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Home My WebLink AboutZ-9780FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No...Z..97.~.. ......... Date ..... ~eoem~er..T. ............... 19 THIS CERTIFIES that the building ................................................ Location of Property/:/3~s~ ~.~.. ~a. ~.XL Road ........................ street CU~,OhO&Ue,..,ern,~r County Tax Map No. 1000 Section .... 05 ...... Block ..... I~ .........Lot .... 10 ........... Subdivision ............................... Filed Map No ......... Lot No .............. req~r~aen~ for · one famtl dvell~n ~u~ t r r to conforms substantially to the .... .~?.~. $ .l...~.~. ........ 19 .~7. pursuant to which ~ No ....... .Z.~..~.. ........ dated ....~..e.?~.b. ??..7. ............. 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 ......... The certificate is issued to ........ .~...f~.o~ .0,. ~D~V:I.~..&. W~..~ ........................ (ownor,~ of the aforesaid building. Suffolk County Department of Health Approval ............... NJ~ ....................... UNDERWRITERS CERTIFICATE NO ....................... N,/R ....................... Building Inspector Rev 4/79 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 36225 Main Road (number & street) Subdivision Map No. Cutchogue, N.Y. (~unicipality) LotCs) Name of Owner(s).' Alfred O. Davids & wY. Occupancy Admitted by: R - 1 '(type) Mr. Davids Owner , '(owner'tenant) Accompanied by: Mr, Davids' Key available. Suffolk Co. Tax No. 1000-8~-2r!0 - Source of request' Riohard F. Lark, Esq. Date Nov;:~ 28. 1979 D%~.LING: Type 0f.constructioR Foundat$oR stone · Total rooms, 1st. F1 Bathroom(s) 2 porch, type screened in Breezeway TyPe Heat gas fired Fireplace(s) Domestic hotwater Other ~ Wood framed ~sTories' · Cellarpartial.~rawl space 5 2nd. F1 4 3rd. F1 Toilet room(s) Deck, type Garage 'Warm Air No. Exits yes Patio, typ~ , Utility roo~ X Hotwater X 3 Airconditioning , Type heater ACCESSORY STRUCTURES: Garage, type const'. ~, type co~st., attached Swimming pool Guest, type"const.. Wood framed other SeVe~ (7) other various type utility buildings Barn with L-shaped potato storage VIOLATIONS: Housing Code, Chapter 52 Location .Description ArS. Sec. ..1st floor Floor' ~oints - various floor ~oist are completely ~otten and need repla~in~ III 52-30-A 52-31-A Cornice Gutters & leaders broken III 52-30-C Utility Buildings - very poor shape. Need to.. be torn down or repaired VI D2-62-B Remarks: --- Curtis Horton Time start 10:30 end 11:15 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southoid, 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: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 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. 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 . .R.o.~..e.]~..e.~...2.8.,.. ~..9.7.9. .... New Building ............. Old or Pre-existing Building X Vacant Land Location of Property ..................... ~..a.~.~..~,..o.a.~. ................ .~.e.c.o..~.~.c. ~...~.e.w..Y..o.~]( House No. Street Ham/et Owner or Owners of Property ....A.[.~.~.e..d...O.~..~ .s..D.a.¥ .~.s..a..~.c]..~.o.~..~.....D.a.~.~.~s. .............. County Tax Map No. 1000 Section ...0.8..5 ......... Block ....2 ........... Lot....P~O...1.0 ...... 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 Certificate ..................... Final Certificate ..... ,X, ................ Fee Submitted $ ..5 o 00 Construction on above described building and pe,r~m~:~,e,/~ all ~le ~ a,,~l regulations.