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Home My WebLink AboutZ-10554FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ?-10554 Date ........... done. 30 19 .81 THIS CERTIFIES that the building ................................................ Location of Property ~sb Wo .... 3775..$icu~.k. ~a~,. ~ .... Cu ~ogue.,.. ~e~..~ork. · Hamlat ~o~ty T~ ~ap ~o. ]000 S=ct~on .... ~ ...... B]oc~ ... ~. .......... ~ot .... 1.~ ........... Subdivision ............................... ~d ~ap ~o ......... ~ot ~o .............. Ce~ifi.ca~ of Occ~g ..... ~P.~. ~.~ ...... , ~. p~suant to w~ch S~~ ...... Z.l.055A ........ dated ..... ~ ~.~ · ~ ~ ............... ~ 9. ~ ~, was issued, and confo~s to aU of the requkements of the applicable ptov~Jons of the ~aw. ~e occup~cy for w~ch t~s ce~tficate ~ issued ~ ......... ........... ~.~. ~.~a~lY..~Vel.llog..~l~..A~m.a~ry..8~ru.c.~rem ............... ~e ce~ficate is i~ued to ......... Rlnlfr. e~. H....Blllard ........................... of the aforesaid b~lding. Suffolk County Depa~ment of He~th Approval ....... ~ / ~ ................................ U~ERWR~ERS CERTIFICATE NO ....... ~/~. Building Inspector Rev. 1/81 BUILDING DEPA-RTMENT T0¥,¢~ OF SOUTHOLD, N. Y. Location Subdivision HOUSING CODE INSPECTION REPORT 37?5 Skunk Lane, Cutchogue, New York (number & street) (Municipality) Map No. Lot(s) Name of O~er(s) Winifred H. Billard Occupancy R-1 (type) Admitted by: Miss Billard Owner ( owner-tenant Accompanied by: Same Key available Suffolk Co. Tax No. R7-9-13 Source of request Gary Flanner Olsen,Esq. Date 6/18/81 DWELLING: Type of construction Wood Foundation Brick Total rooms, let. F1 3 2nd. F1 2 Bathroom(s). 1 Toilet room(s) Porch, type Wood .Deck, type. Breezewaz Garagq Type Heat Oil Fired Warm Air Fireplace(s) No. Exits ~ Domestic hotwater Yes Other framed #stories 2 Cellar Partialcrawl space Rest 3rd. F1 Patio, type Utility room Hotwater x Airconditioning type heater Gas ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other 1½ story wood barn Storage, type const. Guest, type const. Wood VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. Kitchen Gas Stove V 52-52-E6 Cellar No Rail Cellar Steps II 52-27-B ~llar ~t~ps not eaual and steep II 52-27-A Remarks: Inspected by: ~~_ ~ ~?~. Date of Insp. June 30~ 1981 Time start 11;30end 12:00 Curtis ~. Horton 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 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. Bo 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. 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 ....~./.'.~..1../~.J .............. / ' ' New Building ............. Old or Pre-existing Building .... .~ ..... Vacant Land ............. Location of Property ........ .~.~.~..v~..\.~...~ .... ~ .L-.~..~..~.v~,~..j..~/~.,~, .......... Owner or Owners of Property . . . .~.. ~.v~L .~....~ ~ . .~'~ .~.~. ....................... County Tax Map No. 1000 Section ....~...~ ....... Block .... .~ ......... Lot..1.,~ ........... Subdivision ................................. Filed 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 ...~. ................. ee bubmitted $.. 'b"T" ~ ............... ./ Construction on above described building and pe.r~.~it_,~e~a~ap~blec~~ions. Applicant . .~,~:~'. './?.~~. ~ ...................... Rev. 10-10-78 FLANNER OLSEN ESQ. P. O. Box 38 Main Road Mattituck, L. I., N.Y. 11952