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Home My WebLink AboutZ-9687FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. ........... Date .... .~.e. p~.e.m.~..e .r..2.0 ..............197..~, THIS CERTIFIES that the building ................................................ Location of Property ... 58.0. .Hur~tingtma. Bl.v.d ......................... Pegonic .... House No. Street Hamlet County Tax Map No. I000 Section ...067. ..... Block .... 04 ......... Lot ..... 06 .......... Subdivision..P.e. go.n.l.q..S~.o.r.e. Os..~$¢,..2...Filed Map No...65./+...Lot No.. 80.-.81 .-BP-.. Requirements for a one family dwelling built prior to conforms substantially to the .......... Certificate of Occupancy ...... Apr.1;1.25 ...... ,19 .57 pursuant to which ~15M~I$~ No ......... Z. 9.6.8.7. ....... dated .... .S.e.p.t..e.m.b.e.r...2.0. ......... 19 79., 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 ......... The certificate is issued to . .C.O.m..m.~.s.s.i.o.n.e3?, O~..~.Qg~L.~.~. ~P~.:[O~ ..................... (owner, ~0 of the aforesaid building. Suffolk County Department Of~..e..at~th~,oval ............... N/.I~ ....................... UNDERWRITERS C~TE NO ....................... ~/..R ....................... Building Inspector Rev 4/'79 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location '580 Huntiqgton Blvd. (n,~mber & street) Subdivision Peconic Shores, Sect. Nap No. 654 Peconic (Municipality) Lot(s)80/8]/82 Name of Owner(s) Suffolk Cry. ~om. of go~] M~rv{~= unoccupied '(owner-tenant) Accompanied by:Nancv J. Graham Occupancy R - ] (type) Admitted by: Nancy J.G raham Key available Suffolk Co. Tax No.67-04-06 Source of request' suzanne Sin~er Date Sept. ]7, ]979 DW~.LING: Type of construction Wood framed Foundationcement block CellarFull Tots~ rooms, 1st. F1 four 2nd. F1 #sTories One Crawl space 3rd. F1 Bathroom(s) One Porch, type Breezeway Type Heat o~l f~ Fireplace(s) Domestic hotwater yes Other Toilet room(s) Deck, type open Garage Yes 'Warm Air No. Exits two Patio, typ~ Utility room Hotw;ater Airconditioning Typeheater electric ACCESSORY STRUCTURES: Garage, type const~ Swimming pool Other NONE Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 · Location Description Art. Sec. Cellar & Sewage'drainage system V C-]-5-6-7-8 Outside Outside Rail around ~op of garmge "~$ this area II 52-27 B is used as a deck" is rotten Bathroom Bathroom floor & walls need repairing Kitchen No shut-off on gas line V B - 2 Remarks: Inspected by: Curtis Horton Date of Insp~ept- ]8, ]979 Time start2:00 end y 00 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 featu res. 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 instatla- 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. 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 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 /~ate ....... ?'. .'-. ./. ~. .-'. ~. ~'. ..... New Building ............. Old or Pre-existing Building ...Y ........ Vacant Land ............. Location of Property..~. ~.(2 ..... ~.~..~.~ ...... ~..~ .... House No, Street Ham/et Owner or Owners of Property...~. ~J.~../~..-~'./..~ .~. ~.....~......~./..~. ?.....~.--~...~.'~..~.~..~. .... .0. ..... B,ock .... .o..¢. ...... Lot ..... ....... County Tax Map No. 1000 Section Subdivision Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate v/' Fee Submitted $.....~..~.~. .................... Construction on above described building and permit~e~r'all applicable co/e"es and regulations. R~v. 10-10-78 Applicant ' ' ~'~(/~' ~/~/~f~'' '~' ' ............... / ID'O. o EDUCATION LAW.