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Home My WebLink AboutZ-9700FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy Date ... ~.el~te~ber. 2,8 ............... 19.79 THIS CERTIFIES that the building ................................................ Location of Property .... ~.'j.O...~.e.~.a..r...DZ?.$ .v.e ........................... l~t.~G~GtlOk... House No. Street Ham/et County Tax Map No. lO00 Section ... 'Jo~. ..... Block .... 'Jo ......... Lot .... 'Icj ........... Subdivision ............................... Filed Map No ......... Lot No .............. tRoet~~ tot a..one t .~y e~ g ~ r oz. to conforms substantially C er~$ .fLc~.~.e ~f 0.,c~rpancy dated ... September. 2~t .......... 19 7~, 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 ......... (~e F.a~. Dwelling (Non-habitable cellar) The certificate is issued to ......... E~-t.&e · Bu.t;l~er~ol-th. - ..... :,- ..................... fowoer, ~ of the aforesaid building. Suffolk County Department of Health Approval ................. hl~l~. ..................... UNDERWRITERS CERTIFICATE NO ......................... hl~[ ..................... Rev 4/79 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 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. 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 New Building ........... ~. Old or P~re-existing Building ....~. .... Vacant Land ............. Location of Property ~u~ ~..~1~. Owner or Owners of ProperW'.. ~. L~/~}'~.J~ .~...~....~. ~.~. ~.' .... ...~. .............. County Tax Map No. 1000 Section . .~..~.~., .~.0... Block ...~..~.: .~).~. .... Lot...~..~..~, .~1 .~. ~ 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~tificate~._ ................... .....................~' I Certificate . ~.. ................. Fee Submitted $.. ~3..~ Construction on above described building and permit a ~ e codes ations. Applicant .. ~~~-~.~... ........ Rev. 10-10-78 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 3~0 Cedar Drive (number & street) Subdivision Matt. Dev. Corp. Map No. Mattituck (Municipality) 776 Lot(s) Name of Owner(s). Eunice Butterworth Occupancy R- (type) Admitted by:. Mrs. Butterworth Owner (owner-tenant) Accompanied by: Mrs. Butterworth Key available Suffolk Co. Tax No. Io6-IO-lq Source of request. Gaz~TFlanner 0.1se~, EsQ. Date Sept. 21, 1979 D¥~ELLING: Type of construction Foundation. Total rooms, 1st. Bathroom(s) One Porch, type Breezeway Type Heat Oil fired Fireplace(s) One Domestic hotwater Other Wood frame #sTories One' Cement block Cellarpartial Crawl space F1 Five 2nd. F1 3rd. F1 Toilet room(s) ,, Deck, type Patio, type Garage Attached Utility room · Narm Air Hotwater No. Exits Two Airconditioning Yes Type heater~ Tankless ACCESSORY STRUCTURES:. Garage, type const. Swimming poo~ Other ...Storage, type const. Guest, type"const. VIOLATIONS: Housing Code, Chapter 52 · ..Locat. ion Description Art. i Sec. Cellar No hand rail Steps are narrow II 52'27-A Cellar Foqnd bedroom t~ a~ll~w II ~2-2B-D 52-2~-B Remarks: A cellar 'C~a~not be used for habitable space. ..,, Inspected by.: ~'~~ Date of Insp. Sept. 2~, ~979 Curtis Horton Time startll:O0 end 11:30 B