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Home My WebLink AboutZ-10843FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date ... ~l. arlu~r.y.. 5 ................... 1982. THIS CERTIFIES that the, building8 ............................................... Location of Property .2. ~ .0 .............. C.e~.y~.s.. ~ .e.c.k.. ~ 9,a.d. ........... E~q~t.t~cll~ql ...... House No, Street Hamlet County Tax Map No. 1000 Section .0.65 ........ Block .0.7. ............ Lot . .Q39 ............ Subdivision ..... X .................. ~ ....... Filed Map No...X.. ~..Lot No. X ............ Requirements for a private one-family dwelling built conforms substantially to the-4}~H~i~a~i~-f~`B.u/.~di~g-~a~v~mi-t~-h~'~fer~-f~ex~-in-45~is-~f~e~-~xt~. Certificate of Occupancy pv:f. ox"..to..April..23., 19 5.7. pursuant to wliich..lh~dios-Per-mit-No... Z.1.0.Sq 3 ............ dated .... .d.a.n..u g?.y.. 5 ............. 19..8.~ 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 ......... a.. p.r. 5. yp.~.e' .o..n.e.-fa..m~..~.y.. ¢ y.~l. 1..i.n.g..'q .i.~.h...o.n.e. ?..o.o.d.e.n., ?.c.c.e. ~..~?.r'.y...s.t.e.u.c..~.u.~e.... The certificate is issued to . .C..19.m.~n..t..W.,.. B. 99.~h' 1..'J.P. :..&..k.n..t 9.n.:[.a...8.,..B..o.o.t.h. !..h.i.a...w.ife (owner,.d~;~t mxt~ralt of the aforesaid building. Suffolk County Department of Health Approval ...... .lq./.~ ................................ UNDERWRITERS CERTIFICATE NO .............. .N./. R. ................................ Building Inspector Rev. 1/81 BUILDING T0¥,7[ OF S vUTHOmD, N. Y. }lOUSING CODE INSPECTION REPORT Location 250 Calves Neck Road Southold (number & street) (M~icipali~y) Subdivision X Map No. x Lot(s) x Name of O¥~er(s) Clement w. Booth Jr. & Antonia S. Booth Occupancy R-~ {type) Admitted by: Charlie Witherspoon owner (owner-tenm,t) Accompanied by: same Key available__ Suffolk Co. Tax No. 063-07-039 Source of request Clement W. Booth~ Jr. Date 12/28/81 DVFELLING: Type of construction wood framed Foundation ~to~e & cement block Cellar Total rooms, 1st. Fl6 2nd. Fi Bathroom(s) 2 Toilet Porch, type 2--screened irDeck, type Breezeway Garage. #stories 3 full Crawl space 5 3rd. F1 1 room(s) 2 Patio, type Utility room Type }{eat gas Warm Air Hotwater x Fireplace(s) 5 No. ~its 4 Airconditionin~ Domestic hotwater yes Type }]eater gas Other one room finished in the basement ACCESSORY STRUCTI~ES: ONE Garage, type const. Storage, type const. Swimming pool Guest, type const. Other Wood 'L' shaped barn with storage for at least 4 cars. VIOLATIONS: Housing Code, Chapter 52 Locatign I Description Art. Sec. ~allwav Qellar steps very narrQw, also open on one side of the stairway II 52-27-A & barn ~eeds various repairin~ such as door~ sill~ roof leaks in several places. , III !.52-31-A,~ B ,C Remarks: Inspected by: C~'~/~,/~/~pate~ ~ of Insp. 1/4/82 Curtis W. Horton TSme start ~2:45 end 3:30 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. 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. 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 Debember 28, 1981 New Building ............. Old or Pre-existing Building ....... x. .... Vacant Land ............. i. ,~ _~m1~tw~e./Calves Neck Road Sou%hold Location of Property ,... ............................................................... House No. Street Ham/et Owner or Owners of Property Clemen~, W, Jr. & An%oni& ~. Boo~,h lO00 63 7 39 County Tax Map No. 1000 Section ............... Block ............... Lot ................ 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 .~- ..................... Fee Submitted $ ~.00 Construction on above described building and p/r '~meets~all/~pli~ble cg~de, s and regulations. o ./ ,L / // / UNAUTHORIZED ALTERATION OR ADDITIOh TO THIS SURYEY IS A VIOL~TIOfl OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.