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Home My WebLink AboutZ-9418TOWN OF $OUTHOLD BUH'.nING DEPARTMRNT Town Clerk% Office $outhold, N. Y. Certificnte Of Occupnncy No. Z9418 Date January 50 7..9 THIS CERTIFIES that the building located at A285..Kenny:s. Road ....... ~ Map No...2.1..8.0 ...... Block No ........... Lot No. 8 REQUIRE~fENTS FOR ONE FAMILY D~-LING BUILT PRIOR TO conforms substantially to the ....... C~ER.~.FIC_ATE .QF OCCUPANCY dated ...AP.r~.I.... 2.~. ....... , 19..5.7. pursuant to which~lgd4~kNo..Z9~.'~@. dated . .~uarbr..50 ........ , 19. -79, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is ~ued is ........ . .~..~v.a.~e. ,One.. F.e~tly. Dw.e. ll~g ............................... The certificate is issued to ..... .S.~..e/y..e~.....Be~..i. qk...&..~., ............................ (owner,~d~ of the aforesaid building. Suffolk County Department of Health Approval ........ Pre-~-'~Ls.~img .............. UNDEEWEITEES CEETIFICATE No ................. Pz'e-Ex,t~/m~ ............. HOUSE NUMBEE ...'1.2@5 ....... Street ...... Ker~r,~~. s. Road ...................... County Tax Number ~ 000-59-7-~ 9 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location :F///c/~'~ h.~. /-~..~,-/3 /~o ~ ~ ~Z~O~ ~ ~- W '. (n~ber & street) (M~icipality) Subdivision ~~ Map No. ~/~ Lot(s) ~ Name of Owner(s) --.?-7~/.,' ~.'.//C~ .¢~ ~ Occupancy /~-t ~'-dc~ / (type) (owner-tenant) Admitted by: .~-Z~r Accompanied by: Key available ~/c~c ,~"~o~ Suffolk Co. Tax Source of request.~a~. ,~/gm~/~, ~-~F_F~,~-g~ Date /- DWELLING: Type of construction LOOOZD ~/~/'~ Foundation ~7~,~?-z~Zmc/C Cellar~-~// Total rooms, let. FI ~ 2nd. F1 ~/FF~ #stories ~ space Bathroom~O ~-~// ~-~ Toilet room(s) Porch, type.~_~L~Deck, type Patio, type. Breezeway. ~-- Garage_~_z~__Utility room Type Heat~_~~z~Warm Air Hotwater Fireplace~.)~y~-~,~o. Exits ~o~ Airconditioning Domestic hotwater,~//~ Type heater~~- Other ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 ..,Location Description Art. Sec. Remarks: ~ // Inspected by: ~,~~D~ate of Insp. Time start, lO:fa FORM NO, 6 TOWN OF SOUTHOLD , BuiMing Department Town Clerks Or, ce Sou~hold, 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, streets, 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 end 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. Swam statement of owner or previous owner os 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: ]. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or lend use $5,00 3. Copy of certificate of occupancy $1.00 Date January 29, ].979 New Building ................ Addition ................ Old or Pre-existing Building ...... .X.. ....... Vacant Land .............. Location Of Property See x~[ attached survey Owner Or Ownem Of Property Stevan and Agnes P. Banick . .......................... D~'st: .................................................................................. ~uffolk Co. Tax Map Designation: 3~r~. 1000, Sec.59, Blk.7, Lot 19 ubdivision ................................................................ 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 ........................................ Final Certificate X Fee Submitted $ 5.00 Construction on above described building/ ~///~i'7,~'~ z/ // //// /-- a~P~' ~ 3m~ t~ll~j~i~°~°d,es_ o.nd regulations. Applicant ... ~.../.~~...~ ............................ Ru~6~ph H._ ~B uer,.~ _attorney for Stevan and Sworn to before me this * Agnes P.V Banick - Notary Public .... ..S..U...f..f..o..1..k. ............... County