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Home My WebLink AboutZ-12438FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z12.4.381 Date ....... April 26 ................ 1984. THIS CERTIFIES that the building ............................................... . Location of Property 115 Sound, Drive Greenport House No. Street Hamlet County Tax Map No. 1000 Section.. 0 3 3 , ..Block ... 0 4..........Lot ..... ,Q 60 ... , , Subdivision ... X...........................Filed Map No. .. ?.....Lot No. .... X....... . Requirements for a private one -family dwelling built prior to conforms substantially to the Apppheatiorr-for-Bailfirr fernrit--here tofem-%ded-itrfhis--*�-tutted .3 ' 19 ? pursuant of Occupancy Z12438 Ap. i 1., , .. , , to which Buitdin Perm#t No . ..................... dated ...... Apr i 1 2.6 . , , . , ... 19 .8 , 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 ......... a private one—family dwelling . ......... . . . . . The certificate is issued to ..........VETO N : FUCILLO & JOAN FUCILLO (owner, iesme-or-terrnrt) of the aforesaid building. Suffolk County Department of Health Approval ... no .record ....... . .. . .. . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO........... no .record ................................ See attached Housing Code Inspection Report. Building Inspector Rev. 1/81 BUILDING DEPARTI,1Ei`iT TMN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 115 Sound Drive Greenport number & street Municipality Subdivision X MaD No. X Lot(s) X Name of Owner(s) VETO*N. FUC-ILLO & JOAN FUC-ILLO Occupancy R-1 owner type owner -tenant Admitted by: Mr. Fuc-illo Accompanied by: same Key available ` Suffolk Co. Tax No. 033-04-060 Source of request_ Frederick J. Tedeschi TVtTF T .T -T \T("_ Date 4/16/84 Type of construction wood framed #stories 1 Foundation cement block Cellar full Crawl space Total rooms, 1st. Fl 7 2nd. F1 3rd. F1 Bathroom(s) 2 Toilet room(s) Porch, type Deck, type Patio, type cement Breezeway Garage 2 car Utility room 1 Type Heat oil fired 'Warm Air Hotwater X Fireplace(s) 2 No. Exits 2 Airconditioning Domestic hotwater yes Type heater oil fired Other finished basement ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool B.P. 92842 Guest, type const. Other C.O. 27718 with fence VIOLATIONS: Housing Code, Chapter 52 Location Description jArt.1 Sec. No violations of the Housing Code, Chapter 52, where found. Remarks: Inspected by:( ° '<'� l:� Date of Insp. 4/26/84 Curtis W. Horton Time start 9:00 end 9:20 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 surrey 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 unusuai 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 J land use --Fre-Existing C . 0 15.00 3. Copy of certificate of occupancy $1.00 ( Vacant land C.O. $ 5.00 Date.......................... New Building ............. Old or Pre-existing Building ... X.'.` 5d- Vacant Land ............. S �if/ '(��/411 b /ZE`e%7r!/�4��:� /l/ .. . Location of Property/./.• • • • • • Ham/et House No. Street Owner or Owners of Property !/ r�....... . 6 ; d • , �` • �7' .... �1/ , ..... . �•� G...... . County Tax Map No. 1000 Section ....�.3. 3..... Block .4� T ! d ..... Lot . DGD; 0 4 d Subdivision .................................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant ........... .................... . Health Dept. Approval ........................Labor Dept. Approval ........................ Underwriters Approval ........................Planning Board Approval ...................... V?) -d ISI HoM Request for Temporary Certificate .....................Final Certificate .. �.. � -�— �t ca-� Fee Submitted $ �.�/.6lli.................... �� o Construction on above described building and permit meets all applicable codes and regulations.( co Applicant................. .r !................ .......... Rev. 10-10-78 J `� � S 1 � � �—•-A�� 6 12 r .'-� //ogkp*- V1 Owner(s) Name(s) do(es) hereby state: CONSENT TO INSPECTION %G C111-4!' , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at �j S U �� C��' le A., ,PC/,& t which is shown and designated on the Suffolk County tax map as District 1000, Section 0 33 , Block Lot D��a That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. v / l Dated: (sig lure) (print name) (signature) (print name)