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Home My WebLink AboutZ-11244 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. .Z11244 . . . . . . . . . Date . . . .October- .7. . . . . . . . . . . . . . . . . .. 1982. THIS CERTIFIES that the buildings. . . (2.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . 10.7� • • • • • •Pr•i•v ate• -Rd .• .g.TFrar.d!s. .Road. . . . . S.autho.ld . . . . House o. Street Hamlet County Tax Map No. 1000 Section . . 037. . . . . . .Block-. . . 0.1. . . . . . . . . .Lot . . 0.1.5 . . . . . . . . . . . Subdivision . . . X. . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. .X. . . . . .Lot No. .X . . . . . . . . Rflquirements for a private one-family dwelling built prior to conforms substantially to the A}��licatien.#o�l�uikii>}g. ere�itrareto€ere-f"�ec�il�is�e€fioe�lated- Certificate of Occupancy April. •23 • • • • • • • • , 1957. pursuant to which Rui•3clr m*P-0 i4t No. . Z.1.124.4. . . . . . . . . . . . . dated . . .Oc tob•er • 7• • • • • • • • • • • • • • • 1982. , 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 . . . . . . . . . •a •pr•i•vate. •one-family. •dwe•11ing. -with. .acceasory. .stor.age. huildl.ng. . . . . The certificate is issued to . . . . . . .R a1ph• E•.• •&• A na• L•.. .L.aw.i.nia. . . . . . . . . . . . . . . . . . . . . (owner,le a arlacant)- of the aforesaid building. Suffolk County Department of Health Approval . . . . . .n/a. . . . . . . . . . . . . . . . . . . . . .'. . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . .n/a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ��c�c�Z'�� • •��% B Ins. . . . . . . . . . . . . . Rev. 1/81 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 �4 Date . . Septeml?Q:r. 1,4°, . �.9$2. . New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . .$. . . . . . . Vacant Land . . . . . . ... . . . . . Location of Property Private Read (Off. South Harbor. lmad) Southold House No. Street Hamlet Owner or Owners of Property . ,Ralph E. Lavinia and Anna L. Lavinia County Tax Map No. 1000 Section . . . .$7. . . . . . . . . Block . . . . . . . . . . . . . . Lot . . . 1.5 . . . . . . . . . . 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 . . . . . R... . . . . . . . . . . . . . . . Fee Submitted $ .5: 00 _ . . . . . . . . Construction on above described building and permit m is all applicable codes and lations. PAO 'CO. Applicant . . . . . �--�/ . . . . . . . . . . . . . . . . . . . . ( �,�-� Ralph E. Lavin` Rev.10-10-78 1 ^ O 37&/ IqWX4- na L. Lavinia STATE OF- NEW- YORK: ss: COUNTY OF SUFFOLK: RALPH E. LAVINIA and ANNA L. LAVINIA, being duly sworn, deposes and says That we are theowners . of a parcel of 'land, on a , private road off South Harbor Road,, Southold flew York (Suffolk County. Tax Map No. Dis.trict. 1000, Section 87, Block- 1, Lot 15).. 'We .acquired this parcel on September 21, 1964 from Mary M. Kilhofer (Liber 5622 Page 581) . Located on the property., is a -,one-story frame house which has been used continuously as a .residence since .approximately 1948. Also located on the. premises is a separate shed. All of the buildings are -in good condition and have been constructed prior to 1957. This application is made for.:the purpose of obtaining a. pre-existing' Certificate .,of Occupancy - from the' Building Department of the Town of Southold: Ralph `E. Lavinifi na L. Lavinia Sworn to before me this 14th day of -September, 1982. Notary Public BA RBARA DIACHUN Notary.Rublic� StaSu"ke(W,o4tlty No. 52.4n Expires March 30,19 8 y commission Expl }" 1 TOWN OF SOUTHOLD PROPERTY RECORD. CARD- OWNER STREET VILLAGE DISTRICT SUB. LOT FORMElf OWNER - N ,. E y °° ACREAGE- r ~f v W TYPE OF-BUILDING -IRES. / SEAS. VL. FARM COMM. - _I_ IND._ CB: I MISC. I Est: Mkt. Value f •'' ,. 