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HomeMy WebLinkAboutZ-10534 FORM NO.4 r TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . . . .Z 10.534. . . . . . Date . . . . .June-23 . . . . . . . . . . . . . . . . . . .. 19 .81 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . .417.0 , Tidian, AQr,K .L 4nP.,, , . , , , , .FPc.gn}1:,,, ,ly9W. AQrX. , , House No. Street Ham%t County Tax Map No.'1000 Section . . . . 09,8 . . . .Block . . . . . . . 01 . . . . .Lot . . . . . . 0,05. , , , , , Subdivision . . . . . . . . .. ... . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . .Lot No..... . . . . . . . . . . . . �requiremtns for a one family dwelling built prior to conforms substantially to the A isatim-€6;4k lding.i'.exrait here#afore..kWd-in.t".afice.data __ April 23 5'� Certificate of Occupancy . . . . . . . . . . . . . . . . . . , 19 . . ursuant to which'TWIZIfri'P'erinir No 77 . . . . . . . . . .UMA . . . dated . . . . June 23 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 One:Family Dwelling with Eight Accessory Structures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . . . .Ric.4r0. A.: ,KP,1], (owner,lessee eFtenapt�{-—— of the aforesaid building. Suffolk County Department of Health Approval . . . . . FAR R . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . .N/R. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bu ng ctd� Rev.1/81 • r BUILDII•iG DEPARTIM 1,1T TOI',T: OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 4170 Indian Neck Lane Peconic New York (number & street Municipality Subdivision clap No . Lot(s) Name of Owner(S) Richard A . Kull ` Occupancy R-1 Owner type (owner-tenant Admitted by: Mr . Kull Accompanied by: Mr . Kull Key available Suffolk Co.. Tax No. Source of request Richard A . Kull Date12/12/8O D TELLING: Type of construction wood nstories 2 Foundation Cement Block Cellar PartialCrawl space Rest Total rooms, 1st. Fl 1 2nd. F1 3rd. F1 Bathro:;m(s) Toilet room(s) Porch, type Roof over Deck, type Patio, type Breezeway Garage Utility room -x Type Heat Oil Fired 'rearm Air Hotwater x Fireplace(s) No. Faits 4 Airconditioning Domestic hotwater Yes Type heater Tankless Other ACCESSORY STRUCTURES: 8 .Garage, t, pe const. wood, large -ate age-, type const. wood � i�g-peel--wood 2 Story Guest, type const. Otter 5 other are building=corn crip , labor building, , outhouse and 2 chicken coops . VIOLATIONS: Housing Code, Chapter 52 Location Description, Arta Sec. Gns Stove no shut off - Back Door Door sill rotten III 52-31 -B Front Porc - - C roof ,' deck steps . Labor Building Poor Shape III 52-31 -B + C Need Re airin 2- -B + .0 Remarks: Inspected. by:f� Z4Date of Insp. Dec . 15 , 198.0 . ^ Curtis Horton Time start2 : O0 end 3 : 15 . I 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 o,r 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 Date . . Q. . . . ... . New Building . . . . . . . . . . . . . Old or Pre-existing Building . ... .!. . . . . Vacant Land Location of Property 76 . . . .X f/® jGf/I/ c ( `G;/�/ House No, j Street Hamlet Owner or Owners of Property . . �. C . . . . . . . . . . .. . •. ./ Gt. . G . . . County Tax Map No. 1000 Section . . . . . . . . . . . . . . . Block . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . 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 . . . . . . . . . . . i Fee Submitted $ . . . Se . . . . . . . . . . . . . . . . . . . . . . Construction on above described building and permit meets all applicable codes and regulations. 1�, IV Applicant . . . . . . . . . . . . . . . �. . . . . . . . . . . . . . . . . . . . . . . Rev.10-10-78 c f� i 1 •� I �;�..�a• � .., --�'�. Qom� �.�, � . �j rrC t,L �J �l 'Qy {I�tt� ` •'tr f-rer•haiyf ?"owls o:= 5ou'rf-4oc..o,, d".l.Y. Ci \YA y arm . �"`" core•- barn I� � , t ) [ . �-shed •� t krlvt, ; tt i i 6 I O-19 i co i � � t I - t i 0 `moo: i � i • ; t 5 _ — -- -' -- Q 4 co - UJ Aroma=79 5�f5 act-�s � f • 0 � N � = morrur�,�srr•#- u1 � tL1 k Suffolk cociti-fif 7arc Map of_-f- 1004, sec -. • TI S, elk. /, Pc 1. 9. Qr f. t , (47-35 39"06•3©••W MYS1 t-jl lJ� u N /1 • : }III ----^-_.,,,_ ;G. {i � \ /f� /I f QJ I � , co { - -. _ - - - �� - - O'er• � P O �,� �`. ��3n 3�IO� -•`��`�'�- J 131. �.8� os k•�pv 0. 154) f}� t QN UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 Of THE NEW YORK STATE GUC1Ycxn-! a(4 0+he ' ` S r -• EDUCATION LAW. •� - _ GhiGcrca ?"i-f-fie ltt��c;rar.�� ComFxxrrcf ' �� 1 COPIES OF THIS SURVEY ALAI NOT BEARING THE LAND SURVEYOR'S INKS SEAL OR fJ'ar EMBOSSED SEAL SHALL NOT 14 CONSIDRW c t' 70 BE A VALID TRUE COPY.. GUARANTEES INDICATED HEREON 914ALL RUN t ONLY TO THE PERSON FOR WHOM THE wRM t/ `; J ✓ , Y F" ! IS PtE9A1RED,AND ON ItIS BEHALF TO TIA! _ e'• ,r'�^ro� � � 1 � 1 � (! ~� 7m COMPANY,GOVERNMENTAL AGENCY AND UNMG.INSTITUTION LISTED HEUDW,AM Licctire►d Lar•d ' TO THE ASSIGNEES OF THE LENDING M V1 •-'icy, TUTION.,GUARANTEES ARE NOT TRANlPIIRAILE - ~''' �`� �' �' w \''`'�r1�• �' _ r/, - 1 K� TO ADDITRQMAA IW-ITLN1pN&OR,9656M 1EM ;. • 'OWNERS. � f. � d� - _