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Home My WebLink AboutZ-11257FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z.1.125Y .......... Date ..... O.q .t .o.b.o.e...1.4 ................. 19~.2.. THIS CERTIFIES that the building s... { 2 ).. ........................................ Matti ~uck Location of PropertyHou~' l ~ 9 mo.~:5 ............Ma ill .~ oa/L ............................ Street /~ie~ County Tax Map No. 1000 Section .108 ........ Block . .04 ........... Lot . .00.9 ............ Subdivision ........ g ...................... Filed Map No...~ ..... Lot No...X ........... ~equir~en,.t~, f, or.a p~,ivate one-family dwelling built prior to conionns su~stantiaity to me Appiic, ation-f~-B~l~i~-l%n~'~-he~fe~e-ffled-i,'thi~'vffice-d~ Certificate of Occupancy ·. A.p r. i 1.23 ......... ,19.5 ? pursuant to which-]hiidin~t~ernltt No...Z J J.2. ~ 7 ............. dated ..... Oct ohee. 1 k, ............ 19 ./~a, 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 ......... .. 6 · pr&.v.a tr. ~ne,famil¥..dwel.ling..~/iSh..~Q~ .e.s.s.o..ry..Ea.?.a~.e.: ? .............. The certificate is issued to ........ Chanles..O ·. &..lg~li.a..~ ,..F.r.a.z. 99. ................. (owner, lesaee, er-te~e~) of the aforesaid building· Suffolk County Department of Health Approval .... B/.a .................................. UNDERWRITERS CERTIFICATE NO ............ n./.a .................................. *This Certificate includes the addition constructed under B,P, 93761, for which C.O. 18075 was issued. Building Inspector Rev. 1/81 FORM NO. 6 TOWN OF SOUTHOLD Building Depa u~ent 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: I. 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 ~nd 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 unusua~ 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 July 28, 1982 New Building ............. Old or Pre-existing Building ×× Vacant Land Location of Property/,~..e..~..--~,, ...... .~.a. ~..~..R.o.a. ~ ................... .H.a..~. ~..~ ~.~.c.~. ......... House No. ~ ~- Street Ham/et Wanda P. Frazee Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section 108 Block 04 Lot. 003 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 ....................... Fee Submitted $. 5.00 Construction on above described building and ~~s. Applicant~~~--~~,. ...... :~. ~... ''~illiam H. Price, Jr. Attorne!r/~ent o Wanda P. Frazee ~VEY~ ,~l"r~l~'~ AT' s To w/v oF' / Location BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Subdivision (number & street) Map No. (Municipality) Lot(s) Name of Owner(s) Occupancy Admitted by: Key available Source of request type) ~~ --(o~er_tenant) Accompanied by: ~d Suffolk Co. Tax No. t~- V- 3 DWELLING: Type of constructYon ~/~F~ #sTories Foundation ~f~-~t~ ~< Cellar~ Crawl space Total rooms, let. F1 ~?~2nd. F1'~ 3rd. F1 Bathroom(s) ~ ~ Toilet room(s) Porch, type ~ ~r- Deck, type --------' Patio, type Breezeway ~ Garage ~-~ Utility room f Type Heat~ ~&Y~Warm Air Hotwater ~-~__ Fireplace(s) ~ No. Exits Airconditioning Domestic hotwater~-m~ype heater Other ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other ///~/~/~/~-- Storage, type const. GUest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. Remarks: ~ ~ , .,~t' ,~ Date of Insp. Time start (IB~-- end /I Inspected by: