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HomeMy WebLinkAboutZ-9373FORM NO. 4 TOWN OF SOUTROLD BUILDING DEP~T~NT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 9373 Date: 12/05/78 THIS c~KTIFIES that the building DWELLING Location of Property 1455 NEW SUFFOLK RD (HOUSE NO.) County Tax Map NO. 473889 Section 109 Subdivision CUTCHOGUE (STREET) (HAMLET) Block 0007 Lot 010.004 Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 purs,,mmt to which CERTIFICATE OF f~u~ANC~f ~]~ Z- 9373 dat~ DECE~ER 5, 1978 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 PRIVATE ONE FAMILY DWELLING. CORRECTED 9/30/11 FOR LOT NUMBER ONLY. The certificate is issued to WILLIAM M BEEBE (OWNER) of the aforesaid building. SuffOLK COUNTY DEPART}~T OF }~ALTH APPROVAL ~.RC~RICAL C~TIFICATE NO. PLIghtERS ~TIFICATION DA'£F~ *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Authorized Signature Rev. 1/81 BUILDING DEPkRTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT ~AP NO.: ~OT (S) 12/05/78 DWELLING: ACCESSORY STRUCTURES: GARAGE, ~%q~E OF CG~ST.: VIOLATIONS: CF~PTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. TOWN OF $OUTHOLD BUU,DI~G DEPARTM~,NT Town Clerk', Office Southold, N. Y. Certificate Of Occupancy No..Z?~.7.~ ...... Date ....~.~a~...../~ .......... , 19 THIS CEETIFIES that ~e b~g l~at~ at. Map No ............. Bl~k No ........... ~t No .................................. ~OUI~S FOR O~ F~ILY ~.~.~ ~T ~IOR TO co~o~ subst~fi~y ~ ~e ~ ~ ......... C~TIFICA~ 0F da~ ...4~r~A..~ ......... , ~9~7.. ~u~ ~ da~ ...~9~ .... ~ ....... , 19 7~., was ~u~, ~d co~o~ men~ of ~e spp~csble p~io~ of ~e law. ~e o~up~ for ~u~ ~ .......... ~i~te..~. ~1~ ~ll~g .............................. ~e c~ica~ ~ ~ ~ ..... Wtl~. ~,. ~be ................................ of ~e ~e~s~d b~d~. S~o~ Co~ty Dep~ent of He~ Approv~ ........ ~r~ ............. ~WR~ C~T~ICA~ No HOUSE ~ .. ~ ....... S~ Cutc~9~e~ New York Count-% Tax Number 1000-109-7-9.2 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. Location Subdivision HOUSING CODE INSPECTION REPORT 1445 New Suffolk Lane Cutchogue (number & street) (Municipality) Map No. Lot(s) Name of Owner(s) William M. Beebe Occupancy Admitted by: (type) Mrs. Beebe owner (owner-tenant) Accompanied by: Mrs. Beebe Key available Suffolk Co. Tax No. 1000-109-7-9.2 Source of request Mr. Beebe pate 12/5/78 DWELLING: Type of construction Wood framed #stories Foundation cement block Cellar full Crawl space Total rooms, 1st. F1 7 2nd. F1 3rd. F1 Bathroom(s) 2 Toilet room(s) Porch, typ~ Deck, typ~ Patio, type Breezeway~Garag~ One Car Type Heat 0il fired Fireplace(s). One Domestic hotwater Other Utility room Warm Air X Hotwater No. Exits 3 Airconditionin~ Yes ~ype heater Oil fired ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. No Violations Remarks: Inspected by: ~ur~s norton Date of Insp. December 12. 1978 Time start 9:00 A~nd 9:30 AM FORM NO. 6 TOWN OF SOUTHOLD Building Depaf~,,,ent 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 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 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. Co 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 ...~....~.~. ........ .~.. · .~.. New Building ............. Old or.Pre-existin[LBuilding . .~ ...... Vecant[.and .............. , z Locat°nofProperty /~..~..,~'..~.~.~/1/ J~/4, ~// /~-- .L~_~._/_,~.'__.~__~ .~ ¢ ..... . ......... ,'.''' ',' ' ' ' ' ..................... ¢' ' Owner or Owners of Property .... ~Z,~ ,..,iL ..~..~'./~ ............................ County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Map No ............... Lot No ............... Permit No ........... Date of Permit .......... Applicant ...~....~../~: ................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate.. ...................... Fee Submitted $ ...... .~ .,..8~.. ............... ~U TCH< ; I.,I£ NA $~ ~ U ir "C" /ND USTR lA l_