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Home My WebLink AboutZ-10102FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. Z1 0102 Date ........... ~95~.~ ............ 19.80.. THIS CERTIFIES that the building ................................................ 2125 Sigsbee Road Laurel, N.Y. Location of Property ......................................................... House No. Street 2 1 20 County Tax Map No. 1000 Section .'1..~. ........ Block .Lot Subdivision ................... . ....... . .... ,.Filed Map No.,.. '"' 'c~L~lI~°"llTMwe J.x g to r~quxremen~s rot a one ramx.y conforms substantially to the ~~ Certificate of Occupancy ..... g..p.~.i.]: ..2.3 ....... , 19~.7.. pursuant to which~ .......... .Z.1.0. ! 9.2. .... dated ...... .2.~. ........... 19.8.0., 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 ......... Private One Family Dwelling The certificate is issued to ............. ~.i. ~..1.i..a~.. ?I.,.. ~..~9.a.i.~l~'..&..¥.f., .................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ........... N/.R. ........................... UNDERWRITERS CERTIFICATE NO ................... .N./?. ........................... Building Inspector Rev 4/79 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location Subdivision 2125 Stgsbee Road (number & street) Map No. Laurel, N.Y. (Municipality) Lot(s) Name of Owner(s) William H. Cassidy & wf. Occupancy R-1 (type) Admitted by: Mrs. Cassidy o~er (ow~ler-tenant) Accompanied by: Mrs. Cassidy Key available Suffolk Co. Tax No. 1000-141~-2-19 & 20 Source of request William J. Clark~ Esq. Date August 15,1980 DWELLING~ Type of construction Wood Foundation cement block Cellar Total rooms, 1st. F1 6 2nd. F1 #stories one Crawl space X 3rd. F1 Bathroom(s) Porch, type Breezeway. Type Heat electric Fireplace(s) Domestic hotwater Other 2 Toilet room(s) Deck, typ~ Patio, Garage Utility room Warm Air Hotwater No. Exits 2 ~es Type heater type. slate Airconditioning electric ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. 2/metal-storage VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. Front of Dirt touching house III 52'31 B house Side porch Rail needed/side porch II: ~2-27 B Remarks: by:~Date of Insp. August 22, 1980 Inspected Curtis Horton Time start ll:15end ll:30 ·ORM NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office 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 Inspector 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 installations, 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 proper~ 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 New Building ................ Addition ................ Old or Pre-existing Building ......~. ......... Vacant Land .............. Location Of Property .... .~..~..~..~.~..~.~'~...$.:~..q..~.q..~.~...~.~.~.1~.~.~'~.~.g~ ................................ Owner Or Owners Of Property ..... .~..~...l..]:..~."a~"..~.~...~....~..a...B..~..~...~.~...~..~.~.~..~:..b..e.~.t;..h..~'~%~.~.~.~.~.~e __a~d Westerly ~ lot 6'1 Subdivision P.3~.Qg~.~Z..g,~..~[~;.~i.~]$.~..~.~.~.?.~t No..~- ...... Block No ............. House No ............. Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fin~ Certificate ....... ,~. ............................... Fee Submitted $ .........~......O.Q ................. Construction on above described building and permit ~meets all applicable codes and regulations. Applicant .............................. ~Elizab~th A. Casszd~ /, ~/~ Sworn to before me this %/~,, ..... ?.~.%.h... day of ....A...~...~...~...'1..~.8...0. ............... (stamp or seal) Notary Public .................................... County STATE OF NEW YORK ) ) SS.: COUNTY OF SUFFOLK ) ELIZABETH A. CASSIDY, being duly sworn deposes and says: That I reside at $igsbee Road, Mattituck, New York and am one of the owners of record of premises located on Sigsbee Road, Mattituck known as lot no. 62 and one-half of lot 61 on "Map of Property of Mattituck Park Properties, Inc.". That I have occupied the said premises as a one-~amily dwelling since October 196~ and that the said premises has been previously occupied as a one-family dwelling. That the building erected on the said premises is and has been in good condition and suitable for occupancy as a one-family dwelling. "Elizdbeth A. Cas~idy / Sworn to begore me t~s~~August _'1980 WILLIAM J. CLARK NOT.~ PUBLIC. State of New ¥~ No. 52-67l 25OO ~ualified in Suffolk County Exl~irea March 30. 198_~