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Home My WebLink AboutZ-10152FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No .... .Z..1.Q ~. 5.2. ...... Date ..... 8 .op.~.,;:m..B.e.F.. ~. 9, ............. 19. ~3 O THIS CERTIFIES that the building ................................................ Location of Property ..... ~..0.~...c..z¢..qrg.h?.r~...~.~.n.~.,........ .~.a..~.~. g*. r.~.o.n. ......... House No. Street Hamlet County Tax Map No. lO00 Section ...... ~7. ....Block ....... ~ ....... Lot ........ ~ ........ Subdivision..G..a.r.d.i.n. ~.r.'.8...B.ay..E..~.a.'~.e..s...Filed Map No... ~7~...Lot No. P.'C....Of..5..&. conforms substantially io,~}~u~c~mll~[0~f~il~j~e-f~lr~cff~r~_fl~[~_t~ll~A.~[~c,~ ... ~9~..~,, ....... ,19..~ursuant to,~ti~ '~t~g~f~0f~ .~:.~.~.*..Yr..~.0,~ ~2. .... dated ... E~ep~cember..'1.9, ......... 19 lB0, was issued, and conforms to all of the requirements of the applicable provisions of the law. The o~cupancy for which this certificate is issued is ......... ....... ~)~.~ .F. ~.~y. 12~.~£ng .................................................. The certificate is issued to ...Douglas..V.a~a. Fu.~p~r. an,cl. ~r.~r.B .P. lux~ket.~ .......... · towner, lessee or tenant) of the aforesaid building, xxxxxx:x, xxxx Suffolk County Department of Health Approval .... hlft~. .................................. UNDERWRITERS CERTIFICATE NO ............ hl~F~ .................................. Rev 4/79 Building Inspector Location Subdivision. Name of Ov~er(s) BUILDING DEPARTr'~NT T0%~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 2505 Old Orchard Lane, {number & street) East Marion, N.Y. (Municipality) Gardiner's Bay Estat~p No. 275 Lot(s) Pt. of 5 & 6 Douglas Van Riper and Barbara Flunkett Occupancy R-1 (type) Admitted by: Self {owner-tenm~t) Accompanied by: Self Key available John J. Nickles Suffolk Co. Tax No. · 37-6-5 Source of request Rudolph H. Bruer Date 9/17/80 DWELLING: Type of construction Wood Foundation Cement Block Total rooms, let. F1 6 Bathroom(s) 1 Porch, type Screened in Deck, type Breezeway Type Heat Oil Fired Fireplace(s) 1 Domestic hotwater Garage .... 2 car Warm Air X No. Exits 3 Yes Type heater #stories One Cellar?artial Crawl space Rest 2nd. Fi 3rd. FI Toilet room(s) 1 Patio, typeBrick Utility room Hotwater Airconditionin~ Electric ACCESSORY STRUCTURES: NONE Carage, type const. Swimming pool Other storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 ,. Location Description Art. Sec. ~_athroom Bath Floor...n,,eeds repairing 'II 152-32-D 52-31-B [~tehen . J~.~n~t~ ~ng I,II · Remarks: T~me start 2:30 end 2:52 Ao FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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. 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 topograph ic featu res. 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 New Building ............. Old or Pre-existing Building ... X ....... Vacant Land ............. Location of Property .. 0]~ .Oz:c~3~c]. T,az~e ...... Rz~s'c. ~o~.,..~ew. ~o~ ............... Hou~ No. Street Ham/et Owner or Owners of Property .~.~. ~....~P..~..~. ~~ .~ ~. ~.~g~ ........... County Tax Map No. 1000 Section . .~7 ........... Block .... ~ .......... Lot...~ ............ Subdivision...G~.~ .~..~G~.~ ..... Filed Map No.. ~.~ ..... Lot No..~P..~. Permit No ........... Date of Permit .......... Applicant ...~9~..~r. ~ ................ Health Dept. Approval ........................ Labor Dept. Approval ........................ Unde~riters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .. ~. ................... Fee Submitted $. 5.,.~0 ....................... Con,ruction on above described building an~meets~l~p~~nd regulations. Applicant '~' "~'~ ~= &e~ ~. R~. ~040-7. ~ ~ ' V ~ iqb~