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HomeMy WebLinkAboutZ-10572FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date ......... ju.l.y · ~ .3.,. · 198'% ........19... THIS CERTIFIES that the building ................................................ 200 North Lane, 50 Sylvan Drive, East Marion, New York Location of Property ............................................................... Hou~o No. Street Hamlet County Tax Map No. 1000 Section . .3.1 ........ Block .... ~.§ ......... Lot .... ~ ............ Subdivision.. ~q~.~. ~ ............. F~ed ~ap No...~...Lot No. ~. ~..~ ..... , reqq~rement~ ~or a one family dwellingbu~lt prior to confo~s suostant~miy to the A~~-~~~-~d~g--- ....... ~nv~ .~3 ..... , ~9 5.z p~r~t to w~~~q~R~.t9~7?... dated ..... f.~. ~.~ t ............. 19 8..~. , was issued, and conforms to an of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Private One-Pamily Dwelling The certificate is issued to ...... of the aforesaid building. (owner, lessee or tenant) Suffolk County Department of Health Approval .... 1~/. I~ ................................... UNDERWRITERS CERTIFICATE NO .... RZR .......................................... Building Inspector Rev. 1/81 BUILDI[,.~G DEPAP. T['!ENT TO¥,~,~ OF SOUTHOLD, N. Y. HOUSING CODE IHSPECTION REPORT Location 200 North Lane, 50 Sylvan Drive, East Marion, New York (number & street) (MLunicipality) Subdivision Gardiners Bay Map No. 275 .Lot(s) 57 & 58 Name of O~rner(s) Arthur Collier and Wf. Occupancy ~-1 (type) Admitted by: Mrs. Owner ( owner-t enact ) Collier Accompanied by: same Key available__ Suffolk Co. Tax No. 31-15-5 Source of request R. G. Terry, J~. Date July 6, 1981 D?FELLING: Type of construction Foundation Total rooms, Bathroom(s) Porch, type Breezeway, Type Heat Oil Fired Fireplace(s). ~ Domestic hotwater Yes Other Wood Cement Block 1st. F1 6 1 Cellar 2nd. F1 1 Toilet room(s) #stories 2 Crawl space All 3rd. F1 Deck, type Patio, typq Garag% Utility room X Warm Air Hotwater No. ~xits 3 Airconditionin~ ~YPe heater Tankless Attached Tool Shed ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other NONE storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Descriotion Art. Sec. Kitchen No Shut off gas stove V 52-52-E6 Outside House Needs Paintin~ III 52-30-C Remarks: Inspected by:~'~X %,~ate of Insp. July 8, 1981 ' Curtis W. 'Hor{on- T~me start ~i0~ end 1.1;15 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southo~d, 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-iS-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 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 .......................... New Building ............. Old or Pre-existing Building ...~',. ....... Vacant Land ............. Location of Property...,~ 0..~..¥ ./..Y'. ~.~1.. i~i,L~]~ .~.. '." ~J.'~-'cz;..'.~.~..'..'~'..' ........ ~--~. · .~ House No, '" ~ Street Ham/et Owner or Owners of Property . ,.~..~.~..-r-.H..L). I.~. .... .~.0..JT.~' ~..E.I.~......~....~..~. .................. ...... F,, pNo. X .... L o. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate Fee Submitted $ ........................ Construction on above described building and permit mee. t.s all app_licable codes and regulations. Applicant. ..-' ...,o_,0_. /' ........