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HomeMy WebLinkAboutZ-10318 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . . . J.0.. . . . . . . . Date . . . .Dpecembc:r .231. . . . . . . . . . . . . .. 19 . :�G THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property ouse1000 Old Harbor Road, New Suffolk, N.Y. H No. Street Hamlet County Tax Map No. 1000 Section . . . .11?. . . . .Block . . . .. . . . . . . . . .Lot . . . . . . . .. 12 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . Requirements for a One Family Dvelling Built Prior to conforms substantially to the Ap�lai©rr-€e�-B�zilclir�g�er eret�€oro-fec - n� s-e€ffe April ? ' 7 4fI p . c. . . . . . . . . . . . . . , 19 . pursuant to *141. cnfU o.. . . . . . . . . dated . . December 23, . 19 .80,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 Family �wellin* with Accessory Structure(Garage) with Guest Room and . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Toilet Room. The certificate is issued to . . . . . . .Har'old F. and Jane V. LundinG (owner*1VA' 'e' i�'enarx � of the aforesaid building. Suffolk County Department of Health Approval . . .N/R. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '. .? 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 . . .December 3 New Building . . . . . . . . . . . . . Old or Pre-existing Building . X. . . . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property . . . . . . . . . . . . . . . . . . . . . . . . ..Ol.d. Haxbox .Road . . . . ...New. .Suffalk. . . . . House No. Street Hamlet Owner or Owners of Property . .Uar.Q1d. and. Jztne. Lundinp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section . . .li7. . . . . . . . . Block . . . a . . . . . . . . Lot . 1.0, . 11. .&. 3-2— Subdivision . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant .Harold, .44q, J449..J444da AQ, , . , Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . Fee Submitted $ .5,OQ . . . . . . . . . . . . . . . . . . . . . Construction on above described building and rmit e -s app e o e and regulations. Applicant . . . . . . . . . . . . . . . . . . . . . . . ld & J ne Lundine, byRudol H. Bruer, (1 Rev.10-10-78 Atto I 0 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 1000 Old Harbor Road New Suffnlk number & street Municipality Subdivision Map No. Lots) Name of Owner s) Harold F. & Jane V. Lundirre Occupancy R-1 Unoccupied type owner-tenant ,Admitted by: Mrs. Edson Accompanied by: Mrs. Edson Key available Suffolk Co. Tax No. 117-05-10,11-12 Source of request Rudolph H. Bruer Date Dec. 22, 1980 DWELLING: : Type of construction Wood #stories 2 FoundatioCement Block EC_ }a-r Slab Crawl space Total rooms, 1st. Fl 3 2nd. F1 3 3rd. F1 Bathroom(s) 1 Toilet room(s) Porch, type glassed in Deck, type open Patio, type slate Breezeway Garage Utility room Type Heat electric Warm Air X Hotwater Fireplace(s) No. Exits 3 Airconditioning Domestic hotwater Yes Type heater Electric Other ACCESSORY STRUCTURES: Garage, type const._ Storage, type const. Swimming pool Guest, type const. Other One Car Garage with Guest Room an Toilet Room VIOLATIONS: Housing Code, Chapter 52 Loca�ion Description Art. 1 Sec. No Violations of Housing Code CH52 where found. Remarks: Inspected by: Date of Insp. Dec. 23, 1980 Curtis Horton Time start 9.: 30 end 9:48