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Home My WebLink AboutZ-9925 , i FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. Z925 . . . . . . . . . . Date . . . . . .April 18 . . . . . . . . . . . . . . . .. 19$.0. THIS CERTIFIES that the building . . . . : . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 875 'Oa)c Avenuo, Pouthold House No. Street Hamlet County Tax Map No. 1000 Section 77. . : . . . . . .Block . .QU1 . . . . . . .Lot . . . 012 . . . . ... . . . . . Subdivision . .Go9Aq. Bay •Estates• • • • • • . • .Filed Map No. 1176 . .Lot No• . t. 21.i t 25.2 i 253; conforms substantially d-the' o April 23. . . . . . . , 1957 . pursuant to whichtiige of gNoacupanCy. Z9�2.5. . . . . . dated . 4344• IS • • • • • • • • • • • • • . . 19 $Q , 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 . . . . . . ... . 1'r1,va .e. .Qna�k .ay .�wa]�iir►g . . . .•. . . . . . . . . . . . . The certificate is issued to Jerome Lewin and wife •(owner,%ssee or•tenani) • of the aforesaid building. Suffolk County Department of Health Approval . N/R • • • • • • • • • • • • • • • • • • , . UNDERWRITERS CERTIFICATE NO_ . This Certificate of Occupancy includes •,an update on the addition built July• 3, 1972, Building Permit No,.. .5982Z t C/O issued.' January"30, -.1974, Z5775. ' , , . . . •ter.•'r�Ut��G�T'✓•G:• • • ��. . .. ► Curtis. $99a"nspector s Rev 4n9 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector 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. A. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, 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 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 in- formation 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 ....ARril...7,.J.9 4............ New Building .................... Old or Pre-existing Building ........4N.................. Vacant Land ............................ Location Of Property .........875 Oak Avenue,...Southold.,...New_.York ............. ..... ..... ......... OwnerOr Owners Of Property .....Pgt yy...D...1+O.Iill................................................................................ Subdivision .................................................................Lot No. ............ Block No. ............ House No...Q.75... Permit No. Date Of Permit Applicant „Betty ... ewin............................. HealthDept. 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 a e 't m ets II pp ' b odes and regulations. Applicant .. ...... Be e n by u. of .h H�: Bruer, At�Eo.rriey Sworn to before me this 7th day of ...April,. 1980 (stomp or seal) ................ Notary Public ......Suffolk County BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. .Y. HOUSING CODE INSPECTION REPORT Location 875 Oak Avenue, Southold New York number & street Municipality 35 Subdivision Goose Bay Estates Map No. 1176 Lot(s) of 254 25 252; Name of Owner(s) Jerome B. Lewin and wife Occupancy R-1 type owner-tenant . Admitted by: Self Accompanied by: Self Key available Four Sails Realty Suffolk Co. Tax No.77-1-13 Source of request Rudolph H._:Bruer Date4/7/80 DWELLING: Type of construction wood framed #stories one Foundation Cement block Cellar full Crawl space Total rooms, lst. F1 5 2nd. F1 3rd. F1 Bathroom(s) - 1 Toilet room(s) Porch, . type Deck, type Patio,. type Breezeway Garage Utility room . Type Heat Electric Warm Air XX Hotwater Fireplaces) 1 No. Exits Airconditioning Domestic hotwater yes Type heater. gas. Other ACCESSORY STRUCTURES: NONE. Garage, type const. Storage, type const. Swimming pool Guest, type const. Other - VIOLATIONS: Housing Code, Chapter 52 Location Description Art. 1 Sec. Kitchen Gas stove -' no shut off V 52-52-2 Cellar Cellar steps too steep and steps too far apart II 52-27-A Outside Front steps need repairing III 52-30-A Remarks: Inspected by: ,Date of Insp. 4-iS-so Curtis Horton Time start 2:30 end. 3_po p-m. J 727-44,55 TKO �—`D hb ,+ � 0. T J ORVEY FOR REFERENCE, t f�� 934FLTNJBERT F LYDECKER FILED , ESTATES SOUTHOLD VOWN OF SOUTHOL.D RUARAM490 roa ; '?F FOLK COUNTY, N.Y. HOME TITLE costON•CHICAGO I soo SAVINC S BANK ;'4 LE : I"= 30* "#ERY P. i,YOBCKER . s.t1C3. 8� 1969 • ; c } . ' LAND SURVEYOR It.Y. L)C.NO,rolt6 r R!K RHEA Y. TOWN OF:• SOUTHOL® PROPERTY: RECORD CAR® ' ; • '. : );, ; ,! OWNER STREET' VILLAGE DIST. SUB. LOT ORMER OWNER N E ACR.'. S W TYPE OF BUILDING RES. j0 SEAS.* VL. '., FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS o O Q �' 3/L - OF sAke- tvr ' U 04 AGE BUILDING CONDITION NEW. NORMAL" _". BELOW ..ABOVE FARM Acre ; ::.; Value Per Value, Acre Tillable 1 '7 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland { FRONTAGE ON ROAD ci p House Plot j DEPTH BULKHEAD Total DOCK IN 00 s ,��, �'L ' 1� i} `7i�,,r_w, � ,Tt ■■■■■■ ■■■■■■■■■■■■■■■■■■■ . . a 1 T ■■■■■■ ■■■■■■■■■■■■■■■■■■■ 1 a { [t-`\' "'a'Lt�`I:tF.. cl t a"; St,C"'wryj • t' 4�..fF. 9 -c3fil c 1 ;.r ,wry((( F, ', r a1• + ■■■■■■■ ■_■_■_�_�_■■■■■■■■■■■■■■ ■■■■■■■ ��®fi��lidl ■■■■■■■■■■■ —MMOMMISMEMMEM ENO MEN NNIIIIIIIII ZTN ■■■■■■■ e0■■■■■■IMMEM■■■■■■■ ■■■■■■■ ■■■■■■■■I■■■■■■■■■■■ ■■■■■■■■O■■■If■■■r■■■■■■NEON ■■■■�i■■■■■■■■■■■■■■■■■■■■ .. OWN: .. .0 _ ire lace o . ®® _ _. . '.. . ..