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Home My WebLink AboutZ-9698FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy Date .... S..ep.t.e.m..l~.er..2..8 ............... 1979. THIS CERTIFIES that the building ................................................ Location of Property ....~.~0...]3.ay....Hg.~.e...Rgg. d' .......................... SOu~;ho~ar~/e~ House No. Street County Tax Map No. 1000 Section . . . .~.~. ...... Block .... ~ .......... Lot ... 00.1.o.00.b, ...... Subdivision ............................... Filed Map No ......... Lot No .............. Requirements for a one family dwelling built prior to conforms substantially to the ~ Certificate of Occupancy ...... A. Pr.:[1...23. ..... , 19.5.?pursuant to which lt~No ....... z. 9.69.8. ......... dated . . . .S.e.P.~. 9.~.b.°..~..2.~. .......... 19.7.9., 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 ......... .................... .o3q..e...r..~A.3. y...~.~..]-L:m.~ ..................................... The certificate is issued to ......... J. 9.b-B....L.,..B. aA .z...&..N.anqy. I5...Baiz ............... (owner, ~ of the aforesaid building. Suffolk County Department of Health Approval ................. .N/.R. ..................... UNDERWRITERS CERTIFICATE NO ......................... .I}I/.R. ..................... Building Inspector Rev 4/79 " '" TO~ OF SOUTHOLD, N.Y. -' - · HOUSING CODE INSPECTION REPORT Location 850' BaV Home Road · (number & street) Subdivision N~me of Owner(s) - Robert L. Occupancy. : R - i " '(type) 'Admitted by:, self Key available. Source of r~u~st "Rudolph H. .Map No. Southold (~unicipality) otCs) Baiz & wf. unoccupied ~(owner-tenant) · .Accompanied bY:_ self - Suffolk Co. Tax No.56-05-001.004 Bruer Date Sept. 24, 19'f9_ DWELLING :. Type of construction ·Wood frame~ Foundat.ion Brick Cellar #storie-~ .Two . partia/~rawl space rest ~Totalrooms,.!st. F1 Bathroom(s)_ One Porchl type Breezeway Type Heat 0~1 w~r~d 'Fireplace(s) Domestic hotwater Other Four ~eck, type 'Garage No. Exits Yes 2nd. Fl One .Srd. F1 Toilet room(s)_ Patio, type. Utility room Hot~ater X ~conditiom~ng Type heater Tankless ACCESSORY STRUCTURES: G.aTage,-type const., Swimming poo~ Other car/wood . .Storage, type con'st.. Guest, typ~ 'const. VIOLATIONS: Housing Code, Chapter 52 · Location · Description Art. Sec. ..Stairs/up No h~n'drail - Steps narrow TI ~2L97-R Kitchen No sink on cabinets '.(Sink & cabinets now being installed) , , ~Kitchen Gas stove - no shut-off ..... V 52-'52-B. -Gurage Needs repair work III 52-51-A. Remarks: .... - Curtis ~o~t6n' ' Time start 11:15 end 11:~5 FORM NO. 6 TOWN OF SOUTHOLD 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 natural or topographic featu res. 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 . .S.ep.C..e..mTp.e.~. 2~.. 197~q. ... New Building ............. Old or Pre-existing Building . ~, ......... Vacant Land ............. Location of Property z~..~.~. ...... ]~.a,~' .~.o~. Rp.a,~,. $.QQ~h~3,],(~,. ~eW. ¥~.z:k ............. House No. Street Ham/et Owner or Owners of Property .. ~.q~-. ,~. Bi~i2;. &. ~,QC~'. ,M,. ]~.i~,. J~is. ~-~.fe, ........... County Tax Map No. 1000 Section .,5~ ............ Block ...5 ........... Lot....0.0.~...0.0..~ ..... Subdivision ................................. Map No ............... Lot No ............... Permit No ........... Date of Permit .......... Applicant ....~.o.]3.e.~...~..~....]~.a.~.~. .............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..... ~ ................. Fee Submitted $..5...0..0 ....................... Construction on above described building and,~""-~me~ts,~ll ~plic~le,cpdes and regulations. Applicant..~.~..~.~ ................ ' ,~R~bert L/ Baiz, by Rudolph H. Bruer $?~ ~