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HomeMy WebLinkAboutZ-13363 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. U P — D A T E D Certificate Of Occupancy No. . Z13363. . . . . . . . . Date . . . . . . . . . April. . . . . 16. . . . . . . . . .. THIS CERTIFIES that the*uifdiag:. . . . .Pro�ertX Main Rd 64155 Rt 25 Location of Property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (. . . . . . . . .Rd. ) Greenport. . . . . . . . . . . House No. Street. . Hamlet County Tax Map No. 1000 Section . . .056. _ . . . .Block Q4 . . . . . . . . . . .Lot , part of 020 . Subdivision . . . . . . . . . . . . . X . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially tr=tixe p xtita:tias�f� hii $unit e#af��fihrti�n �afBc=datncf 119 . . . . . . . . . . . . . . . . . . . . . . . . . devd . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 . . . , .Tad€i €o�z ►� a �3=t �. tr�rt� to vi=the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . . Property sub-divided in 6/81. It contains a. storage building and is situated in the B-l. Zone�. with access to Rt. 25;a state maintained road.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . . . . .R?CHARDS, gENEVIEVE (owner,lessee eFter� of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . N/A . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . N/A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/81 . : ITJEAPR FORM NO. 6 TOWN OF SOUTHOLD - 91985 (!' Building Department L � Town Hall BLDG. DFPT. Southold, N.Y. 11971 TOWN OF SOUTHOLD 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-conformin�s, 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 informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15 . 00 3. Copy of certificate of occupancy $1.00 4 .Vacant Land C.O. $5. 00 Date . � . i 5. l S . . . . . . . . New Building . . . . . . . Old or Pre-existing Building g � . . . . . . . . . . . . . . . . ��1.�� . . Vacant Land Location of Property 0.. � . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Owner or Owners of Property ' ? . . . �C.�.w ��. . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section . . . . . . . . . . Block . . . . m . . . . . . . Lot . . .Q 4�. . . . . . . . Subdivision . . . . . . . . . . . I`t :��?+� �jl�i!�IFiled Map No. Lot No. D . . . . . Permit No. Date of Permit . . . . :`: . . . .Applicant . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . Health Dept. Approval . . . . . . . . . . . . . .. . . . . . . . .Labor Dept. Approval . . . . . - . . . . . . . . . . ... . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . .� ..1.`..�? . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . . . . !�q p y . . .Final Certificate . ... . . . . . . . . . . . . . J Fee Submitted $ . . . . . . . . . . . . . . . . . . . . Construction on above described building and permit meets all applicable codes and regulations. �(� _ n (� c� Applicant Jg.C��.oa. lu .� . �,)) : �J . l� �A 1� 2too b� .� g I Rev.10-10-78 ?V6 6 l (X tipA k/Y-\ Ci 1J n u cA-,-� W ct� zA- s a ce JLQ- D CPr-, 6 W c)l cl-h QC c� ci) K d9Q � y l � LDS W:• K DE NOTARY PUBLIC, State of New York No.4707878, Suffolk Count Term Expires March 30, 191 7 y/���5 TOWN OF SOUTHOL PROPERTY RECOM,.:.CARD`_ OWNER STREET VILLAGE DIST. SUB. . LOT FORMER OWNER N; , , ' l-) ACR. S , TYPE OFF BUILDING: Y RES J SEAS. VL. FARM COWW CB. MISC. Mkt. Value LAND IMP.- TOTAL _ DATE REMARKS AGE = _ _ = BUILDING CONDITION - _ - ` -.= - _ - - _ = -: _ _ _ _ - - - - - - =NEW = - - = NORMAL BELOW- - = ABOVE_- - - -- - - _ - - - - - FAR -- - =Acre = :: -/clue Per: = Value---- - - - - - - - _Acre - - - - - - - Tillable-- Tillable 2 Tillable -3 = Woodland _ _ _ Swampland - FRONTAGE-ON WATER_ _ - _ - P - - - - _ _ _ _ _ .. FRONTAGE ON ROAD- .- - Brushland- _ " _- - _- _- _- _- _- - - - - - - a - - - -House Plot = - - - - - - - - - DEPTH COLOR I a - I TRIM JN 7Z,- 1 �ti a Foundation SL.�,n , Bath--- / Dinette Extension _ "z 7 n ` Bement Ali Floors K. cd-x 3- - Gr �F— - -Extension Ext-Walls Interior Finish = LR. - - / «<_ _Extension i y/16 Fire Place - Heat �{, ./ r'<- DR. Type, Roof- Rooms 1st Floor B R. Porch - - - - - - - - - - - - - - - - Recreation Room Rooms 2nd Flocr _ - - FIN. B. i- -r _ _ J - cr "1 Dormer - i , - - 2 t� Breezeway iveway - garage - t-n - - _- _- -- _- _- _- -- _- - - _- - _-_- Pat io = Total ' $ v, - 5�._6P-,_ L ! ,Olwi w-uf;. •� �_.'s ! .Fi' �YJ� III M t � •1 © fl• ^•'.. - -! -- i O, - Q� ,<• �`� �, ,••,f � '�, � e-cry a I r t - .9 !t Su)fo(v_ CCU? 4--y Tax - t L—.i,• � Vr Ai rV,�_�'y^,''�,�'-,J. 'Y •----� 1� L� t„� 'gig ;l ' I 1 •`d• Zi ; V,lcrr su 1�( ` :a�ac}+� rs,.Sa�>^;-•: 5%;' }.•>.�v Y r:r r S r' r\ I G�i t t-:, 4-ca f c p r: ZDj:;rR is az irrdr:cz-rx4ors loccrtirltr r•f �i r vv-- It-r(j;j .:�-;rr( Ire , Sccarle 80 -- (" esq.f#-(jam Greempor - - New