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Home My WebLink AboutZ-10243 , FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT . Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No Z10243. . . . . Date . . . . . .Novenpber .1Q . . . . . . . . . ., 19 ,'80 "THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . . Al 125. Main Road . . . . . . . MattitoCk-e..N.Y.. House No. Street =Hamlet County'Tax Map No.'1000 Section . . . . .1.41 . . .Block . . .04. . . . . . . . . .Lot .-. . .036: . . ... . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. Lot No. . . . . . . . . . . . .... re uirements for a one, .family dwellibg u� It t t conforms substantially to the Certificate of Occupancy,,., 19`.S7pursuant"fo which �io. . . . . . . . . °Z1"024 : dated . . . . . .ATOY.e1II Jer. A0. . . . . . . . . 19 .80,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 .'. . . . . . : . :Qe. k'awi.l.y. .IJw� ing .w/.Datach�.d :Garage. . . . . . . ... . . . . . The certificate is issued to . . . . .. . . . . . . . . .M4rgargt. l $W1.er. . . . . . . . . . . . . . . . . . . (owner, of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . ... ..... . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . N/A. . . . . . . . . . . . . . . . . . . . . . . _. .i.`. . ... .� . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev 4ns BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location I'Eo' A m j wg-4- number & street Municipality Subdivision Map No. Lot(s) Name of Owner(s) Z/,jty Occupancy �� 114 C4 A.1 type (owner-tenant) Admitted by: ;�6� k!11/1<y Accompanied by: lUod Key available Suffolk Co. Tax No. IVI -C -a3� Source of request c 3i 60 DWELLING: Type of construction �Uoc)o 'P C4"E #stories T400 Foundation So CellarP1_5suL Crawl space L Total rooms, 1st. Fl ,G 2nd. Fl 3 /3r-5 3rd. Fl J Bathrooms) Gti, �// Toilet room(s) �- Porch, type 'l=�oi,r Deck, type Patio, type — Breezeway Z Garage — Utility room — Type Heat_CZerTdZl Warm Air Hotwater Fireplace(s) - No. Exits Twd Airconditioning :- Domestic hotwater Type heater Other ACCESSORY STRUCTURES: Garage, type const. z�a 6E Storage, type const. Swimming pool ' Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. 1 Sec. /t s'roirz o .cJ Rio - A.0 ti iss i _ i Remarks: Inspected by• to of Insp. /G r Time start//;00 end /l r EC) N 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 1951), 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 October 31, 1980 New Building . . . . . . . . . . . . . Old or Pre-existing Building . . .X. . . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property w/s Main Road, Mattituck, N.Y. . House No. Street Hamlet Owner or Owners of Property . . . . MARGARET LAWLOR (as devisee under Will of Margaret Nine) County Tax Map No. 1000 Section . . . 141.00 Block 04.00. . . . . . . . . Lot . . . . .. . . 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 $ .5.00 Construction on above described building and permY/meets/all a plic ble Codes and regulations. Applicant . . . . . . . 3'Wickham; WickYiam & Bressler P.C. �, o, ��p� Rom.io ioas Box 142 Mattituck, N.Y. 11952 Note: Key is available from Peggy- Killian at the Celic Estate Agents, Inc. (298-8000) Y MUM MM■ME■■■■MEEM■■■■MMM■MME■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ 1 _< .l y ., r._ ■■■■■■■■■■■■■■■■■■■■■ MEMO■■ MENEM RNM MENEM �`:� �°� .��z � � ��- --�� `� ; - �■■■■■■■■■■®!■■A�■EIl�■die ■■ MENEEMEINEMMEIRNMEMEM M■■■M■■■■■WA�1!lr��\'!� v■ ' •i • EME t •• ' :• Floors 1 •• • 'Interior tzz ' • /• , -,i7ire Place N�W 'Recreation Room Rooms 2nd Floor f �. TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT r . FORMED OWNER- ; N �-- E n ACR. S W TYPE dF BUILDING h� r RES;,,;�v SEAS. VL. FARM COMM. CB. 64CS.. ,Mkt. Value i j LAND - IMP. TOTAL DATE REMARKS �Q 0.... V 9 �// G Qd Td' LQI�//Y.. .� 3 `S'oo 70 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH a O 0 House Plot BULKHEAD Total ``' . I `s "� DOCK I WIN E MUM, ®��■.S■■■s EMBE■■■■■■■ MM ■■■■■■■■■■■■■■■■■■■■■ ■ENN■N ■■!■■■■■■■■M■M■M■■■N■M■■ Samoan ■■■■■■■■■■■■M■7■■■■■■■■INNEEN ■OMEN O ■■■■■■■■■■■■�■�!�!�1■■■■■■■■■■■■■ 3; 'fit ,Ll _ - ■ _ -1 ■■■ENM■■N■MM■II�■■■■■IAM■MMNO■M MEN ■■■MM■M■■M■MCI■EMMMIUMPSEME■M■mom : . ■■■■■■■■■■■u��•:�®■�l� r�■■�.NO MEN ■■■■■■■■■■■�:�1!!■�®■I�S1 ■�i■■■■ MEMO■■■■■■■■N■ltLi !!iM■MMOO■■■■■■■■■ • �J •• • ' 'Interior108 ce r • of Rooms 1st Floor TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET I VILLAGE. DIST. SUB. LOT Cr Ch rd.. FORME , OWNER N E ACR.* r,d a $ "� W TYPE OF. BUILDING�i:lmers r-, ch�lrnei-5 � _ RES�;,/ SEAS. VL. FARM COMM. CB. CS. Mkt. Value. _ ..... ......... LAND IMP. TOTAL ..-DATE REMARKS _ //1 .� e �d fa Lccw�r.. .D... .1 . y/,F6 Qcc.1 r 7e C/ ;a P)e S 6 /F3 B P . = - 3 --JQ C.halrnPrS .III 9 -rL1t - m -fo G' C►-i1*n1. a 197-,5P4'tR43a9 Cons1� eck N.�.�� ►�-� '� 1�3 � . _ AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD r D Meadowland DEPTH House Plot BULKHEAD Total vi DOCK BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location IN 771c,� (number & street) ((Municipality) Subdivision Map No. Lots) — Name of Owners) .p��,�1�� Occupancy �� /xf C'i A�// type (owner-tenant) Admitted by: Accompanied by G:)A)' ;�= Key available Suffolk Co. Tax No. i f�L Source of request ,/� c: ,,=/ i�arC; /d� ;c. )atec DWELLING: Type of construction �./oC)o F/ #stories 7-&00 Foundation xtc� ��/ j`�,cr�;�,� Cellar 7r C, Crawl space Total room �:z ( s, lst. Fl j �2nd. Fl 0 ✓-��5 - 3rd. Fl Bathroom(s) 0,<,,F7 Toilet room(s) Porch, type i`rcor.�� Deck, type Patio, type — Breezeway — Garage Utility room — Type Heat (�'�i:i7i�/i ( 'alarm Air — Hotwater C3)1( Fireplace(s) No. Exits %r�vC) Air conditioning Domestic hotwater Type heater Other ACCESSORY STRUCTURES: Garage, type const.- _ Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. J _ Remarks: Inspected by./&x ,___Date of Insp. /c r Time start%/.`O0 end /"'- -o ..