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HomeMy WebLinkAboutZ-11265 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . ZAU65. . . . . . . . . Date . . . . . . . .Octolaer. A9. . . . . . . . . . . .. 19 .82 THIS CERTIFIES that the building a. . .(.2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 295 . . . . . . . . .Maiden. Lane NgLttituck House No. Street Hamlet County Tax Map No. 1000 Section . . .1.4.0. . . . . .Block . . 0.1. . . . . . . . . . .Lot . . . .O.Q 7. . . . . . . . . . Subdivision . . . X. . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . X. . . . . .Lot No. A . . . . . . . . . . . Requirements for a private, one-family dwelling built prior to conforms substantially to the t��plit�etrier�€o-r-Bttil ��g-Ber �l�ereto€ore-#fled-tn-#iris-eifreertiat Certificate of Occupancy .A prA l . 23. . . . . . . . , 1957. pursuant to which Btti"rtgPermit No. Z.1.t 2 65. . . . . . . . . . . . . . dated . . . . .O p.t.o.b e r. .1.9 . . . . . . . . . . . 19 .8 2,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 . . . . . . . . . a. pr.i.vate. .onev.family. .dw.e.11J-ng xith .aco.e.aspri.. .one.-Gar. garage. . . . . . The certificate is issued to . . . . . . .4r,old, R,., Reeve & ,Another. . . . . . . . . . . . . . . . . . . . . . (owner,leswa"#w"z - of the aforesaid building. Suffolk County Department of Health Approval . . . . 9/4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . .11/.4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/81 BUILDING DEPART14ENT TOV]N OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 295 Maiden Lane Mattituck . (number & street) Tmunicipality Subdivision X Map No. Lot(s) Name of 'Owner(s) Harold R . Reeve , Jr . & another Occupancy R-1 unoccupied type owner-tenant Admitted by: Silkwort-h Agency Accompanied by: same Keyavailable ' Suffolk Co. Tax No. 140-01 -007 Source of request Robert L. Tooker Date 10/15/82 D11TELLING: Type of construction wood framed #stories 2 Foundation poured cement Cellar partialCrawl space rest Total rooms, lst. F1 4 2nd. F1 3 3rd. F1 Bathrooms) 1 Toilet room(s)- Porch) type screened in Deck, type Patio, type Breezeway _ Garage one-car •T tx2.X-xY room pantry Type Heat Air Hotwater gravity feed Fireplace(s) 1 No. Exits 5 Airconditioning Domestic hotwater yes Type heat-er gas Other ACCESSORY STRUCTURES: wood , . Garage, type const.one-car & storrage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description JArt. II1 Sec. kitchen gas stove--no shut off V 12-52-B { 2 ) I Remarks: Inspected by: Date of Insp. 10/18/82 Curtis W. Horton Time start 3 : 10 end 3 :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 Inspec7 for 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 / Q' Date New Building . . . . . . . . . . . . . Old or Pre-existing Building(X) . __s/Vacant Land . . . . . . . . . . . . . A.�,• Location of Property . � ���. . . ., ., • . - - - , ./.��cc _ .;� ��, (�� House No. Street Hamlet Owner or Owners of Proper ; .(ty Q.�`j. �" :Z� r . . . . . . . . . County Tax Map No. 1000 Section . . -� . (.V , • , • . . Block . . -12 . . . , . . . , Lot . . . .�. • • . . Subdivision . . . . . .(`. . . . . . . . . . . . . . . . . . . . . . . . : .Filed Map No. . 1c. . , , , . ,Lot No. . . , , , , . • , , , Permit No. . 7 • • , . , , Date of Permit . . . .Applicant . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . Health Dept. Approval . . . 9 . , , , , , , , , • , , , • .Labor Dept. Approval , , . , , . . , • , , CL Underwriters Approval . . . . . ', . , , • , , , , • , , .Planning Board Approval . . .4).1.�.�. . . . . . . . .� Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate ✓. - Fee Submitted $ . . +�. . . . . . . . . . . . . . . . Construction on above described building and permit-meets all app-{cablesodes and regulations. Applicant - . .-. . �. . . - . . . . Rev.10-10-78Roe", ' i