 1 4 R:T'REPARED•AND ON HIS BEHALF TO THE ;TTTLE COMPMlY,GOVERTTMEHiAL AGENCY A•"r - .. E DRIG R+ISTITUTNON LISTED H_:LON, AND L/G e.m. aG :.-•'7t�4 J� �C�l�� :�f l�'r'8 ;�':: TO 14 ASSIGNEES OF THE LENDING INSTI l' AJRON.GUARANTEES ARE NOT TRANSF[RP t9 7f8 a.;r*r�7!•' t N. ,�• ' '� TO ADDRIOria INSTITUTIONS OR SUESfO' I y 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-.. for 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:applicabl.e. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: X 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 February. 11 1982 7 New Building . . . . . . . . . . . . . Old or Pre-existing Building(X) X__.-.-'.__.2 Vacant Land . . . . . . . . . . . . . Location of Property (0•1d K. ng .House)... . . . . Maln. Road. . . . . . . .. . . . . . . .Orient. . . .: . . . . . . . House No. Street Hamlet Owner or Owners of Property . . ldoodhp l l ow Propr.t4f*, 1 no,.. . . , • , . , , , , , , , , , , , • , , , , , , County Tax Map No. 1000 Section . . . . . . . . . . Block . . . 8. . . . . . . . . . . Lot ._14. . .. . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed 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,.op. . . . . . . . . . . . . . . . . . . . . . . 4appl�cabt, Construction on above described building and er t de and regulations.o Applicant . . . . . . . . . . Thomas E. Uh Rev.10-10-78 Pam.- C-0 2ogg� , �- IR(A3)