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Home My WebLink AboutZ-12874FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificnte Of Occupnncy No.. 7,.1.2..87.4 ......... Date ....O.qt.o..b.e.~..5. ................... 19.8.4. THIS CERTIFIES that the building ...O.n.e...f.a.m.i..ly..d.w..e.l.l.i.n. g~.t.o..r.a.g.e...ag.c.y: ,. p. qo. 1 Location of Property Nesrobian Dr. on Private Rd. #1 Laurel House No. Street Hamlet County Tax Map No. 1000 Section . 3, 4 ~.-.0.q...Block ...0. 4. ...0.0. ...... Lot .0.1.2. ...1.0.0. ........ Eliz. Mesrobian & Subdivision For. est..Hill~ .............. . .Filed Map No. 1.3.8.1. .... Lot No...73.6?. ....... Requirements for a private one-family dwelling built prioz conforms substantially to the ,~l~j(~t~xKoX~:~. ~.Ef2~:~v~~jl~aO~:~ Certlzlcate of Occupancy .. bp.r.% 1...2.3. .......... 19 .5.7. pursuant to which ll~Ifa~/g~.. ~ .Z .1.2.8. 7. 4. ............ dated .O.c..t.o.b.e.r...5 ................. 19 .8.4., 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 ......... in, round .... .o.n.e., .f.a.m. ~..Zy..a?..e.L~.~.~..% .w.~..t.h..w.o.o..a..s.t..o.r.a.~2, .a.cs.e..s.s.o.r.y...a.n.a., .s.~.~..I~. ?.~ .p. ?ol. The certificate is issued to Beatrice Wasson ..................... ?o¥.'~;,'~~ ..................... of the aforesaid building. Suffolk County Department of Health Approval .......... N..o..r.e.c..o.r.d. ..................... UNDERWRITERS CERTIFICATE NO .................. N..o..r.e.c..o.r.d. ..................... Please see attached inspection report. Building Inspector Rev. 1/81 BUILDiNC DE~ ART,,~IT T O~'~'l OF SOUTnOLD, N. Y. HOUSING CODE INSPECTION REPORT Location Nesrobian Dr. on Private Rd. #1, Laurel, N.Y. (m~oer & stree~orest Hills (~,Iunicipality) Subdivision Eliz. Mesrobian & Map No. 1381 Lot(s) 7-6P Name of Owner(s) Occupancy A~mitted by: Key available Beatrice M. Wasson R-1 (~ype) owner '~owner-tenanz) Mrs. Wasson Accompanied by: same Suffolk Co. Tax No.145-4'12.1 Source of request Frederick J. Te~eschi Date May 23, 1984 D','£ELLI ~O: Type of construction Cement block a stucco Foundation cement block Total rooms, 1st. F1 Bathroom(s) 2 Porch, type Breezeway ,.Type Heat Gas Fireplace(s) 2 Domestic hotwater yes Other #stories 1 __Crawl space 3rd. F1 Cellar 7 2nd. F1 Toilet room(s) Deck, type_ fl~g ~nn~ Patio, type___~.~ent Garage under Utility room X Warm Air Hotwater X No. ~cits x Airconditioning Type heater Gas Finished basement--2 rooms ACCESSORY STRUCTURES: Garage, type const. __Storage, type const.W°°d Swimming pool In ground Guest, type const. Other Bulkhead on water sides VIOLATIONS: Housing Code, Chapter 52 Location Description tArt. Pool No fence on qate ~h 100 [ III Re-checked SeDt. 27c__~1984--fence is up. " I Okay for C,Q.- Sec. 100-30 C-(2) (f Remarks: ~ / nJ-~ ~ ~" -- Inspected b~{: ~~ f~..~-.~c.,~Q _ ~ Curtis W. Hot,on ~:./2',[[i ' '~..' ' ~ Date of Insp. June 18~ 1984 Time s~art 3:45 end 4:15 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall [;outhold, 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 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. Certificateofoccupancyonpre-existingdwelling/landuse--?re-Ex±sLing C.O. $15.00 3. Copy of certificate of occupancy $1.00 Vacant land C.O. $ 5.00 Date ...... .~//.~.; ?.. ~..~: ...... Building ............. Old or Pre-existing Building ..~. ....... Vacant Land ............. New Location of Property .~..~..~..~...~..~...~..~.../~./~.~...~..~..4~,~...~..~..~. ~.~.~.L_...~..,~..~..~.,~.~,,. House No. Street Hamlet Owner or Owners of Property .../?..~.~/~. ?. (..c".~.....~.~. ?.~. ~..~.. '. ........................... Co nt ax ap,o.,000S,t,on B,oc .... 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 ....................... Fee Submitted $ ............................. Construction on above described building and permit mee~J~:~pl~,icable c~es and-regulations. ', >, - ..': :> ..... ...... CONSENT TO INSPECTION Owner(s) Name(s) That the undersigned (is) (a~) the ownbf~s) of the premises in the Town C~--~-/~-/t~,~- '~.~Q~ ,whicn is sho,~ and designated on the Suffo~ That the undersigned (has) (haTe) flied, or caused to be filed, an applica- tion in the Southold To~ Building Inspector's Office for the follow~: That the unders~ned do(es) hereby g~e consen~ lo the Bulldog Inspectors of the Town of Souihold to enter upon the above described properW, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, ~clud~g inspeclions 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 ~speciions, do(es) so ~th the knowledge and understanding that any ~formaiion obtained ~ the conduct of such inspections may be used as evidence in subsequenl prosecutions for lations of the laws, ordnances, rules or re~lations of the Town of Souihold. (print name) (signature) (print name)