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Home My WebLink AboutZ-10282 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . . . Z10282 . . . . . . Date . . . . . . . . . . . . . . . . . . . .. 19 E3c) THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property .1.375 Ackerly. Pond Lana Southold,. N.Y., House No. Street Hamlet County Tax Map No. 1000 Section . . 069. . . . . .Block . . . Q5. . . . . . . . .Lot . . . . .007. . . . . . . . Subdivision . . . . . . . . . . . . . Filed Map No. . . .Lot No. . . . . . . . requirements for a one family dwelling built prior to conforms substantially to the �cplt 'rgXl� rrT�Ffi�� dEl April. 23 57 Certificate of 00017pancy `Z1026.2 . . . . . . . . . . . . . . . . . . . . . . 19 . . . pursuant to which No. . . . . . . . . . . . . . . . . . . . . . dated December i . . . . . . . 109. ,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 . . . . . . . . . One Family ►Dwelling w/large barn and large storage building The certificate is issued to . . . . . . . . . . . . Deese, Jr. & &no (owner,.es`s "rid) of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . .N/R. . . . . . . . . . . . . . . . . . . . . ... . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . .NR . . .. . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev 4/79 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 5 Location 1375 Ackerl Pond Lane Southold, N.Y. number & street Municipality Subdivision Map No. Lot(s) Name of Owner(s) Harold Reese, Jr. & ano. ------------ Occupancy R-1 unoccupied (type) own er-tenant) Admitted by: cleaning woman Accompanied by: self Key available Suffolk Co. Tax No. 1000-069-05-007 Source of request Robert W. Tasker, Esq. Date Nov. 26 , 1980 DWELLING: Type of construction wood #stories 1� Foundation brick Cellar . full Crawl space Total rooms, 1st. F1 5 2nd. F1 1 3rd. Fl Boll room(s) 1 Toilet room(s) Porch, type glassed in Deck, type Patio, type Breezeway Garage Utility room Type Heat oil fired 'alarm Air X Hotwater Fireplace(s) No. Exits 2 Airconditioning Domestic hotwati�r___Zes Type heater electric Other ACCESSORY STRUCTURES: Garage, type const._ Storage, type const. large barn Swimming pool Guest, type const. Other large barn being rebuilt VIOLATIONS: Housing Code, Chapter• 52 Locat-ion Description Art. Sec. Back porch sills and floor bad I 2- - Stairs/up no hand rail II 2-27-A&B Upstairs ceiling & walk need repairing III 2- 2-C Bath new waterproof floor needed III 2- 2-D Cellar cover for electric panel V 52-56-A-1 Kitchen no shut off gas stove floor & ceiling need repQiring 52-52-E6 Outside needs painting & re irin I I 2- 0-C Remarks- Inspected by: Date of Insp. Dec . 1 , 1980 Curtis Horton Time start 10:30 end 11 :00 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office 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 Inspector 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 installations, 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 property 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 in- formation 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 N.4Xg ?be r 2 5: 198 0........ New Building ................ Addition ................ Old or Pre-existing Building ......x....... Vacant Land .............. Location Of Property .West side Ackerly.Pond Lane, Southold, NY. 1000-69-5-7 ............................. ....................................................................... Owner Or Owners Of Property ..........Har.old. ..Reese. . ,...Jr. .,...and. .. .. Ronald Reese. . . .................................... ....... . ... ....... . ... .. . . . .... ............. .. .... . . Subdivision ................................................................Lot No. ............ Block No. ............ House 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 $ ..6._�..................... Construction on above described building and permit meet II applicobl es and regulations. Applicant .................. . .!% � C G ..... . .. ... .. ........... ........ Robert W. Ta.sker, Attorney Sworn to before me this Nth_ November 1980 0 day of .......................:..................�,�y (stamp or sea 1) / a `9 y� Notary Public Suffolk CouF oAG% ........ 19��y3,°��r ., ,.