3in .. LAND imp. TOTAL DATE REMARKS V AtS'- l 6 .0 KV•�R 1.7' .l ,, }� ` •,r •t - - ,.i. {' G"'?1 Yri- � 40 ✓ . lP �..: l��/37 D e� Z6/12_ FsT Zc° fl AGE '= BUILDING CONDITION - _.NEW NORMAL BELOW ABOVE FRONTAGE-ON WATER :Farm Acre Value Per Acre Value FRONTAGE ON-:ROAD: Tilldb a Y"`: BULKHEAD -Tillable... _2�_ ._{ ,/ DOCK - Tilloble WoodlQnd U Swampland Brushland House`_Plot - wr 4 • Si ga y Z"'�-+' '4- w g r��'}�y s..� '� ^�= '��'P",� fir••- �,��.��,,.�3�..�� a�•. p� �i��•T-�a��k� J eU thy. yge 'Ty xsyg� x � � s _-rl. �t'�v �jke Ss.F � is,��"1'�"'a�'-r,�� '��'rv....'f�.�;■.J�{ '� ! C ss5^�c ,...r `'�.X-1 -ram' �.3 `r ^�,srgrrv�...� � �pf�"`..c ■gnj�C � r -..� iR tom. �i�•ss. E 4 rt- t I x,�t.,y' tE �.F Iry r"`-.• �. -e��? 4Ch5^.�.cr`'�M'sa.-.,�•z%u '� .s`+aa'r"`� : gX-S:7 may'• -,.,a. 4-'4 +'Hi z is-�s�� an"a��`_• ' . �-Y'� ..��-F'S-��,`� � .ni� dMWAFAMI �� i^�:,acr�'.'i` ....ate-�� •T ��x�. �+. � r��' .y�.YW�}�'r�, tk • • • • • i• , •• •• '•• • STATE OF NEW YORK: ss. COUNTY OF SUFFOLK: RALPH E. tAVTNIA, and ANNA L. LAVINIA, being duly sworn, deposes and says That we are the owners of a parcel of land on -a "private .road off. South Harbor Road, '.Southold, `New York (Suffolk County Tax Map. No. District 1000, Section 8,7, "Block 1 , - Lot 15) .. �We acquired this parcel on September 211, 1964 -from Mary M.- Kilhofer (Liber -5622 Page. 581) Located on the property is a, one-story" frame, house which has been used continuously'--as a residence since approximately 1948. Also, located on the premises -iss -a separate shed. All of the buildings are in good, condition and' have been constructed prior to `1957. This application is made ' for the purpose of -obtaining a pre-existing Certificate of-,Occupancy from-the Building Department of the Town of Southold. < Ralph E. Lavini. Anna"L: Lavinia, Sworn 'to before me this: .14th day .of September, 1982: Notary Public < BARBARA DIACHUN Notary Public. State of New Yo*'- No. 52-4635190 Suffolk CAW* . LA1 mimlon Expires March A 189.y;•,` BUILDIING DEPART14ENT TOVM OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 0 (number & stree ' municipality Subdivision Map No . Lot(s) Name of O%.mer(s) Occupancy type) 20=6&d od 4z4ez owner tenant Admitted by: � ,.Accompanied by: v Key available ' Suffolk Co. Tax No. Source of request�� Date DV ELLING: Type of construction #stories_�1,� Foundation ` Cellar' space1� _ Total rooms ; 1st. F1 2nd. F1 3rd. F1 Bathrooms) Toilet room(s) Porch, typeaeDeck, type Patio, type Breezeway Garage Utility room Type Heat 'alarm Air Hotwater Fireplace(s)_ p.-I No. Exits ,,� Aircondition * Domestic hotwater Type heater_ A/ze c� Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. ,a,,2,,&04zrW Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art- 1 Sec. Remarks: Inspected by: ' °?/�'� Date of Insp. O Time start l.'P end /