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Home My WebLink AboutZ-10336FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y., Certificate Of Occupancy No. Z10336 Date ...~.. ,a~..u?..x~., 6 19 O 1 THIS CERTIFIES that the building ................................................ 3hO Robinaon Road Gx~e enpoxq; Location of Property StJ~sj ~/oi ....................... ~'r'eJi ....................... hJr~/'e~ County Tax Map No. 1000 Section .0. :~.. ....... Block .0.,~ ............Lot .0.1. .3 ............. Subdivision XX .Filed Map No. X ..... Lot No. X REQUIRF24FJ~Ts FOR A PRIVATE 0~E-~AMILY DWELLING BUILT conforms substantially to the ' O~ ' IFICATE OF OCCUPAt~CY P.R.I.O.R.. 7.0..A..p.~.~.~..~. ?.., 19~.7.' pursuant to whichYl~~ No...Z?.0.3..3.6 ............. 81 · dated ............................ J~unuax~' 6 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 ......... a px-iva~:e one-family dwelling The certificate is issued to David 0. a Lo..~ D. Bmxekheimex~ ................... : io¥.',;~~ ...................... of the aforesaid building. Suffolk County Department of Health Approval N/R UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev 4/'/9 BUILDING DEPART~iENT T0¥~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 3~0 Robinson Road (number & street) Subdivision XX Map No. X Greenport (Municipality) _Lot(s)x Name of O~er(s) David 0. & Lois D. Bruckheimer Occupancy R-1 (type) Admitted by: Mrs. Bruckhetmer Owner (owner-tenant) Accompanied by: same Key available Suffolk Co. Tax No.10OO-034-0%-0~3 Source of request Richard F. Lark Date 12/26/80 DWEImING~. Type of construction wood #stories one Foundation cement block Cellar Crawl space X Total rooms, let. F1 6 2nd. F1 3rd. F1 Bathroom(s) 2 Toilet room(s) Porch, type Deck, type Patio, type Breezeway ..Garage 2 car Utility room Type Heat oil fired Warm Air X Hotwater Fireplace(s) 1 No. F~its 3 Airconditioning Domestic hotwater ~es Type heater gas Other ACCESSORY STRUCTURES: none Carage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. ~tside ~ouseneeds painting badly III ~.2-30-C.. Remarks: Inspected by: _~,~_,~ ,~_~.~Date of Insp. 1/6/81 Curtis Horton Time start 11:3~ end_ 11:50 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hail 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. 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 sefeW 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 December 26, 1980 New Building ............. Old or Pre-existing Building ...X. ........ Vacant Land ............. Location of ProperW .................. .~.o.b.~..~.s.o.~...~.o.a~ .................. G..~.e.e.qp.o.~.t. .... House No. Street Ham/et David O. and Lois D. Bruckheimer Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section .... 0.~.4 ........ Block ... 9.5 .......... Lot.. 9.1.3. .......... 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 $ .5.: .0.0 ........................ Construction on above described building and p ~/~.~e_ t~l/~b~ and regulations. Applicant . .//.. T. _~-'~'.."4'-~... L~..-../¢~4..'~-~-"~...~ ....... ~ ..... : ...... RiChard F. Lark, A~torney :or app-icant o/