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Home My WebLink AboutZ-9938FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No...ZC)9~8 ......... Date ....~.~.t..t~., .2..9 .................... 19 ..~. THIS CERTIFIES that the building ................................................ Location of Property ~s~ 'o~. ' ~:krte. !~0Ir- RO&d .... ~r'e~t' ............ l~Oll.~t~l.~ ....... Hamlet County Tax Map No. 1000 Section ... 0~.0 ..... Block . .. 0~. ......... Lot ....~.~. ........... Subdivision ............................... Filed Map No ......... Lot No .............. confo s .. Jipr~[.~ .23 ......... , 19 .~Tpursuant to whic~~-'-.~...~...~..~.~. .......... dated .. AP.I~$~...~ ................ 19 ..~., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .......... · l:~,vate, one. fal,t,:l,y, d~'e:3.3,~t~g..~..'gh...~..o...c.a~...g.~...age. .................. ' .... The certificate is issued to . . ~..If, · ~l~ck. & .Wf ........ . ...................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ... }I~.R ................................... UNDERWRITERS CERTIFICATE NO ........... ~./.R. ................................... Building Inspector Rev 4/79 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. Location Subdivision HOUSING CODE INSPECTION REPORT 340 Pine Neck Road Southold (number & street) (Municipality) Map No. Lot(s) Name of Owner(s) Arthur W. Block & Wf. Occupancy R-1 (type) Admitted by: Self Key available Robert W. Gillspie Un occupied (owner-tenant) Accompanied by: Self Suffolk Co. Tax No. 070-08-14 Source of request Edward P. Schroeder Date April 22, 1980 ~WELLING: Type of construction Foundation Cement Block Wood Framed Total rooms, lat. F1 3 Bathroom(s) Porch, type Glassed in Breezeway Type Heat 0il Fired Fireplace(s) Domestic hotwater Yes Other Deck, Garage Warm Air No. Exits 2 #stories 2 CellarPa~tialcrawl space Rest 2nd. F1 3 3rd. F1 Toilet room(s) type Patio, type Utility room Hotwater X Airconditioning Type heater Tankless AQqESSORY STRUCTURW-~: Garage, type const. Wood-2 Car Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 .L~cation Description Art. Sec. Stairs Up No Hand Rail II 52-27-B Bathroom Holes in bath floor III 52,-32rD ~ta!rs Some windows very bad .... III 52-30-.C. Kitchen No shut off Gas Stove Back Door Coming Apart ~?I1~ 52-31-B... Cell~ Do. r Broken III 52-D1-B Back i~$tep Cement Crumbling III 52-D1-A Garage Sills rotten, slidding door very bad~ III 52-~I-A.! r~>f bad Remarks Inspected ~~Date of Insp. 4/25/80 Time start.2:30 end_D: 15 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must b~ 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 feetum~ 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 Underwriter~ 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-axisting" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusua~ 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. C. Fees: ~ 1. Cert!ficate of occupancy $5,~) 2, Certificate of occupancy on pre-eX~ing dwelling or land use $5.00 3. Copy of certificate of occupancy : $1 00 New Building Old or Pre-eXisting Building x Vacant Land Location of Property3?.O. ?:[.ae ~.e.c~ [oact, Sout:bo].d, ~le, York. Hous~ No. Street Ham/et A=£hu= 1.1. and Joan I~1, Block Owner or Ownera of Property ........................................................ County Tax Map No 1000 Section 070 Block 08 ~+ 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 .... x. .................. Fee Submitted $ $. 00 Construction on above described building and permit meets all applicable codes and regulation[ Applicant ~c[~T.d P. Schroeder 10-10-78