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HomeMy WebLinkAboutZ-9584FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No.. Z9584.......... Date...................7111.y..5........ 197.9. THIS CERTIFIES that the building ................................................ Location of Property..560..... 0&g • Strset•r• GutC Hoieuse No. t Hamlet County Tax Map No. 1000 Section . 136 ....... Block ....01• . • • .. • ..Lot ...044• • • • • • • • • • Subdivision.. Eugens ,Heigh . , • . , • ... , , •Filed Map No. ........Lot No. 24,..part, of 25 Requirements for a Private. One Bam y DtR jli�g 1�t�i t prior conforms substantially to the R4c�ti,P�t�[�Ji4ri�9�,e�r tQ .ApX11. 23......... , 19 5.7. pursuant to wt V;"jWon%584 • • dated .................. July ..5.. 1979• , 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 ......... ............ P.RIVATHT0NE-rAMILY. DWELL,LNG................................... The certificate is issued to .. iiarold, .4. V:A1;I)9r I4.. W.0j ]... , . • ......... . ..... • • ...... . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval.1Pre.-Existinq ........................... UNDERWRITERS CERTIFICATE NO ......... Pre. -Existing ........................... Building Inspector Rev 4/79 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Loca er & s Subdivis I- (16C_ 4�i'17"' lol /U' Map No. Lot(s)ol41- / V Z: Name of Owner(s) eP �'Yl /-'' L.Ua!/zC Occupancy Admitted by: .ScLr•- Accompanied by: .5 -z --L Key available--i:bo,e A/Z—.-r op,!37J Suffolk Co. Tax No. l oo-%36'-o/S/yy Source of requestj!/''-' f/ /cam r4TII aZ,/v/" Date 7- Z- Z� DWELLING: Type of construction_ 9/0cV ; AA-eZ #stories 0/c/S Foundation 4!?Z,tec,Ly Cellar&, L Crawl space Total rooms, 1st. Fl " 2nd. Fl — 3rd. Fl Bathroom(/) O,C"c Toilet room(s) Porch, typey« . Deck, type t&0ej p -- Patio, type '— Breezeway Garage Utility room Type Heat_Warm Air/:/ &/r-Hotwater Fireplace(s) ou.z- No. Exits %Xwo ' Airconditioning Domestic hotwater o Q C —C Type heater Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. L&ao p Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Remarks: Inspected by: A(�W Date of Insp._ '7- t7:- 2 , v Time start :' 2 - end oy�05 a r FORM NO. e TOWN OF SOUTHOLD Building Department Town Clerks Office 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 Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, struts, 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 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. B. 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 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ......... DAY ...L ... 1979.......... New Building ................ Addition ................ Old or Pre-existing Building .....if......... Vacant Land .............. Location Of Property ... New ... ork ................. Owner Or Owners Of Property ... UAK.9.10...W.4.h1...&... FSkktQX...M.....hQb.1................................................ Map of Eugene Heights 24 & pyo 25 Subdivision................................................................Lot No............. Block No............. House No............. Permit No ..................... Date Of Permit ....................Applicant.................................................................. Health Dept. Approval ............................................Labor Dept. Approval . Underwriters Approval ..............................................Planning Board Approval ............... Request For Temporary Certificate .......... Fee Submitted $ ........ '.-..o 0 ................... ... Final Certificate......X.................................. Construction on above described building and permit meet ble c and r ulations. Applicant.... ..... ........fit ....................... illiam H. Pric , Jr. as attorne�.... Sworn to afore me ................ day'A . Jo. 52-3161935 SuFt lk County Term Exim.','4arrb 3Q.19..j 0(stamp72 �9,�Sv BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING, CODE INSPECTION REPORT A / Location number & street f Municipality Subdivisionrc �� Map No. Name of Owners) A%I-eO4,0 �!�2 -tel �►f�� Occupancy �typ A111 owner-t..Q Admitted by: Accompanied by: Key. available�Q& Alari oP�� Suffolk Co. Tax No. foo©-fg6l-elect Source of request 2/?// �J%�3 rv� Date DWELLING: Type of construction //,/660 17- �AICIZ #stories FoundationCellarWlt<L Crawl space Total rooms, lst. Fl ' 2nd. Fl — 3rd. Fl —' Bathroom(/) 04.Ae�� Toilet room(s) Porch, type Deck, type ,&& Patio, type Breezeway - Garage Utility room Type Heat jFv,rtAv-Ho twat er Fireplaces) ow,)-' No. Exits %wo Airconditioning Domestic hotwate-r-To—✓Q < C Type heater Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. 6&o-c.0 Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description- Art.1 Sec. ,-- C45 On Remarks: Inspected by: Date of Insp. 7- = --/ v Time start/pmt) Aqend d!OS Im