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Home My WebLink AboutZ-10589FORM NO. 4 TOWN el~ SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Ot: Occupancy Z1058g No .................. Date ....... .~.u.l.y...1.77 ................. 19 ..87 THIS CERTIFIES that the building ................................................ Location of Property 4380 Main Road, Rt;. 25 areenport, New York House No. Street Hamlet County Tax Map No. 1000 Section 35 . .Block 5 .Lot 4 Subdivision ............................... Filed Map No ......... Lot No .............. requirements for a Public Garage built prior conforms substantially to tlte' ~.'p~ ffc~'~i13 ff 'fllt' ~llffdl11~ l~1'lYfl t* ?tl~f~l'o'~f~'ftT~ff 'Iff 'tff~ 'bTftCe"d'a'~ ~'d'- ................... ,. flaJ~;l,£;I, cat:e_a£,gccupancy Z10589 April 23 . . , 195..7. pursuant to wmcn~unmngrerrnn ~o ...................... dated July 17 19 81, was issued, and conforms to aH of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... / A Public Garage None-Conforming in t;he "A" Residential Agricultural District. The certificate is issued to William Ballan (owner, let,~ae, er4e~e~tJ--- of the aforesaid building. Suffolk County Department of Health Approval ...... 1~./..R ................................. UNDERWRITERS CERTIFICATE NO .... .N./.R. .......................................... Rev. 1/81 Building Inspector Location Subdivision Name of Ov~er(s) BUILDING D~°ARTMENT TO%'~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 4380 Main Road Rt. 25 Greenport, New York (Municipality ~' (number & street) Map No. William Ballan Lot(s) Occupancy Admitted by: Non Conforming Fublic Garage (type) (owner-tenant) Robert Schroeder Accompanied by: Robert Schroeder Key available Suffolk Co. Tax No. 35-5-4 Source of request Rudolph H. Bruer Date July 14, 1981 D~ELLING: Building Type of construction Wood Framed #stories Foundation Cement Slab Cellar Crawl space Total rooms, 1st. F1 5 2nd. Fi 3rd. Fl__ Bathroom(s) Toilet room(s) .2 Porch, typq Deck, t~e Patio, typq__ Breezeway Garagq Utility room Type Heat Oil Fired Warm Air x Hotwater Fireplace(s). No. Exits 2 Airconditioning Domestic hotwater Yes Type heater Other Room-2 Bay Garage, Room-Office, Room-Storage ACCESSORY STRUCTURES: NONE?. Garage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. Mens Toilet Room No Door Womens Toilet M~d~ v~rio,~ ~p~i~s, ~2~-~u~-t--~, ,, fixturer 2 Bay Garage Holes in cei%ing Remarks: by:~z!~f ~//. , Date of Insp. July 16, 1981 Inspected Curtis W. Horton T~me staF~ 2:30 end2~40 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, 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 all buildings, property lines, streets, and unusual naturat 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. B. 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 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. C. 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 $5.00 Date...4U~Y..%~,.k~8% ........ New Building ............. Old or Pre-existing Building .... .~. ...... Vacant Land ............. Location of Property ..... ~Tp.z:~;]3. Rqad,. ~$t. Mari~n,. N~w .York ...................... /-~Jx~.~o. Street Hamlet Owner or Owners of Property . .~..~..1.1.~.a.~..~.a.]r..[.a.n' ......................................... County Tax Map No. 1000 Section .... 3..5 ......... Block ...... 5. ........ Lot .... .4~ .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .. ~o~.e.~;~..E~q]3rp.(~c]~r ............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ................... Request for Temporary Certificate .... Final Certificate .....:X. ,.~'~\, \ (1'~\ ........... Fee Submitted $ .5., .0.0 ........................ C°n stru cti°n ° n ab°ve described bu lid ing apd/P e'~r-r~' m'e~t'll eC~P Ijcal~le'c'°!lles and regu lati°ns'~?~/\\" ~ Applicant ~/..~ ............. -'... Rev. 10-10-T8 ~ert Sc~oeder by Rudolph H. Bruer, Attorney 0