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HomeMy WebLinkAboutZ-11167 'FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No: .?: .1.?67. . . . . . . . . Date . . .. . .. . August ,31. . . . . . . . . . . . . . .. 19 82 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . Location of Property U 5 5. . . . . . . . . . . . . Keney!s,,-Road. . . . . Southold. H n House No. Street Hamlet County Tax Map No. 1000 Section . 0.5.9 . . . . . . .Block . . 01 . . . . . . . . . .Lot . . 0Ae. ... . . . . . . . . Subdivision . . Kennewood. . . . . . . . . . . . . . . . . .Filed Map No. ?.1.8Q . . .Lot No. . .9. . . . . Requirements for a private one-family dwelling built prior t �o conforms substantially to.the Ar0km ivrr far-Btriiding-Permit-heirtoftm-ffletr fir tMT'afM Z Mte'd Certificate of Occupancy A,p r i 1. Al . . . . . . , 19'?7.pursuant to which Baitding-Permit No. dated . . . .491A9 t. 3.1. . . . . . . . . . . . . . 10?. ,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 . . . . . . . . . . . . . PL. Aripatq . one-family. clwellin,T:.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . The,certificate is issued to . . Char 1 e,s .&, Christine Re' . . . . . . -' .(owner,les�e�or�a►�[l of the aforesaid building. Suffolk County Department of Health Approval . . . , . . . n/r , . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . n/r . . . . , , . . . . . . . . , . . . . . . . . , . . , , Building Inspector Rev.1/81 ' BUILDI\TG DEPART1,1 ,NT T01,114 OF SOUTHOLD, N. Y. HOUSIidG CODE IPiSPECTION REPORT Location 1 Kenne ' s Road Southold Mimoer & street) !%Iunicipaiity) Sucdivision Kennewood ]lap No. 2180 Lot(s) 9 Name of OTaner(s ) Charles & Christine Re Occupancy R-1 owner (tYpe) (owner-tenant) Admitted by: Mr . Re Accompanied by: same Key available ! Suffolk Co. Tax No. 59-7-18 Source of request Charles Re Date 5/. 27/82 D v=LLI,TG. Type of construction wood framed rstories 1 Foundation cement block Cellar full .Crawl space- Total rooms , 1st. Fl 5 2nd. F1 3rd. F1 Bathrooms) 1 Toilet room(s) Porch, type Deck, type Patio, type Breezeway carport Garage Utility room Type Heat oil fired - Warm Air Hotwater X Fireplace(s) No. Exits 2 Airconditioning Domestic hotwater_ yes Type heater tankless Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Soli„uili ng pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description JArt. j Sec. kitchen gas stove--no shut off I V _ 152-52-E . 6 10/19/82 : THIS VIOLATION HAS BEEN CORRECTED . NO OTHER VIOLATIONS OF THE 0 SING CODE CHAPTER 52 WERE FOU D . I Remarks• " Inspected by: Date of Insp. Aug. 23 , 1982 Curtis W. Horton - Time start11 : 10 end 11 : 30 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 New Building . . . . . . . . . . . . . Old or Pre-existing Building(X) .X 'Vacant Land . . . . . . . . . . . . . Location of Property .�:3 �. . � N .� . . . 1�: 1.t?. . . . . . : Di4n :�. . . . House No. Street Hamlet _ pp i Owner or Owners of Property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section . J , / . . . . . . . . B lock . . Lot . . Q.�.� . . . . . . _ 2— ( g0 Subdivision .�� —ely E. !ill/pap. . . . . . . . . . . . . . . .Filed Map No:--4--�. . . .Lot No. . . . . . . . ... . . Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . .�. . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . .... . . . . . . . . . . . .n . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . r/. . .-. . . . . . . . . - Fee Submitted $ . . . . ^.�.v. �. . . . . . . . . . . . Construction on above described building and permifineets all app_Rcabltaode�and regulations. Applicant Po- 6X �g � �� ' . . /S_ Rev.10-10-78 SC9 �� �1 f lN 7