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Home My WebLink AboutZ-10939FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..ZA 093.9. ...... Date ....... A.gr. il..9...'. ............. 1982. THIS CERTIFIES that the buildings... (3.) .......................................... Location of Property . .305.. .... 2.v. iva.t~e. Rd....f13..Q~f..O.alf ~.~.~.r~ .~y.e.n.u..e .... ~ 9.u.g.h.q .1.d. House ire. Street Hamlet County Tax Map No. ] 000 Section O 7 0 ......... Block .. 0 ~ ........... Lot ...0.1 ? ............ Subdivision....g ........................... Filed Map No.X ........ Lot No. X Requirements for a private one-family dwelling built prior conforms substantially to the Certificate oP Occupancy l;~..A P ¥£.1.23 ........ ,195. 7. pursuant to which 8~ng'Pem,ii No ...... g 3 ~.9.39 ......... · dated ..... g p~',t.l. 9 ............... 19~.2.., 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 ...~ ..... The certificate is issued to ...... ~ob~.v.t.d.o. ae pg..I~b~.~,e.v. ............................ {owner, of the aforesaid building. Suffolk County Department of Health Approval ......... .n/.v. ............................. UNDERWRITERS CERTIFICATE NO ................. p/.v. ............................. Building Inspector Re~. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location ~05 Subdivision Private Rd. #3 off Oaklawn Avenue Southold (number & street) (Municipality) X Map No. X Lot(s) X Name of Owner(s) Robert Joseph Wheeler Occupancy R-1 (type) Admitted by: Bob Wheeler (owner-tenant) Accompanied by: same Key available Source of request Rudolph H. Su£folk Co. Tax No. 70-6-012 Bruer Date 4/1/82 DWELLING: Type of construction wood framed very Foundation cement block Cellar Total rooms, 1st. FI ~ 2nd. Fi Bathroom(s) 1 Porch, type woo~, Breezeway Type Heat oil fired Fireplace(s) Domestic hotwater Other #stories Crawl space 3rd. F1 Toilet room(s) glassedDeck, type in Garage Warm Air central No. Exits 2 yes Patio, type Utility room Hotwater Airconditioning Type heater electric ACCESSORY STRUCTURES: Garage, type const.one-car wood Swimming pool Other Storage, type const. Guest, type const. metal VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. outside outside steps1 water side III " side entrance sills rotten III 52-30-A ~tair up rail loose II 52-27-B ~itchen no shut off V ~tal bldg. no doors -, III 52-$1-B garage roof leaks badly III 52-31-C met Remarks: Inspected by: C~~ ?~~_ Date of Insp. 4/9/82 Curtis W. Horton Time start 12:15 end 12:30 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, 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 alt 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. 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 Date . .Apace. I,. ]-,..1.9~ ......... New Building ............. Old or Pre-existing Building ...... .X. .... Vacant Land ............. Location of Property ....P.r.i.v..a.t.e..R. 9.a.d' .o..f.f..O.a.k..1.a.w,n...A.v.e.n..u .e.,..S..o.u.t.h.o..1.d.,...N.e.w..Y.o..r.k... House No. - Street Hamlet Owner or Owners of Property .~:~.t.~t..e..o.f...M.a.r.~-..W.h.e.e. 1..e.r ................................. County Tax Map No. 1000 Section . . . 7.0 .......... Block .... 6. .......... Lot .... 1.,2 .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant . . .E..s.t.a.t.e...o.f..M..a.ry...Wi?...e.e.l.e..r ..... Health Dept, Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..... X. ................. Fee Submitted $ . . .5. :0.0 ...................... Construction on above described build~t~ll~pli~,~es and regulations. Applica'~ . ./j/.~4<..~- ~. . ..................... Rev.~O.m-78 ' ~ Mary Wheeler