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Home My WebLink AboutZ-11049FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date ......... .~.u.n.e., .2.5. ............... 19.8..2 THIS CERTIFIES that the building ................................................ Location of Property .. ~. 6..0.5 ................ y.u.n.n. ~?.o.~. a.. ~.o.a.d. .......... C..u.~.c.h.o..g.u? .... House No. Street Hamlet County Tax Map No. ]000 Section ... 1. ! .1 ...... Block . .0.~ ........... Lot 029 ...... Amended Hap A ........... Subdivision ~.a.s.s..a.u..~ g.....C.i.u..b..P?.o, p ..., ..... Filed Map No..1.5. 6 .... Lot No. ~ 9.6 .......... Requirements for a private one-fmaily dwelling built prior to conforms substantially to the / Certificate of Occupancy ... ~.p.~. ~ .1..2.3. ........,19 .5.7. pursuant to which Dufldhag-~rnTit- No.. g..~ .~ .0.4. 9 ............. dated .... .J.u.n.?..2.5 ................ 19 .~.2., 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 ......... Grace Golden Thecertificateisissuedto ..................... ~n~)~'~;e'Wr~t'~ ..................... ofthea~resaidbuilding. Suffolk County Department of Health Approval ...n./. ? .................................... UNDERWRITERSCERTIFICATENO ........... a[~ .................................... Zoning Baerd of Appeals, #2958, approval, 5/7/82 ?lanning Bd. approval as set-off {106-13), 4/26/82 Building Inspector Rev. 1/81 BUILDING DEPART~[ENT T0~'fN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 1405 Wunneweta Road (number & street) Inc. Subdivision Nassau Point Club Pro~p No. Name of Owner(s) Grace Golden 156 Cutchogue (Municipality) Lot(s)...206 Occupancy R-1 (type) Admitted by: Mr. Golden unoccupied (owner-tenant) Accompanied by: same Key available Suffolk Co. Tax No. 111-04-029 Source of request Richard F. Lark', Esq. Date 6/1/82 D%~LLING: Type of construction wood framed Foundation cement block Cellar _ Total rooms, 1st. Fi 3 2nd. FI 3 Bathroom(s) 1 Toilet room(s) Porch, type Deck, typew°°den Breezeway Garage3-car under Type Heat oil fired 'Warm Air Fireplace(s) 1 No. Exits Domestic hotwater Other #stories 2 Crawl space - 3rd. F1 deck Patio, type ~%~}~t'y room boiler Hotwater x Airconditioning yes Type heater tankless ACCESSORY STRUCTURES: NONE Garage, type const. Storage, type const. ~ Swimming pool Guest, type const. Other T~ dwelling is on the second floor, on the first floor are 3 storage rooms and a 3 car garage. VIOLATIONS: Housing Code, Chapter 52 Locatio_____~n Description Art. Sec. ~ar~ge The garage needs a 3/4 hour fire separation. tA402-3.6 a boiler rm. The boiler room needs a 3/4 hour fire _ separation. A402-:3.5 b Remarks: ZBA #2958, 5/7/82, approval; Planning Bd. resolution 4/26/82, ~spected by: ~~~ ~/ ~___---~set-off (106-13) .. .~.~Da~e of Insp. 6/21/82 Curtis W. Hort~n -Time start 8:45 end 9:15 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 respo~,.~ble 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. 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 ....~.t~, .e...1,..~9..8.2 ......... New Building ............. Old or Pre-existing Building .... .~ ....... Vacant Land ............. Location of Property ./.~#. ~ ~-~....Wt~p~.e.w~;~. ~qa. ~,..~]z~ ~.a,q. :p.o.~,z~l; ,..C~q~;Ch.o. cjt~..NY... House No. Street Ham/et Owner or Owners of Property Grace Golden County Tax Map No. 1000 Section ...]:.[..~ ......... Block ..... 4. ......... Lot...~.9. ........... Subdivision "Amended Mal~, A...N.a,s.s..ap..PointF ed M~n r~l~~' 156 .Lot No. 206 Permit No...~/.A. ..... Date of Permit ...~/.A. .... Applicant ....~./.A. ........................... Health Dept. Approval . ..[.4./.A. ................. Labor Dept. Approval . ?../.A. .................. Underwriters Approval ....N./.A. ................. Planning Board Approval .A~.z:~.[..2.6.,..[.9.8.~.. ~ .S~.e..a. tt~ched letter ) Board of Appeals* Request for Temporary Certificate ..................... Final-Certificate .... .X. ................. Fee Submitted $..5: .0.q ....................... Construction on above described building and permit meets all applicable codes and regulations. Applicant R~. 10-10-78 *~ v~i~ce application on ~y 7, 1982 - see at~ch~ co~ of d~ision.