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Home My WebLink AboutZ-9812FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No....~.98~ ......... Date .... Daomlher. 2.1 ................ 19.79 THIS CERTIFIES that the building ................................................ Location of Property .... 27~.~..5. C~tlll~r. R~ 2TA ............. ~eoo~o ,. N.,~, ~ie~ County Tax Map No. 1000 Section .... ~ ..... Block ..... ~ ......... LOt . ~e. et. ~ ..... Subdivision ............................... Filed Map No ......... Lot No .............. confo~s subst~ti~ly to ~e .... ~. ~ ....... , ,~ ~. ~ ~~?----~ .... z~ ...... dated .. ~eC~F..~ ............ 1~79. , was issued, ~nd conforms to ~ of the requ~ements of the app~cable provisions of the law. ~e occupancy for wMch tMs ce~ificate 2 issued is ......... .................... ~vate. ~e. ~ly. ~ell~ ............................ ~e ce~ificate is issued to ...... ClOaCa .F,. ~ll$F..&. 0~ ........................ (ow.~r, ~ of the aforesaid building. Suffolk County Depa~ment of Health Approval ............... ~ ....................... U~ERWR~TERS CERTIFICATE NO ....................... ~ ....................... Rev 4/79 BUILDING DEPARTMENT " TOWN' OF SOIYI'HOLD~ N. Y. HOUSING CODE INSPECTIONREPORT Location 29575 CountyRoad 27A (number & street) Subdivision Name of Owner(s).. Map No.. Clarence F. Diller & ors Peconic, N.Y. (~unicipality) Lot(s) OccupancM R - 1 (type) Admitted by:.. Mr. Diller Key available unoccupied '(owner-tenant) - Accompanied by: Mr. Dill~ Suffolk Co. Source of re~ues~ ', John C. Diller Date NOV. D%,~ELLiNG: . Type Of construction Wood framed Foundation P~ured concrete ' Cellar Total rooms, 1st. F~.. '3 2nd. F1 Bathroom(s). 1 Toilet room(s) Porch, typ9 glassed-in' Breezeway , TyPe Heat 0il fired Fireplace(s). 2 Domestic hotwater yes Type heater Deck, typ9 Garage 'Warm Air No. EXits Other ~CCESSORY STRUCTURES: Garage, type const·.. 2 car/wood Swimming pool Other #sTorie~ full Crawl spac9 4 5rd. F1 ~atio, typ~ Utility room~ X Hotwater X Airconditioning electric Storage, type const.. Guest, type'·const.. .VIOLATIONS: Housing Code, Chapter 52 _Location - Description Art. Sec. ...Bathroom Flo'o~ 'needs reoairin~ TI ~2'P6 A/~ Cellar No rail on stairway; also, steps very steep ... II 52-27 A/} , Garage(2) Needs repairing badly Remarks: Inspected by: Curtis Horton Date of Insp. Dec. ~1. 1979 Time .start 9:30 end 10:00 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 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. C. 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 ...Nq~q~hqE ~8, .~ ...... New Building ............. Old or Pre-existing Building X Vacant Land Location of ProperW Non bh .Road .C ..R ...27.A. (no r. ~,h .s i.de, .a p p r. ox i.ma t,e Ly .2900 '..wes ~, .o f..He n r.y. La ne) House No. Street Peconic, New York Ham/et Owner or Owners of Property John ¢. Diller CountyTax Map No. 1000Section 0Th Block I Lot h0 See Below* Subd v s on S.e.e.B.e. lo.w.*, .................... 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 ....................... Fee Submitted $ ............................. Construction on above described building and permit me~'~'~l~appl[e~lble codes and regulations· Applicant ......... ~~,'~ ............................ Rev 10-1078" CofO re ates to aprt of property which is subject of pending subdivision application to Southold Town Planning Board -- STATE OF NEW YORK ) ) COUNTY OF NEW YORK ) ss.: and says: JOHN C. DILLER, being duly sworn, deposes 1. I al.l the owner of a dwelling with detached two-car garage located on the north side of North Road (CR 27A) approximately 2,900 feet west of Henry's Lane at Peconic, New York. 2. Said dwelling and garage, upon information and belief, was built in the period 1918 to 1920 and have been used continually from that period to date as a one-family residence and storage area. 3. Said dwelling and garage are today in good condition and are in all respects fit for use as a resi- dential dwelling and storage building respectively. Sworn to before me this 28th day of Noven~er, 1979 RotaP/ pubiic, StBte r~ ~tew yor',~ No. 3T 8~0265 Qualified in How Y~ Coun~ C~. ~m~ss;on ~pk~ Ua~ ~, 19 ~c