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HomeMy WebLinkAboutZ-10796 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z.1.0796. . . . . . . . . . . Date . . . . . .DAC,em1)An .1 . . . . . . . . . . . . . .. 101 THIS CERTIFIES that the.building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 576U5. . . . . . . . . . . .County, .Road 48114QrtA .90...). , Greenport House No. Street Hamlet County Tax Map No. 1000 Section .044. . . . . . . .Block .42. . . . . . . . . . . .Lot . .006. .11 . . . . . . . . . Subdivision . M. . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. .4. . . . . .Lot No. X . . . . . . . . . . REQUIREMENTS FOR A PRIVATE ONE-FAMILY DWELLING BUILT PRIOR TO conforms substantially to thrlQeiaXi153�It:�3Si1Idl #�i]CyXitCEIiXa7f�jdeXdia�ed CERTIFICATE OF OCCUPANCY Apr7t1. ,2,1 . . . . . • . . . , 1957 pursuant to whicKMAX-NiMbit No. . . . . . . . Z10796. . . . . . dated . . D e c e a b e r . 1. . . . . . . • . . . . . . 198.1. . ,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 private one-family, dwelling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . Tranc s ,and Vivian Remy . . xtt .i6ntl . • . . • . • . • . • of the aforesaid building. Suffolk County Department of Health Approval . . .N/A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS.CERTIFICATE NO. . . . . . . . . . .N/A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/81 BUILDINIG DEPARTP•ENT TO11141 OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 57605 Nort Greenport number & street Flunicipaiity Subdivision xx Map No . x Lot(s) x Name of OYrner(s) Fr n i s Remy & wife Occupancy R-1 Mrs . Egan type (owner-tenant) Admitted by: Mrs . Egan Accompanied by: same Key available Suffolk Co. Tax No. -•44-2-6 ..Source of request J .M. Brandt Date D'vMLING Type of construction wood framed ,stories one Foundation cement block Cellar full Crawl space Total rooms, 1st. F1 4 2nd. F1 3rd. Fl Bathrocm(s) 1 Toilet room(s) Porch, type Deck, type Patio, type Breezeway yes Garage Utility room Type Heat oil fired 'rearm Air x Hotwater Fireplaces) 1 No. Faits 3 Airconditioning Domestic hotwater ves Typ e heater electric Other ACCESSORY STRUCTURES: none Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIOP:S: Housing Code, Chapter 52 Location Description. Art. Sec. no violations—Housing Code CL 52 Remarks: ...Inspected. by: G --Date of Insp. 12/1 /81 V r 'T 1 ur'.tis `W' ` Horton Time start �1 �� end�p z�15 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 L$5.:Q:0D 3. Copy of certificate of occupancy $1.00 Date . . . . . . . lil,?l . . . . . . . . . New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . . X . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property . ►��.7�0 . . . . . . . . . . . . . . . . . . North Road Greenport House No. Street .Ham/et Owner or Owners of Property . . . . . Vivian Remy, (Francis.- Remy,,, deed, & Vivian Remy,), County Tax Map No. 1000 Section . . . . 44. . . . . . . . . Block . . . ?. . . . . . . . . . . Lot . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . Health Dept.Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . , . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate '. . . . . A . . . . . . . . . . . . . . . . Fee Submitted $ 5.00, , , , ,%/ . . . . . . . . . . . . . . . . . . Construction on above described building and permit meets all appl' able codes and regulations. (N Applicant . . . . . . P . . . . . . . . . . . . . . . . . . . . . . . . Rev.10-10-78 P�Q C_O. _p I07gto d IZIIIvi . 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