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HomeMy WebLinkAboutZ-11161FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ~'J .~ .'l.6fi. .......... Date ...... Aq~t)9.~'. .~6~ ............... 19 ~.? THIS CERTIFIES that the buildinga.. ~ 2.)... ........................................ Location of Property . 3.~1:~ 75 ........... lqg[~,~l, g.o.~6 ................... .C.u.~.9i~.o~q9 .... House No. Street Hamlet County Tax Map No. 1000 Section . 0.9.T ....... Block .. 9.1 ........... Lot .,..0.0. 9. .......... Subdivision ...... 7~ ........................ Filed Map No.. ? ...... Lot No..X, ........... Requirements for a private one-family dwelling built prior to conforms substantially to the Al~l~li,yat'ioxr~o~'Btfif0tr~Pc, tmtt-~-ffietl-tlFtllts-off~'fl~t~ll Certificate of Occupancy · . .~. p?.~.l...~.3 .......... 19 .5.7. pursuant to which B~lding4a,mmit No .... ~.'1 .~.'(6.. '! ........... dated .... a~gtla g. ~.6 ............. 198. ~.., 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. o. el~r~.~:.,~. ~)~.o.-. ~a~a.~,~, xt. ~.~.~ .~.~3.n.~. ,.~..a.e.c..~.~?.9 .ry..~.~. ?.-.c.~.v...g?.v.~..~?., ......... The certificate is issued to Ci~e~tor 3rTnda ..................... b¥,,~.,:, Ysi~:d;~;.~ ...................... of the ~foresaid building. Suffolk County Department of Health Approval ....... ~a./.r. ............................... UNDERWRITERS CERTIFICATE NO ............... ~a./.e. ............................... Rw. 1/81 BU~I.,.G DEP:~=RT>LENT T0b$I OF SOUTHOLD, N. Y. HOUSING CODE INSPECTI01i REPORT L~ .... n 33775 Main Road Su~_s~o~ X Hau No. Cutchogue (munzczpa±~y) Lot(s)_ x Ne_me of Owner{s) Chester Brynda Occupancy R-1 ~yp ~ A~ ...... a by: self unoccupied (owner-zenanV) Accompanied by: same Key available Mr. Vitriol Suffolk Co. Tax No. Source of request Gary Flanner oi'~e'n, Esq. Date. 097-01 -O09 8/25/82 Dh~LLi}fG: Type of construction Fomndation Total rooms, 1st. F1 4 Bathroom(s) ~ Porch, type Breezeway ~/pe Heat oi~ fired Fireplace(s). Domestic hotwater yes Other cement block wood framed #stories 1 Cellar. partial Crawl space X 2nd. FI 3rd. Fi Toilet room(s). Deck, t~e Patio, type Garage -'Utility room x Warm Air Hotwater x No. ~its 2 Airconditioning. tankless Type heater ACCESSORY STRUCTb~ES: Garage, type const..2-car wood Swi=,ming pool Other Storage, type const. Guest, type const. }IOLAT!ONS: Housing Code, Chapter 52 Location t DescriDtion I Art. I Sec. ~arage I wood posts & sills bad - rest needs I I t repairs cellar kitchen rail not continuous to cellar wall tiles off in places IIII I2-30_A,Ii,C,D II ~2-27-B III 52-32-C Remarks ' Inspected by: (d~/~7~'/~ Date of Insp. Aug. 26I 1982 Curtis ~, Hort'on 'Time start 11:30 end 12:00 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. 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.O0 New Building ............. Old or Pre-existing Building(X) . _..~,. . ~ ~Vacant Land i ........... Loeat,on o, Property .... ............... House No. Stree~.~ i I'~ Hamlet Owner or Owners of Property . . .~..~. N.~---~_/~...~.~ .~.~5~.~- County Tax Map No. 1000Section .~.~ .......... Block .~.~ ........... Lot....l~: .......... 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 ................. Construction on above described building and permit'meets all app~cable~c s d r l~tions. ©. FLAKER. OLSEN .ES ain Road