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Home My WebLink AboutZ-9691FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No....Z.9.~.9. ? ......... Date .... .S.e~.~.e.m..b.e?...2.~ ............... 19 7.9. THIS CERTIFIES that the building ................................................ Location of Property ...1.~'] 2..~.ql~..e.r~y.. ?.o.~.4..L..a~.e. ........................ $olAthold House No. Street Hamlet County Tax Map No. I000 Section ..... ~.9 ..... Block .... 5. ......... Lot .... 5. ........... Subdivision ............................... Filed Map No ......... Lot No .............. requirements for a one family dwelling built prior to conforms substantially to the ~ , 57 Certificate of Occupancy ..... .~p.r.~.~..~.~. ...... 19... pursuant to which~ No ......... Z969.~ ....... dated .... S. Op~.e~lp~..25 .......... 19.7.9, 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 ......... ................. 9 .n.e..~..ac..~y...r~..e.%%~.ng .~..6~.c.e.~.~.o..~..9~.~.~.g~. -. .................... The certificate is issued to .......... .QO..~..ty..O..~. ~.t~f..~9~.~_. ............................... (owner, of the aforesaid building. Suffolk County Department of Health Approval ................. N./_~ ..................... UNDERWRITERS CERTIFICATE NO ......................... .~/.R. ..................... Building Inspector Rev 4/79 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location Subdivision Ackerly Pond Road (number & street) Map No. Southotd (Municipality) Lot(s)~ Name of Owner(s) Comm. of Welfare, County of Suffolk Occupancy R - 1 (type) Admitted by: Mr. Cornell unoccupied (owner-tenant) Accompanied by: Mr. Cornell Key available Suffolk Co. Tax No. 69-05-05 Source of request J.c. Cornell Date 9/21/79 DWELLING: Type of construction Foundation Total rooms, let. F1 Four Bathroom(s). One Porch, type Breezeway. Cement block Wood framed Cellar Full 2nd. F1 Toilet room(s) Deck, typq Garage Type Heat Oil fired Fireplace(s). One Domestic hotwater Other ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other 'Warm Air No. Yes Exits Two Type heater #stories Crawl space 3rd. F1 Patio, type Utility room Hotwater X Airconditioning Tankless Wood; 2 car Storage, type const. Guest, type const. Old one family dwelling One Bar~' on shed VIOLATIONS: Housing Code, Chapter 52 ..Location Description Art. Sec. Ce~[rs No handrail II 52-27-B Kitchen Floor & cabinets - bad (new floor & cabinets being installed) Outside Wood gutters - rotten III 52-30-C Barn o~ Vc_~, bad-~,~. III 52-~0-A, sne~ 52-~1-A. The second dwelling on this property is unfit for human habitation. (Art. VII, 52-80-A.B.C. Remarks: Inspected by: Curtis Morton Date of Insp. 9/2J/79 Time start 3:00 end 3:45 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY In~tructiom //,e/~,t /f-ut~/,__ This application mu~ ~ fill~ in ~writer OR ink, and mbmi~ in dupli~te to the Building In~- ~r wi~ the following; for n~ ~ildin~ or ~ urn: 1. Final ~wey of prope~ with ~ura~ I~ation of all ~i~in~, pm~ lines, ~, a~ unu~al na~l or ~p~rephic fee~re~ 2. Final ~proval of Health D~t. of ~r ~pply a~ ~ die. I-(S-9 form or ~al). 3. Appeal of el~rical in,all,ion from B~d of Fire Un~ri~. 4. Commercial ~ildings, In,;rial ~ildin~, Multiple R~ ~ s~ilar ~i~i~ ~ in~ll~ tions, a ~if~e of C= co~lia~ f~ ~e Amhit~t ~ E~in.r ~nd~ ~ ~iMi~. 5. ~it Planning Boa~ appr~al of comple~ site plan r~ui~n~ where ~lic~le. Be 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. 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 $5.00 Date New Building ............. Old or Pre-existing Building .. ;x; ........ Vacant Land ............. Location of Property .... Acker,l~v Pond Lane~ Southold New York Hou~ No. ~raet Hamlet Owner or Owners of Property ...C:qt~.~{r~..Q~. ~t~p,Ll~ ..................................... Cou'nty Tax Map No. 10OO Section .. 69 ........... Block ...5 ........... Lot .... 5 ........... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant . .~-...C....C..o.:~...e.~..1..C.o.n..s.t.:..qq~.;~.op,~ 3:11o. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .... 3c .................. FeeSubmitted$ ...................... Construction on above described building anTrT/~,,~ee~,~J~ I~l~ap_pllc~:lez~X~es Tnd regulations A licant "-- ' pp .. ...... 5:. ................... ~I. C. Cornell Const3~L~tmon, Inc. Rw. 10-10-78 hi.35- 40'00''c;, ,5.3~ CI--IAELE~ G E iGEI~. ScQI~ : 5'0' = I"