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Home My WebLink AboutZ-10206FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No..~.1.~.~0.5 ......... Date 0ctOb~' 17, 19 ~0 THIS CERTIFIES that the building ................................................ Location of Property lb605 F~n ~o~d, Hett~tuck, r/.¥. House No. Street Hamlet County Tax Map No. 1000 Section ....1.~(, ..... Block ............... ~ Lot 6 Subdivision ............................... Filed Map No ......... Lot No .............. requirements for a one-famil~ dwellin~builtprlor to conforms substantially to ~ ~[pFtivafi~n'-ferr-BeritOing- Pc-m~:- tac'~txs~crm ffitc.,d- ixrPais' of~"~'dat'efl- Certificate of Occupancy .~z .... A[?.il. 23 ........ ,19. D.tpursuant to which Bgiltllffg~Fe'l~lt'%!'oZ.-.' ..... .z,.x.t~. ¥? ........ dated .... ~¢ g 9.'.o.~.?. 1.7. ~ ........... 19. S Q, 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 ......... ... ~.r.~y.~. ~.,. 9.n.? .-['.~.~.-~.; y. ~..e .!!~.? s ............................................. The certificate is issued to Carol Wa!~vo;.el .................... 7oW,b;, ~2.~.%~ K,,X,~.~.~ x .................... of the aforesaid building. Suffolk County Department of Health Approval ...... :.~.' ................................. UNDERWRITERS CERTIFICATE NO. ~/? Rev 4/79 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 14605 Main Road, ma ttituck (number & street) (Municipality) Subdivision Map No. Lot(s) N~me of Owner(s) Carol Waldvogel Occupancy Admitted by: R-1 (tyPe) Carol Waldvogel Owner (owner-tenant) Accompanied by~arol Waldvogel Key available Suffolk Co. Tax No. 11h-8-6 Source of request Gary Flanner Olsen- Date Oct. 15, 1980 DWELLING: Type of construction Wood Foundation Brick Total rooms, 1st. F1 k #stories 2 CellarPartial Crawl space Trdy 2nd. F1 3 3rd. F1 Bathroom(s) 1 Porch, type Breezeway Type Heat Fireplace(s) Domestic hotwater Other Roof Over Toilet room(s). Deck, type Garage Warm Air No. Exits Patio, type Utility room X Mo~ra~ Steam Airconditioning Yes .Type heater Free Standing- Wood Bunner Stove Gas ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other 2 Story Cartage shed Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Loca~ign .... Description Art. Sec. ..... Cellar,,Steps ",ot equa! and no Fail II 52-27 A-] Carrage Shed" Needs various repairs III 52-31-A-] Remarks: Inspected by: Curtis Horton Date of Insp. Oct. 17, 1980 T~me start ~1.:45 end_ ~231~ johr~ L. pollO, C~ HOTE : REVISIONS YOUNG & YOUNG 400 OSTRAND£R AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNC. SURVEY FOR: / AT 'GU ~,~D SOUTHOLD ~ SCALE: ,, , DATE: 'NO I = ~0 ~UG. 8~ 1972 FOltlVl NO. 6 TOWN OF $OUTHOLD · Building Depo~ment Town Glerks Office Southold, N. Y. 11971 APPLIGATION FOR CERTIFIGATE OF OCCUPANCY Instructions DISTRICT BLOCK LOT A. This application must be filled in typewriter OR ink, end submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: i. Final survey of property with accurate location of all buildings, property lines, streets, ofld unusual natural or topographic features. 2. Final approval of Health Dept. of water supply end 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 c~ 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. 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 t~tutol or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of building~. 3. Dote of any housing code or safety inspection of buildings or premises, or other pertinent in. formation required to prepare a certificate. Fees: ':'"~' i. Certificate of occupancy $5.00 2, Certificate of occupancy on pre-existing dwelling or land use $,5.00 Building ................ Addition ................ Old or Pre-existing Building .~.. .......... Vacant Land .............. 'i,n Of Property ........ ~...~....~. ..... t..~d~.'~.~..~..L?. ............................. L ................ :.:;. Owner Or Owners Of Property ..... ..~.~.~..~.~....~_.~..~ .......................... : ............ ~ ...... i, Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No ..................... Dote Of Permit .................... Applicant .................................................................. Health Dept, Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ FeeRequest SubmittedF°rTeml)oror¥$ .... · .~. · ..,~...-~..C~'rtificate ................. ........................................ ~"~/2ertificate ..... ~ ............................... Construction on above described building on--regulations. Applicant~ ............ Sworn to before me this ~ / - ................ day of ............................................ GARY FLANGER ~qrF.~., Notary Public .................................... County P. 0. Box 38 Main Road Mattituck, L. I., N.Y.