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Home My WebLink AboutZ-13803FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z. ~..9.8.0.3. ........ Date ...A.u.~u. s..L. ?.8. .................... 198.~. THIS CERTIFIES that the building ...O.n. ?..C.&.~. $ .~ y..~. e..s.~.d.e.n..c ? ...................... Location of Property ~3~s~ ~/d ........... ~.~. ct. gg..~..~ .r.e.e.t. ........ ?.i.s.h. ?.v.~.. ~..s .1.a.n. ct. ...... Street Hamlet County Tax Map No. 1000 Section .... .1.0 ...... Block . .7. ............ Lot ...1. ! ............ Subdivision ............................... Filed Map No ......... Lot No .............. Requirements for a private one.fam~ily, d. wel~l~ing~bu, ilt..pri~r t.o conforms substantially to the ..... A. p..r .i.1.. ~ ~ ........ 19 5.7. pursuant to which l~llfl~n~ll~Ynlit No. 1 3 8 0 3 dated .... .~.u. g .u .s ?.. 2. 8. ............. 19 .8.5., was issued, and conforms to all o f the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ..... qn..e. ?.a.m. g ..................................................... The certificate is issued to SMITH C. VAUGHAN (owner, ~.~l~e~X of the aforesaid building. Suffolk County Department of Health Approval ........... N../.A ............................ UNDERWRITERS CERTIFICATE NO ................... N.../.A ............................ Building Inspector Rev. 1/81 BUILDING DEPARTI'~NT TOVfN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT LocationHEDGE STREET FISHERS ISLAND [numoer & street) Subdivision Map No. (Municipality) Lot(s) Name of Owner(s) SMITH C. VAUGHAN Occupancy A~mitted by: R-1 (type) Mr. Vau~han owner (owner-tenant) Accompanied by: same Key available Suffolk Co. Tax No. 10-7-11 Source. of request Mr. Vaughan Date 8/27/85 D~,,~LLI~: Type of construction Foundation poured cement Total rooms, 1st. FI Bathroom(s) 2 Porch, type Breezewa~ Type Heat oil fired Fireplace(s).. Domestic hotwater Other wood framed #stories 2 Cellar partial Crawl space rest.. 8 2nd. F1 2 ~rd. F1 Toilet room(s) 1 Deck, type Garagq Warm Air No. F~xits Type heat'er Patio, type__ Utility room Hotwater xx Airconditioning tankless ACCESSORY STRUCTURES: Garage, type const.wood 2 car Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Location stairs DP Housing Code, Chapter 45'N.Y. Stat¢.qniform_Fire Prevention ' .. & B~±~ing Code Description I Art. I Sec. No rail on outside of steps Remarks: Inspected by: a~e of Insp.8/27/85 Curtis W. Horton -Time start 9:30 end 10:00 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 ~ ~ 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 featu res. 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 p~'operty 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date ... New Building ............. Old or Pre-existing Building .. 'X ...... Vacant Land ............. Location of Property ....... **.~~- ,..,~.. ....... - . · · ~.~ House No. St[eet Ham/et Owner or Owners of Property ... ,~..~;~..~..7~... ..... .~.. ;~.~..~...~i~..~.. ................... County Tax Map No. 1000 Section ..... /.~. ....... Block ....... 0..? .... 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 Tempo_ r~j~ry Certificate ..................... Final Certificate ..... .~.... ............ Fee Submitted $~*--~,. J~_~,~. ,~.~, ................ / Construction on above described building and pe~e~~~l~/~~u lations. ~ ~A~ ~i~ao~.t '~"'¢~ '~'~' '~' '~6~//4t% ' 'v' 'v' ~/-'~'~ ............. Smith C. Vau~han Owner(s) Name(s) do(es) hereby state: CONSENT TO INSPECTION · the undersigned, That the undersigned (is) ~ the owner(~ of the premises in the Town of Southold located at Fishers Island · which is shown and designated on the Suffolk. County tax map as District 1000, Section 010.00, Block 07.00, L~ot 011.00.0 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the folloxving: ~ Pre-Exj~t~mE Certificate of Occupancy, That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon· to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances· rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: 3uly . 1985 (signature) Smith C. Vau~hah (print name) (signature) (print name)