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Home My WebLink AboutZ-11247FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z.I.1.2..~ 7 .......... Date ....... 0..c.~.o.b.e. ?..8. ............... 19.8.2. THIS CERTIFIES that the building .s...(.2. ? .......................................... Location of Property .. ] .5.* ..... S..~.und Road Oreenpor t House No. '~'t/e~i ...................... fi~t~let County Tax Map No. 1000 Section . .q 3. .5 ....... Block . . .0. 1. ..........Lot .... @ 9.6 .......... Subdivision ..... .X ......................... Filed Map No...X. ..... Lot No....X .......... Requirement~ for a private one-family dwelling built prior to conforms substantially to the Certificage of Occupancy ...~.p?.i. 1...~.3 .......... , 19 .5.7. pursuant to which Buflxti~'l~nrrit No....Z .1 J.2.6. ? ............ dated .... .O.c.~. 9 .b.~r..~ ............. 19 .8.2., 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 privaee one-familx dwelling and accessory storage building.. The certificate is issued to .. Joseph O. & Beatrice M, Brandi ................... ..................... of the aforesaid building. Suffolk County Department of Health Approval ...n./.9 .................................... UNDERWRITERS CERTIFICATE NO. n/a 815 is 2O5 NOTE: the Greenport mail system house number is the Bouthold Town house number Building Inspector This Certificate includes the addition constructed under B.P. 3153Z and approved under C.O. Z2698. BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. ~ HOUSING CODE INSPECTION REPORT Location / ~ ~/~--D~ (numbe~ & street) (Municipality Subdivision Name Of Owner(s) ~/~ ( type Key available Source of request DWELLING: Type of construction Foundation ~c~ - Total rooms, let. FI Bathroom(s) Porch, type Breezeway Type Heat ~}~;i Fireplace(s) Domestic hotwater Other ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Deck, type------ Garage ~ Utility room Warm Air Hotwater /~~-- No. Exits Q · Airconditioning ~--~ Type heater ~-~ #stories ,~r-~_.,.. Cellar ( Crawl space~~ 2nd. F1 3rd. F1 Toilet room(s) ~/~Patio, type Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 ...Location Description t Art. Sec. ~:~marks: inspected by: ~ ~nate of Insp. Time start Or-~5~end ~3 ~ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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. 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. 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 August 11, 1982 New Building ............. Old or_Pre-existing Building .... X.X. ...... Vacant Land ............. 15 ~Sound Road Greenport Location of Property ................................................................... House No. Street Hamlet Owner or Owners of Property Joseph O. Brand± and Beatr±¢e M. Brandi 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 ...................... XX Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $. Construction on above described building and permit meets all ,~ ~ppncan~ ..................... ~ ~7 ~M Wi~~~' E'J~, Attorney/Agent~ for Joseph O. Brandi and Beatrice M. Brandi Rev. 10-10-78