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Home My WebLink AboutZ-10886FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy -, ^c, February 23 19.8~. No..~ 1 ~;~U.6 ...... Date ................................ THIS CERTIFIES that the building .~. .............................................. Location of Property . ./4 p.~9 § ............ ,?'i.a.~. ~.. ~.o.gd...( .R.h ~..25. ) ............ Qr..5. g.n.g. .... House/Vo. Street Hamlet 1~ . .9.t/'~ ............ County Tax Map No. 1000 Section . 0. ,,'. ....... Block .. ~ ~ ........... Lot Subdivision X ............ Filed Map No. v .Lot No. Requirements for a private one-family dwellin,~ built prior conforms substantially to the -A-pp~ca~iom'forBuikl'ing-t%nidrfl~'ettffm'e-ffied'~~- Certificato of Occupancy to A~ril 23 r.- ~10886 ...................... 19 .:.~ ~ pursuant to which 8utld-ing'l'e~mlr-No .................... dated ..... F...e ~?.u.a..r y..~.} ..........19.8.~, 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 ......... ~..hr. Sy.a.~.~. 9B.~-. ~'~.m.t. 1. y..d.~ ,1.1.i.n. ~..a.n.d...ap..a.c. 9.e.s.~. 9 .r y' .~..~9.r.a. ge...b.a.r..n: ........ The certificate is issued to ... ~.qqd. ) 9.1. :I:. .° .w. ?.r. 9p?.r.t..~SP..~.n..c.°.r.~. 9.r.~.~.e..d ............... {owner, O£ the aforesaid building. Suffolk County Department of Health Approval .......... .n./.v. ............................ UNDERWRITERS CERTIFICATE NO .................. .n./.v. ............................ Rev. 1/81 ·..~<./..~'z~. ~..~(..~.~. ...... :~g/.~. :'... :.-~c... Building Inspector BUILDING DEPARTF[ENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location Subdivision 40495 Main Road (Rt. 25) Orient (number & street) (Municipality) X Map No. X Lot(s) X Name of Owner(s) Woodhollow Properties Inc. Occupancy R - 1 (type) Admitted by: self WDoccupied (owner-tenant) Accompanied by: self Key available on site Suffolk Co. Tax No. 015-08-014 Source of request Thomas E. Uhl Date 2/11/82 DWELLING: Type of construction wood framed #stories Foundation stone & poured cemen~ellarpartial Crawl space Total rooms, 1st. F1 5 2nd. F1 4 3rd. F1 Bathroom(s) 1 Toilet room(s) back, Porch, type ~ln~ in Deck, type Breezeway. Garage Type Heat oil fired Warm Air Fireplace(s) 1 No. Exits 5 front, roof ]R~, typeover, wood Utility room X Hotwater x Airconditioning Domestic hotwater Other yes .Type heater tankless ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other large storage barn Storage, type const. Guest, type const. woo'd VIOLATIONS: Housing Code, Chapter 52 ... Location Description ....... Art. Sec. barn holes in roof, sills bad, door and windows need fixing III ~2-30-A, nd stairs no hand rail II 52-27-B cellar some joists dry rotted III 52-32-A 'est chimney needs pointing up V 52-54-A ( inside paint peeling thru out III 52-32-C C Remarks: Inspected by:~~/~' ~j~~e of Insp. 2/19/82 Curtis W. Horton Time start 10:00 end 11:00 lo ~ ~ ~ ~.~lo~noe4 OF FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions ' B. 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 Hearth 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 .. February !1, 1982 ~ ,. New Building ............. Old or Pre-existing Building(Z) . _. ~. =/Vacant Land ............ Location of Property (0.rd J~g .House~ .... Hain. Road ................ 0rieat ............... Hou~ No. Street Hamlet Owner or Owners of Property ...W.op.d.hp.I ~1 ow P?pp;J~r~)¢~,., I t3¢ ................................ County Tax Map No. 1000 Section .... 15 ......... Block . . . .8 ........... Lot. ].~.. ~ .......... Subdivision ................................. Filed Map No...: ....... Lot No. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ......................... U nderwriters Approval ........................ Planning Board Approval .................. Request for Temporary Certificate ..................... Final Certificate ................. Fee Submitted $..5...0.0 ................... .....~ Construction on above described building and,~l apP~?b~:~?_de~ and regulations. Applicant .~ ..~c~ ........................ 'Th~as E~h], S~cr~tary Rev. 10-10-78