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HomeMy WebLinkAboutZ-10775 k E FORM NO.4 TOWN OF.SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. 4 t Certificate Of Occupancy No. . .Z10775 . Date . . . . November • . . . . . . ... 19 .81 •' �. THIS CERTIFIES that the buildings . . . . . . . . . . . . . • • . . . . . . . . . . . . . . . .. .. . . . f c tionofPro Property 160 Cottage Place , • • Southold , _New .York• Loa p y House lVo. . . . . . . . Street . . . . 'Hamlet County Tax Map No. 1000 Section. . . 62 . . . . . . .Block . . . : 3 . . . . .Lot . . . •13 Subdivision . . . . . . ... . . . • . . . . : . . . . . . . . . . .Filed Map No. . . . . . . .Lot No. . . .... . . `a One Family Dwelling Built Prior to Requirements for conforms substantially to.the p�lfc'dtiati°fcr bnitding Tpnnit Jm tafare-filed-in-this-offiee•date& Certificate of OccupamcyZ10775 • A p r i 1. •2 3 . . . • . . • , 19 5?.pursuant to which$uZcTing Perrriif Po-- . • . - dated • • ,November 16 81 • , , . • . . . . . . . . . . . . . . 19 . . . ,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 .. . . . . . . I A One family dwelling - Non Habitable. A Accessory - One Family., Non Habitable , Non Conforming size dwelling. . A Accessory - Storage Building in poor condition. • l William S. Zebroski`, Jr, and Mary w. The certificate is issued to . . . . • . . . . . . . . . . . . . . . . . xx• • • • • • • • •• • • (owner,�s�4��rxt�r�i1� of the aforesaid building. Suffolk County Department of Health Approval . . . . • N/R• • . • • . . • . • . • • . . . • . • UNDERWRITERS CERTIFICATE NO. . . N/R . . • • • . . • • • • • • • • . - • • • • . . • • •Building Inspector Rev 4/'79 BUILDING DEPARTMENT t' TOI-al OF SOUTHOLD, N. Y. r � HOUSING CODE INSPECTION REPORT « Location � l ,_ Pla• ,417W number & street Municipality Subdivision Map No. Lot(s) Name of Owner(s) occupancy_ typ d own er-tenant Admitted by: ��J �l Accompanied by:• Key available Suffolk Co: Tax No. Source of request sc Date f J DIffELLING Type of construc-tion '#stories J% Foundation Cellar Crawl space Total rooms, 1st. Fl. _2nd. Fl &3 3rd.. Fl — 1, Bathroom(s) % VIA Toilet rooms) Porch, -type )" Deck, type Patio, type Breezeway A" l Garage Utility room Type Heat arm Air Hotwater Fireplace s) No. Exits Airconditioning — Domestic hotwater __�� Type heater Other / CAA ACCESSORY STRUCTURES: ace- Garage, type const. Storage, type const. Swimming pool O Guest, type const. Other ��� �c �c ��„ llnal VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. C u cow , •Gf�/�- e-A -7� AA Z/6 Remarks: Inspected by: Date of Insp. end Time start—_ 1 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 . . .NgVQKt1bex . ... .198J. . New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . X . . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property . . 16.0 .Cottage. .P.1ace.,. .Sota.thold,. .New .York . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Owner or Owners of Property . .Mary. W. .Zebxosk1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section . . . 62 . . . . . . . . . Block . . . .3. . . . . . . . . . Lot . . . . . 13 . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . MWY. W, . 76e�37QPX. . . . . . . . . . . . . . . Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . / Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . r Lj:C. ./�4. Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . .X . . . . . . Fee Submitted $ . 5.0.00. . . . . . . . . . . . . . . . . . . . . . . Construction on above described building and per mit!meetsiall,. ppi cabl d and regulations. J Applicant . . ... . . . . . . . . . . . . . . . . Rud 1ph H. Bruer, Attorney for Mary W. Zebroski Rev.10-10-78 _ N- 87 j_ 3k�d fe 47 r: C N3.- _ frame` kau-se t 54cLt fr. j Q 3- house y' �j _ Yl •- • rc-k rt•1� _' —+ t- Z: fence M tiH�. .- �1 • S.73'14 50"1�f.'_:-_. i4L�8„'•-`p _ _ � - i - - �.- UTHORIZED ALTERATION OR-ADDITIOry_ SU;V Y I A VIOLATION OF - i O THIS i E S '. 1E NEW YCRK STATE _ ECTI^T i1v9 OF TE '-DUC - _ ....- _ --. 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