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Home My WebLink AboutZ-10807FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z 105.07 ......... Date ..... De.o e m bar.. 8 ................ 19 8.1. THIS CERTIFIES that the building ................................................ Location of Property .. 2.90 .............. Gille.~.te. Dr.,.ye ........... [~At~. ~lp.r.:~gp.. House No. Street Hamlet County Tax Map No. ] 000 Section . 03~. ....... Block .. 02 ........... Lot ....0.0.3. .......... Subdivision .... y~a='=Lor~ .[qan~r ............ Filed Map No. 20.3.8....Lot No..3.0. .......... , .~equ,irements for a private one-family dwelling built conforms suostantiany to me ~l~l~LLcaLia~.f~-lluilzLi~l~eamit-he~et4ff, are.~'ded,~-t, his. eW~ Certificate of Occupancy prior..to. April..23 .... ,19.5 ?pursuant to which Btfi-lffing'Petmtt-No .......... Zl OB.gtE ..... dated ..... D · c.emb er..8 ........... 19. ~ .1, 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. gr. ~.v ~.t.e. On.e.-. ~ ~¢./.], y..d.~.e. 1..l.i.n.~ t. a~d. a ~./,mm;Lr~g. pv~.l · ................. The certificate is issued to .. J~.a be r.t..ti,. ~B.r.c~ .wp..&...C.h.r.i.s..t.a..B.r..oy.n. ~...h.i.s..w..i.f.e. ....... f owner, iemae, e,. ee~.aeW of the aforesaid building. Suffolk County Department of Health Approval ...... ~ [ ~t ................................. UNDERWRITERS CERTIFICATE NO .............. ~1 ! B ................................. Building Inspector Rev. 1/81 BUILDING DEPARTMENT TOW~,~ OF SOUTHOLD, N. Y. HOUSING CODE I~ .7. ECTION REPORT Location 290.Gillette Drive [number & streeT) Subdivision Marion Manor Map No. East Marion (Municipality) 2038 Lot(s) 30 Name of O~mer(s) Robert W. Brown & Christa Brown Occupancy R-1 (type) Admitted by: self unoccupied (owner-tenant) Accompanied by:_ self Key available John Nickles Suffolk Co. Tax No. D38-02-003 Source of request Irvin~ L. Price, Jr. Date_ Dec. 3, 1981 DVfEI,LING: Type of construction wood Foumdation cement bi ock Total rooms, 1st. F1 5 . framed #stories Cellar__f_u_~Crawl space 2nd. F1 3rd. F1 one Bathroom(s) 1 Porch, type. Breezeway ~ype Heat oi~ fired Warm Air Fireplace(s). No. Exits 3 Domestic hotwater yes Type heater Other cellar is 3/4 finished off. Toilet room(s) Deck, type Patio, type cement Garage 1 car Utility ~oom in cellar Hotwater x Airconditioning tankless ACCESSORY STRUCTURES: Storage, type const. Guest, type const. Garage, type const. Swimming pool X Other VIOLATIONS: Housing Code, Chapter 52 ~Location Description Art. Sec. garage garage ~oor needs repairin~ III ~52-31-B Remarks: bv:%-~/~,~_~r~./~'~D~/ ate of Insp. December 7. 1981 Inspected Curtis W. Horton Time start ~2:30 end 2:50 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 featu res. 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 alt 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 December 3, 1981 New Building ............. Old or Pre-existing Building ....X.X. ...... Vacant Land ............. 290 Gillette Drive East Marion Location of Property ................................................................... House No. Street Hamlet Owner or Owners of Property Robert W. Brown and Christa Brown, his wife County Tax Map No. 1000 Section .... 9.3.8 ........ Block ....... 9.2 ...... Lot .... 0.9.3 ......... Subdivision. ,N.a.p...o.~..N.a..~.o.~...N.a.~.o..~ .........Filed Map No. 2038 .Lot No. 30 Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....X.X. ................. Fee Submitted $...5...0.0. ...................... Construction on above described building and perr~it meets all applicable~c3odes an,d3regulations. (/ IRVING ~. PRICE, JR., A~6rney/Agent for Rev. 10-10-78 Robert W. and Christa Brown