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HomeMy WebLinkAboutZ-10246 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . .7 1.0.24.5. . . . . . . . Date . . . . .Navember. . 12.,. . . . . . . . . . . . .119 . 80 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 66125 North Road, aR o 27, Green� rt,. N.Y.. . House No. Street Hamlet County Tax Map No. 1000 Section .040 . . . .Block . .02. . . . . . . . . . .Lot . . . . . 008. . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . requirements for a One—Fami Dyne �.i B It prior to conforms substantially to.the.Ap.plicatian.fanBuilding.P.e�C�n1�. �.ya ri, in is J ce dated_l_ Certificate of April. . . . . . . . . . . . . . 19 .57pursuant to which-$4xitdi4ag9 Occupancy . . cy .#zi.Q246. . . . dated . , November 12,. . . . . . . . . . . . 19 . .80was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .:. ... . . . . . . . .Private. One-Fa ,mily, D-WPI ng. N. tki. Acoesaory. Garage. . . . . . . . . . . . . . . . The certificate is issued to . . .Elbert P. & Mary. I. MPj oib bPr . . . . . . . . . . . . . . . . . . . . . . (owner of the aforesaid building. Suffolk County Department of Health Approval . . . . . . NCR UNDERWRITERS CERTIFICATE NO. . . . . . .N./R . i B' ilding Inspector Rev 4/79 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 4�W, ld 5- A/o i2�7,y /�a �C ��;-,��,•100 —i�✓�. number & street (Municipality) Subdivision Map No. -- Lot(s) Name of Owner(s) � Occupancy type owner-t Admitted by: / 2_ /C&C- ,c/i� Accompanied by: Key available Suffolk Co. Tax No. oVp-off-oo Source of request/ Tl?e CE (/12. l Date ��l�1� DWELLING: Type of construction ����© � #stories >''✓ Foundation 6E1_.Y "7- eio c_A- Cellar Crawl space Total rooms, lst. F1 .3 U C2 2nd. F10 Eff- 3rd. F1 Bathroom(s) Toilet room(s) Porch, type — Deck, type Patio, type Breezeway Garage Utility room Type Hea '- Warm Air Hotwater Cqi< Fireplace(s) No. Exits lied Airconditioning Domestic hotwater j Type heater Other ACCESSORY STRUCTURES: Garage, type const. &iQ o® Z`2ofu;E- Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. - i r 3l ZI �o //5" ar sup S SDor ,L��,p1//(J<V ��j-��i0' -�Lc�/c.cJ ���i�r�✓o - ..�c�r�.Jeu� r�.��!<��' //�j�,Z Remarks• e' , rOG`�l Inspected by: te of Insp. k6j.'- /0 r C� Time s tartd�b/Wend FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 1 11,971 •'�;.��,,_��`"; APPLIC;TION FO:R C'RTIF1CATE OF OCCUPANCY Instructions A. This application must be filled in ty pewriter 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 bui natural or topographic features. ldings, property,lines, streets, and unusual 2. Final approval of Health Dept, of water supply and sewerage disposal.—(S•9 form o' 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 sita plan requirements where applicable. B. For existing buildings (prior to April 1957), Nonconforming uses; or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, street s,lbuildings and unusual natural or topographic features; 2. Stivorn 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. i 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 ,5/19/83 . . .`"-.. New Building , , , , , • , , , , , Old or Pre-existing Suilding(X) . _. s /Vacant Land , , , , , , , , , Location of Property 250 ,Front Street • . i�7�as' md •f• • • • • • House No. . . . . . . . . . . . . . . . . . . . :t . . . . , • Streer Hamiet Owner or Owners of Property . , , , , . . George•_atZd .Carolyn: Cottral. . . • . , • , . • . • • • • . . • . County Tax Map No.•1000 Section , , 0. . ..00 . . . Eloak . . .0?;00 008.000 Lot . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. ..Lot No. . • . . . . . . . . . . Permit No. . . . . . . . . . . Date of Pe rmit . . . . . . . . . .AP-licant . . . . . . . . . . Health Dept. Approval . . . , , , , , , , , ; , , , , , • , , , ,Labor Dept. Approval . . . . . . . . . . . . . . . . . Underwriters Approval , , , , , , , , , , , , , , , , , , , , , , ,Planning Board Approval . . . . . . . . , . . . ,,, Request for Temporary Certificate . . . . . . . . . . . . : . . . .. .Final Certificate . . , Fee Submitted S . �_.40 Construction on above described building and perm►r*meets all awp cable odes and regulations. Aptic.nt Rudolph H. Bruer Rev.10.10.78 �4'Jl�� -� ` /'1 lam• J Z� �?) OL . - eA0 - ( _,ice-