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01/28/2014 16:25 6317274983 PLANT PAGE 02/04
Jan 281411:43a P.2
FORM NO.4
TOWN or SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Swtheld.
Certificate Of Occupancy
No...Z9%39
Date ........................199.
T1W cERTIBIHS that the buBdI% .
Location of Property 1855 Village Lane & 7O Fletcher street. Orient
County Tax Map No. 1000 Section .25........ Stack . ,3............Lot ...10
Subd[vkloa - 7UOL _ Filed Map No. ...Lat No.
requirements for a one family 4w--U:Ln built
tontbiinaaubstentialiytoihrAppliealiee^fm~$eN~tdtmelofees la#is~otpareidoar to
"IngPenm
April 23 Certificate of Occupancy
.................19 . P?pursuant to which Balifticretm Ma.
dated . x .....................19 89. was issued, end conforms to an of the requ inmeats
of the a vamble proerWcm of the law. The occummsy forwhiah this entifieate is lmmd h
8r1vate One-Family Dwelling
The certificate is issued to ...Bernard Cohen & wife
of the aforeceid buMine.
Suffolk County Department of &dtb Appmvel _ -VIA . .
UNDERY/MGRS CERTIFICA7B NO
«I'?t~............
Hw'Idhrg [nspecror ,
pnY7a .
i
01/28/2014 16:25 6317274983 PLANT PAGE 03/04
Jan 281411:44a p.s
TOWN OF~SOUTHOLD, N.~Y.
HOUSING CODE TNSPSCTION REPORT
6- rept CDCj 1%.n+
Locafiian X855 Villa a Lane & 0 F1 e
rium er 1k street MMmic5.pe25ty
subdivision Map No. Lot(s)
Name of Owner(s) =HARD CORM & WDE
Owner
Occupancy R'1 awnex'-
type
Admitted by: Mr. Cotlen Accompanied by: Mr. Cohen
Key available Suffolk Co. Tax No. 25-03-10
Source of request s'~ a F. Lark Date V' 0o 80
ator5es
.AWELhI Type of oonsfixu0tion, Wood Framed 2
Foundatign WSi nnp CiF~1Sl' 1~~1 Crawl space
Total moans, 1st, pl 5 2nd. Fl~ 3 3rd. F2
uatbroom(s), 2- _ Toilet room(s)
Porch, type,,, OAen Deck, type.. - Patio, type
}.nnyeway Garage Utility room
Type Heatpas Central "darn Air X Hotwater
Firepa8ea(s) No. Exi.ts_3__ Airoonditioning-_
Domestic hGtwaterIes Type beater 2-Gas & ELA tric
Other
ACCESSORY STRUCTUM:
Garage, type 'const. M,fine storage, type corist.
Swimming pool Guest, type coast.
..Other
VIOLATIoNs: Housing Cade, Chapter 52
Location Desori Lion Sao.
No Violations
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M.4P OF PROF.~EF.cTY r
SUR?EYEJ F"OFi
BER/VARO Anro PHOEBE COHEN
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Attrerided Sept-- 10, 1979; Oct Y21!°a7J /Ct`l'l a^C'G Q{/
NOV. rs, lssy `'teen or /Ue op-lc.