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HomeMy WebLinkAboutZ-9983 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . . . .Z99.8.3 . . . . . . . Date . . . . . . . . .June.17 . . . . . . . . . . . . . .11980 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . Location of Property . . .450 Huntington Boul�yard: Peconic House No. Street Hamlet County Tax Map No. 1000 Section . 67: . . . . . . .Block . . . .4... . . . . . . . .Lot . . . . . . . 7. . . . . . . . . Peconic Shores .Filed Ma No. . . . . . .. .Lot No. Subdivision . . . . . . . . . . . . . p requirements for a one-family dweljjn fb t prior i conforms substantially to the_ApphI6ation_for-SidWing.2-ermiLheretofore.filed in s_ f ice ated_ Certificate of Occupancy . . .April. . � . . . . . . . . ,.19 . pursuant to which-Ruil -Ee:,r►it-No. . . . . . . . . . . . . . . . . . dated . . . .June. 17. . . . . .. . . . . . . . . . . 19 .80,was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy-bi whiefl tfi s'certificate is issued is . 1?rivate . . . . . ...One-Family lhvelling. . . . . . . . . { : . . . . Victor E. L' Eplatteni-er'' The certificate is issued to . . . . . . . . . . . . . . . . . . . . . (owner,%ssee-oF�teaa�iJ of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . , , , , . . • • UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . .N/R ... . . . . . . . . . Building Inspector Rev 4/79 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 $1.00 Date . . June, 16, , X980. . . . . . . . New Building . . . . �. . Old or Pre-existing Building . . . X . . . . . . . Vacant Land . . . . . . ... . . . . . Location of Property . JjyntingtQn, ,$Qulegard, )?ecor}ie ,NQW. XQxk, , , , , , , , , , , , , , , , House No. Street Hamlet Owner or Owners of Property . . XiP:c or, F,., ,1; 'gpjatterjiear. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section . . 67. . . . . . . . . . . Block . . .4. . . . . . . . . . . Lot . .7. . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . N gtQ1:. 9, Health Dept. Approval . . . . . . . . . . . . . .. . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . :X. . . . . . . . . . . . . . . . . . Fee Submitted $ .5.00. . .. . . . . . . . . . . . . . . . . . . . . Construction on above described building and pe bets all p cab c a d regulations. Applicant Ru H. Br r, .A torney, 'for*Victor Rev.10-10-78 — E. L'Eplattenier/ FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . . . .799.8.3 . . . . . . . Date . . . . . . . . .June.17. . . . . . . . . . . . . . .. 1980 THIS CERTIFIES that the building ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 450 Huntington Boulevard= Peconic. . . . . . . . . . , . , . House No. Street Ham/et County Tax Map No. 1000 Section . 67 . . . . . . . .Block . . . .4. . . . . . . . . .Lot . . . . . . . 7. . . . . . . . . Subdivision .Peconic Shores . . . . . . . . .Filed Map No. . . . . . . . .Lot No. 83-84-85, requirements for a one-family dwelling bui t prior to conforms substantially to the-Application-for_B.uilding_E.ermit_heretofore._filed in t s_�ffice ated_ p 3 Certificate of Occupancy A ril . . . ,.19 . nursuant to which-RW1dkW Re-ermit No..... . . . . . . . . . . . . . . . . . . dated . . . .June . . . . .. . . . . . . . . . . 19 .80,was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy'fo =which this"certificate is issued is . Private One- . . . . . . . . Family Dwelling. . . . . : . . . . . ' . . . . . ;.. The certificate is issued to ,Victor. E. L'Eplatten 'er" (owner,lessee-ar•-tenar>�) of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . .N/R . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . .N/R Building Inspector Rev 4/79 �z►-o l ;( 7- ;/- OWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOTF > -� 14-� FORMER OWNER - N E ACREAGE i �-- S W TYPE OF BUILDING h- p RES. Z �a . SEAS. v VL. FARM comm. IND. I CB. ' - MISC.;', LAND IMP. TOTAL DATE REMARKS 0 0 Sa 0 a Gai�..- U i o l 0 0 V3 b 61 S D � 06 3one s� 01721 AGE BUILDING CONDITION , NEW NORMAL BELOW ABOVE Farm Acre Value" Per Acre Value ,1 /' _ _ -� S_ — Tillab.ie 1 / - Tillable 2 Tillable. 3 Woodland Swampland Brushland —! Total M. Bldg. 74 3, •z s _ Foundation GtM f. ' Both Extension Basement 14� r Floors Extension Ext. Walls /11, Interior Finish Extension Fire Place ! Heart r `---- Porch Attic Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Floor Garage Driveway •0. B. BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location X/60 C,N tv oN Lvt, Vccow. c � (number &-street) .(Municipalit Subdivision f�dA-11 ,c �f/o�res Map No. Lot(s)�3. d Name of Owners) f/ �o Occupancy /Z—/ d-2�uA Z2 type owner-tenant Admitted .by: ,V�Gsc,G_ Z.a /7�i�,,A companied by: C,4'",eP Key available Suffolk Co. Tax No.1600—�7Zc�;-I—cAO7 Source of request 001- f( Date DWELLING• Type of construction �a�o 26eE #stories QwzE: Foundation cic: Cellar !'� _Crawl space Total rooms, 1st. Fl aC s 2nd. Fl 3rd. Fl Bathroom(s) .Toilet room(s) Porch, type Deck, type Patio,. type Breezeway 'Garage Utility room �— Type Heat�� cTI�� ` Warm Air Hotwater Fireplace(s) No. Exits 7T&a Airconditioning Domestic hotwater_72� s Type heater �,4s 7iiCFO Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const.(V,q�,o�! Swimming- pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. See. T c5 G✓o�tis s�i / 07 ,a Kee otl S e C' ,Q S' Remarks: p Inspected by: Date of Insp. 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