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Home My WebLink AboutZ-10868FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. Z3.Ct868 ......... Date ....... gg~av~a~y. 1 ............. ,19..82 THIS CERTIFIES that the, building . a .............................................. · . -5 ............... Mid.~ay. R~ad. ' .SO~hOl~.. ~cation of Property House~. S~t ' '~j~ County Tax Map No. 1000 Section . ~90 ....... Block .... 02 ...... ~..~t .. ~06 ........... Subdivision. H=p. of- -6eda~ .Beach ~?Pa~R · .FiledMap No. ~0 · ·: · .Lot No... ~.13 ....... . cer~c~t~ o~. Rccupancy · · to .~pr~.$ -23 ...... , l~ ~7 pursuant ~o wmcn~-~,~o ......... Z'~0868 ...... dated .... F.~bru~y. 2 ............ 1~. ~ was i~ued, ~d confo~s io a~ of~e req~ments of the app~cable provisions of the law. ~e occupancy for wMch tMs ce~ificate 2 i~u~ ~ ......... .a. ~iva.~e. ona~a~ly, d~e~l$a~. &. acceaao~. 2nea~ .gav~e .............. ~e ce~ificate is issued to . .Calvin · Coo~$dga .&. ~u,iae..C.. ~uen~v .............. of the afores~d b~ld~g. Suffolk County Department of Health Approval ...... N.~R ................................ U~ERWRITERS CERTIFICATE NO .............. g.AR ................................ Rev. 1/81 Location Subdivision Name of Ovmer(s) Calvin Coolidge Occupancy R-1 (type) Admitted by: self BUILDING DEPARTMENT TOI~[ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Midway Road (number & street) Cedar Beach Park Map No. 90 & Louise E. Key available Source of request Roe, Southold (Municipality) Lot(s) 113 Bruenner unoccupied ~ owner-tenant) Accompanied by: self First Towne Realty Suffolk Co. Tax No. 090-02-006 Carman, Clerke', Berkman & Date. 1/15/82 Peddy, P.C. D~'~,LING: Type of construction wood Foundation cement block Total rooms, 1st. Fi 4 Bathroom(s) 1 Porch, typescreen & glassDeck, Breezeway. Garage. framed #stories 2 Cellar partial ~R~lx~p~ slab 2nd. F1 3 3rd. F1 Toilet room(s) ~ type Patio, typ~__ Utility room ~,pe }{eat oil fired Fireplace(s). 2 Domestic hotwater Other Warm Air central Hotwater No. Exits 3 Airconditioning yes Type heater electric ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other 2 car wood storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description Ar~.. Sec. kitchen kitchen windows need repairing III 152-31-B bath bathroom~ first floor, in poor condition .... and not waterproofed III 52-32-D inside cellar steps narrow & steps too far apart II 52-27-A ~vin~ room bay window needs repairing III 52-31-B Remarks'. Inspected by: ~/~ Dcte o£ Insp. Jan. 28, 1982 Curtis W. Horton T~me start 3:00 end 3:30 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 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 $5.00 Date ..... New Building ............. Old or Pre-existing Building(Z) .. ..... =/Vacant Land ............ Location of Property . ~ ~ 0 MII)~',?A¥ ROAD _CEDAR B~jACI-[ PARK Owner or Owners of Property CALVIN COOLI~DG~E and LOUISE C. B.R. UENNER County Tax Map No. 1000 Section . .(:JO ........... Block ...... 2. ........ Lot ..... ~ ....6, ..... Subd v s on , ,PL~, .P..QF,..C.E.D,A. ,R..B.E.A..C.H..P.A.P...K .... Filed Map No, 90 . .Lot No. 113 Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ......................... Underwriters Approval ........................ Planning Board Approval .................. ~ .., Request for Temporary Certificate ..................... Final Certificate .... : ............ Fe;~ubmitted$.5.:.0~..// ................... ;; /' /~/ Construction on above described building and per '~eeft~/.¢~' ~le_.r. odes and regulations. ...................... 2~,1~2, ~ ~ ' 'LOUISE'C. BRU~NER ...... R,~.~O-~O-TS ~ I~W~ '' '~' BY'. ROE, CAR~CLERKE, BER~N & PEDDY, P.C. .%. ~iT't4~P STY. MID WA Y RO,~D $ 99.85 kLOT I/3- N 69tSO'-IO"W 98.70 L/TTLE PEOONIC 8A )/ U i.n N 6UR VEY OF PROPER'FY $~fu~t~d of BA Y'¥16 W TOWN OF 80(./TNOLD SUFFOLK COUNTY NEW YORK SCA L£, 1":25' THE TITLE ~UAR~NT~ CO. T/~81-~5 WILLIAM TuITE PAULA TUITE ,T,e dbt. ~ev DATE5 SURVEYED :' NOFEMgER 2~, 1981 ) OEO lO,/981 Lot nos. 8howo heroon rePtr io Mop . of Cedor beqch ?~rtf, fl/ed Oeo, lo, 1~27 05 n0.90, prCn7/~e3 016o shown as Lotc a6 ~ 002, - - 'TUITE