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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-17492 Date NOVEMBER 4, 1988
THIS CERTIFIES that the building PRE EXISTING MULTIPLE RESIDENCE
Location of Property CRESCENT AVE. FISHERS ISLAND, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 6 Block 2 Lot 21.1
Subdivision Filed Map No. Lot No.
conforms substantially to requirements for a private multiple residence
built prior to: APRIL 9, 1988 pursuant to which
CERT. OF OCCUPANCY #Z-17492 dated NOVEMBER 4, 1988
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 MULTIPLE RESIDENCE TWO BUILDINGS-5 APARTMENTS
The certificate is issued to ANTHONY J. MARSHALL
(owner, XXXXXXXXXXXXX XXX)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
l
Building Inspector
Rev. 1/81
BUILDPIG DEPARTI•TEI T
T01.'IN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location CRESCENT AVE. FISHERS ISLAND, NEW YORK
�numoer & street iIunicipality)
Subdivision Map No . Lot(s)
Name of Owner(s) ANTHONY J. MARSHALL
�X*X19LXXXXX 2 buildings - 5 apartments total TENANTS
type owner-tenant
Admitted by: MR. MARSHALL Accompanied by: SAME
Key available Suffolk Co. Tax No. 6-2-21 . 1
Source of request ANTHONY J. MARSHALL ' Date 1 1/4/88
BUILDING ONE
MTELLING: -
Type of construction wood framed #s tories 2
Foundation cement & stone Cellar partial Crawl space
ARTMEN B3ASE
Xx 3 rooms
Total rooms ist. 4 rooms Fl 2nd. F1 4 rooms
Bathroom(s) 1 each apartment Toilet room(s)
Porch, type Deck, type Patio, type_
Breezeway Garage Utility room
Type Heat 3 oil fired ',farm Air Hotwater XX
Fireplace(s) No. Exits 2 each Airconditioning
Domestic hotwater - yes Type heater tankless
Other smoke detectors each apartment
` ACCESSORY STRUCTURES' NONE
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 45' N.Y. State lUUniformina Fire Prevention
Location Description � Art. 1 Sec.
West. side lower part where no apartments exists
need various repairs that should be done.
I
- I -
Remarks:
Inspected by: Date of Insp. November 3, 1988
CURTIS W. HORTOIT
Time start 9:30 end 10:30 am
• TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE. !J . �. . . . . .
NEW CONSTRUCTION . . . . . . .OLD .OR PRE-EXISTING -BUILDING. . . . . .VACANT LAND. . . . . . . .
Location of Property. . . . . . . . . . . . . . _ �e� . . . � :/e. .
HOUSE NO. STREET HAMLET
Owner or Owners of Property. ��11rf19`. . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No. 1000 Section Block . _c —. . . . Lot .� I. . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . Filed Map . . . . . . . .Lot . . . . . . . . . .
Permit No. .. . . . . . . . .Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . .
Health Dept . Approval . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . .
Planning Board Approval . . . . . . . . . . . . . . . .
v
Request for Temporary Certificate . . . . . . . Final Certificate . . . . . . . . . . . . . . . .
Fee Submitted: $ 9: r� . . . . . . . .
APPLICANT . . _ . . . . . . . . . . . . . . . .
`C- - C4
rev. 10/ 14/88
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