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HomeMy WebLinkAboutZ-12388 FORM NO.4 TOWN OF SOUTHOLD . . BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,'N.Y. Certificate Of Occupancy No. . . .Z12388. . . .. . . Date . . . . . . . . . March 27.: . . . . . . . . : . . 1984. THIS CERTIFIES that the building -.:aWelling. . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 2400 Park Avenue Mattituck House No. Street Hamlet County Tax Map No. 1000 Section . . . 12.3 . . . . .Block . . . . 0 8. . . . . . . . .Lot : . . . , 012 Subdivision . . . . X. . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . X. . . .Lot No. X ... . . . . . . . . Requirements for a private one-family dwelling built prior to conforms substantially to the Apiealien-fer-$xildiaag4�sin+it--lieFe4ofeFe- iled-ia4kis-o€fiee-deted- April 23 Certificate of Occupancy . . . . . . . . . . . . . . . . . , 19 .5 7 pursuant to which BttHding permit No. . , Z 12 3 8 8, . . _ . , . . ,dated . .. . . . . .Maxgll. 2.T . . . . . . . . . . . .19 .84 ,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 .Kivate ..one-family dwelling: The certificate is issued to . . . . . . ANTHONY. LoCASTRO of the aforesaid building. Suffolk County Department of Health Approval . . . . . , no ,record, . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . no, record. . . . . . : , . . . , SEE ATTACHED HOUSING CODE INSPECTION REPORT. i Building Inspector Rev. 1/81 FORM NO.6 TOWN OF SOUTHOLD Building Department Town Hall .;outhold, 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 surrey 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 / land use --Pre-Existing C . O. 3. Copy of certificate of occupancy $1.00 111 Vacant land C . O . Date . . . . . k-3 �o. .. . . . . . . . New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property .•a�}©Q. . . . . . . . . . . . .Par K .T Qe.o u.� House No. ^> street-\.— Hamlet Owner or Owners of Property . . . . . . . . • • • • • • • • • • • • • County Tax Map No. 1000 Section . . . Block . . . . . . . . .g . . . . Lot . . . . . . . . • . Subdivision . . .X. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. .X . . . . . . .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 . . . . . . . . . . . . . . . . . . . . . . . Fee Submitted $ . . . . ... . . . . . . . . . . . . . . . . . . . . . . . Construction on above described building a pe m it, ets all applicka/bllekco`dees�and regulations. Applicant . . . . . .CA. . . . .`.�. ?. . Rev.10-10-78 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location ZcLo ^,z tc Vc• G ICI number & street) (Municipality Subdivision Map No. --- Lot(s) '— Name of Owner(s) ES Lo d'A52Ln Occupancy - t type (owner—tenant) Admitted; by: o�AziJeK- Accompanied by: A wA-)�-77 l (e9c9U Key available p i '�-_.del Suffolk Co. Tax No.. Source of request �-��L. t�,�,,y?- Date 44,202/('V DWELLING: / Type of construction a�Q,hb� l--�iUi6�l _ #stories l (/Z�- Foundation knz ri l kz c� Cellar Crawl space Total rooms, 1st. Fl 2nd.- Fl Z tSKS 3rd. Fl Bathroom(s) Toilet room(s) O I./ Porch, type �ejW Deck, type — Patio, type Breezeway Garage Utility room Type Heat ".Warm Air O « Ft"r-z---.y Ho twat er - - Fireplace(s) No. Exits Airconditioning `N or�4-- Domestic hotwater l=Lrc-tAr-i r_ Type heater Other ACCESSORY STRUCTURES: J Garage, type const. Storage, type const. &/00.0 ( / Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description iArt. Sec. a Ah Remarks: � Inspected by: ; Date of Insp. Time start //rG U end 16)oo is 3 -d'- iz TOWN OF SOUTH OLD PROPERTY RECORD CARD pt- 16. OWNER STREET VILLAGE DISTRICT SUB. LOT FORMER OWNER N Q E ACRE9YE W� � i �L�� TYPE OF BUILDING RES.,; SEAS. VL. FARM comm. I I ND. I CB. I MISC. I T LAND IMP. TOTAL DATE REMARKS 3 6 y6 Qd 6 Qoo l Od �/ �y AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre . Value 7Go Tillable 1 Tillable 2 Tillable, 3 Wcodland Swampland' Brushl'and House,Plot Total r; a �`t� •far,[x., ' / �' lu 1 ''�\/�ry w - M. Bldg. ( � o X 3 p Foundation 'C° Extension 8 x 3 Y 9K 7 D Basement �� Floors Ja K Extension Ext. Walls �� Interior Finish Extension Fire Place Heat ' l C L.0 S e A Porch Attic X/S 0PIN 6 X = a' 3-14-° .2 Porch Rooms 1 st Floor +} Breezeway Patio Rooms 2nd Floor Garage Driveway o. B. 6 1C _ ,o i �. Fu I/ 47 S-s N ` �, _.. - - _. .. _ . ... +�� - too' �. •' . f ! f � • IPA R jL _ Aur 19� t