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Home My WebLink AboutZ-10482FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Off~-e of the Buildin~ Inspector Town Hall Southold, N.Y. CertificMe Of Occupancy No ....Z 10.~.~.~ ....... Date ...14.a.y.. ?~ ........................ 19 .?.1 THIS CERTIFIES that the building ............... * ................................. Location of Property ..... I.?.135.3unga. Lov. L~ae, ...... ~q'l[, .~.i.t.u.c..k~. ?s.~. York AIou~ NO. S~ ......... h~?i~ County Tax Map No. 1000 Section .. 123 ...... Block ... O~ .......... Lot .... .0.1.6. .......... Subdiv~on ............................... Filed Map No ......... Lot No ........... ... · rllQ~LragAal~l..fo~ a .one fuLlY d~ell:Lng built pr/or to conforms substantially to the ~n~®P~/~m~t~'fBI]~r~ll~[~it~'-' · , 57-. _o .A lleE. l~ LF, AGLt4.-gX,--Q-c c. u panc Y Z 10a82 · . .Apr/.L .23., .......19 . l, ma~,aa, *u wiu~u mmvm~ ...................... dated ....... ~.I&~t. ? ............... 19 · · (1,1 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which thla certificate is ~ h0u. Family p.~.ql~../.n.g..a.n.d...a..A.c.c..e.s.s.o.r..y, l~uildtRRe- a Garage & a Seasonal Guest; Cot;t;a&o, The certificate is issued to......Rq)l~er t,..... ~o.......B a l-.k.e.r. ................................ ... of the aforesaid building. Suffolk County Department of Health Approval ..... q/..Il .................................. UNDERWRITERS CERTIFICATE NO ......... .N/R. ..................................... Building Inspector Rev. 1/61 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location I/~$-- ~/.~<~LOG3 ~¢~ (number & st~reet) Subdivision . Map No. Zr,7/,c - (Municipality) ---- Lot(s) ~' Name of Owner(s) ~ ~ . -~ Occupancy /0- / (type) Admitted Key availabl (owner, tenant) Accompanied by: CSm~. Suffolk Co. Tax No.~~ I e~/ Source of request~y,~,~,~/~/~5~,.~ Dat D~n~ .LING: Type of construction Foundation ~g~m ~ Cellar~o~ Total rooms, 1st. F1 9 Bathroom(~) o~ Toilet room(s) Porch, typ~ ~c,~-~Deck, type ~sto'riea Crawl sDace~ 3rd. F1 Patio, Breezeway Garage · Utility room Type Heat X~-~ Warm Air Hotwater Fireplace(s) ~.~ No. Exits .U -- Airconditioning Domestic hotwater ~'~ Type heater Other ACCESSORY STRUCT.URES: Garage, type const.~~- Swimming pool Other Storage, t~e const. Guest, type const.~ VIOLATIONS: Housing Code, Chapter 52 Location Description . Art. Sec. ~7'x:'~' -'1~'~ j ~ ' ' ' ' - ! I Remarks: . ~ , / Inspected by · ~;/~--~z~ Date of Insp. ~.~_~? ,~' ' ~/ Time start/(~ YO0 end/d ~ ~; ~./~ FORM NO. 6 TOWN OF SOUTHOLD Building Depa, b~nt 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 features. 2. Final approval of Health Dept. of water supply and sewerage disposel-(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 a~l installa- tions, a certificate of Code compliance from the Architect or Eoginear 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 ail 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 building~ 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 . ~p~,t. ,~p.,. ~.,9.8,t. .......... New Building ............. Old or Pre-existing Building .... X. ...... Vacant Land ............. Location of Property ...s.m39.a:t..o.~..~. p.ez..M.a.t~.~.~.u.c.k]. F.e?..Yp.:~. .............................. Houae No. Street Hamlet OWner or Owners of Property Bobe~c ,S. Barke.r County Tax Map No. 1000 Section .L%~.-PP ......... Block . .0A-PP...: ..... Lot... P.L6..AO.° ...... Map of Maratooka Park Bay Lots Subdivision. p~_.d.p.up, gp~.o~. ~.~.~.e~s .............. Map No ............... Lot No.P/. Permit No ........... Date of Permit . ~ ........ Applicant ..................... .~ ............ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate . .K .................... Fee Submitted $ 5,00 ......................... ~ ~,*,\r,L~,~ Construction o n above described building and/,/c~,~l~r~le,,,//,/~ a~~L,~z~n~ .r~J. lation~ Applicant ~. R~ Marjorie Lot 12. cENTER STREET LIOY DIETZGEN 135 1184~ · U~IVI~OtI~IPFILEfl ltl THE OFFICE OF..~IFFOLI~ O~llfTY fil..EI~K t11I~ I ~1~ AS ItAP ~ I ~, REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG su~v~ r°~: ROBERT $. BARKER ~ ,,PART OF LOTNO. ~2 MAP ~ M~A PARK BAY LO I~S" · ow. o. ~UT~LD ~ ~ ~ ~ SUFFO~ CO., N.Y. 'Y~~