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HomeMy WebLinkAboutZ-10169 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy 210169 October 1 80 No . Date ................................,19... THIS CERTIFIES that the building . Location of Property ~6~5. Cedar Ave. & 560 Oak Ave. , Southold; . N•.Y, House No. Street Hamlet County Tax Map No. 1000 Section 0.7.7.....Block ..Ol ...........Lot ...001.......... . Goose Bay Est. 11'76 .Lot No. ~~~-•5of 281 Subdivision ........................Filed Map No. . re uirements for aone-family dwelling built prior to conforms substantially to the Ap~siiaatton-for'BtdlCding'Rerntit heretofore fitezlZn-thts office dated - April 23, , . , • , 19 57 pursuant to whic7i~iz~l~i£ft~rP'~T~i~it"~-8scupancy Z101b9 dated . • October 1 , 19 . was issued, and conforms to all of the requirements of the applicable provisions of the ]aw. The occupancy for which this certificate is issued is . ••.One-Family Private Dwelling•.•.••.....•....•.....•..•.••.•••.••••....•• The certificate is issued to .....Elsie,Dowd,.._.......•,.••••••„••,•„•„••,•,.••,•, (owner, les~B ~rXt~r a~li~X of the aforesaid building. Suffolk County Depaztment of Health Approval .....N/R • ~ • • • • ~ • • ~ ~ • • • • • UNDERWRITERS CERTIFICATE NO .............N/R . i~~~~~ ~ Building Inspector Rev 4/78 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- torwith 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, acertificate 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 Tines, 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. 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 Date ..Sept~mber..24, ..1.9$0.. . New Building .............Old or Pre-existing Building J{...... Vacant Land Location of Property ...Oak..Drive,.. So.uthold,.. New .York . House No. Street Hamlet Owner or Owners of Property Elsia .Dowd . County Tax Map No. 1000 Section ....77......... Block .....1 Lot .....1 . Subdivision....Goose.Bay. .Estates.........FiledMapNo. .11.7.6 ....Lot No. .277,278,2.7.9, 280 and 1/2 of 281 Permit No. Date of Permit ..........Applicant ....Elsie .Aowd . Health Dept. Approval ........................Labor Dept. Approval . Underwriters Approval ........................Planning Board Approval . Request for Temporary Certificate .....................Final Certificate X................... . Fee Submitted$..96.. 5,QQ,,,,,,,,,,,,,,, Construction on above described building and m/it meets/all applicabl cod~es~and/rfgulations. Applicant . ?.<L CC I ~ . ~%t-e~U . .....,.7~....... olphI. Bruer, for El i Dowd O Rev. 10.1OJ8 ~ CCC, 13 S p,,~~~,~ o~bq ~~6~ BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT r ~ Location~,~~S ~7A~ Nr'~~ ~ SAC) .~'VGc. ~ri~1Tf/oL/.~-,(> -rnumber c street ~ icipali~y~- / Subdivision~a.~F;;~r-, ~l Map No. T6 Lot(s)~~de`~(' Name of Owner(s) ~lsiC CJGU~ , / Occupancy / I/,~0(~(J<i.1/ type owner- enan Admitted by: ~,QL~ ~L~ts® Accompanied by: S~C_C Key available Suffolk Co. Tax No, frann-p77 ~Q,~-Qc~ ~ Source of request,,(~~ /~ol iG~fj ~ -~Z .U~~f Date ~ DWELLING: Type of construction ~ #stories f ~ Foundationf fkla - Cellar ~ Crawl space Total rooms, 1st. 2nd. Fl " Co 3rd. F1 Bathroom(s) a Nr Toilet rooms Porch, type ~/.~~5 ~,(~CL-. Deck, type Patio, type Breezeway Garage Utility room - Type Heat CcA.r~,~o~. Warm Air ~ic_ ~irrc-~Hotwater Fireplace(s) No. Exits Airconditioning Domestic hotwater yF~ Type heater O i~ ¢j~~ Other ACCESSORY STRUCTURES: ~j~,op t-~g,~{~ Garage, type const.%lud ~ Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 L cation Descri tion Art. Sec. ~-.c1 .S~-s~ - ~ - E! Remarks• Inspected by: ate of Insp.~% ,~O 'mod Time startl~5'S`~Q(end /:tea f'.'