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Home My WebLink AboutZ-10927FORM NO.4 TOWN OF SOUTHOLD BUIMW-DEE' RTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy No. Z 1 o9.Z T.... .. Date ............. Ma A4 ?9 ......., 19 f32 THIS CERTIFIES that the building ................................. ..... .. . Location of Property 165 ... ... 8econd.Street New. Suffolk House No. .. .. .. Street .. .Hem Vi County Tax Map No. 1000 Section ..1.17 ....... Block ..1.0 ....... ...Lot . Q20 : �........... Subdivision ..:X .........................Filed Map No. X. ...... Lot No. .. ... . . Requirements for a private one -family duelling built prior to conforms substantially to the Appheation-kw itheretefore•filed -in-loris-OfFXV date& Certificate of Occupancy .......... , 19 5.7. pursuant to which Buthlhng'Peni it No. ....... Z 109.27. ... . -dated .... VA.rq h. 2.9 ............... 19 �?. 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 .Pnix4tP. Xy. .Iwellina........................... ......... ... The certificate is issued to . . . (owner, Wme'o-ftsento of the aforesaid building. Suffolk County Department of Health Approval .... n r ....... ........ ... . UNDERWRITERS CERTIFICATE NO .............. n/r ........... .... ..... .. . Building Inspector Rev. 1/81 ;� F BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 165 Second Street New Suffolk number & street Municipality Subdivision x Map No. x Lot(s). X Name of Owner(s) Florence P. Grathwohl & James W. Pugsley Occupancy R-1 tenant type(owner-tenant) Admitted by:_ Mr. Leary Accompanied by: same Key available Suffolk Co. Tax No.117-10-020.5 Source of request William Wickham' Date 2/25/82 DWELLING: Type of construction wood framed #stories one Foundation cement block Cellar full Crawl space_________ Total rooms, lst. F1 5 2nd. F1 3rd. F1 Bathroom(s) 1 Toilet rooms) Porch, type screenass & Deck, type Patio, type Breezeway Garage 3 car under Utility room Type Heat oil fired Warm Air X Hotwater Fireplace(s) No. Exits 2 Airconditioning Domestic hotwat er yes Type heater gas Other ACCESSORY STRUCTURES: none Garage, type const. Storage, type const. Swimming pool Other Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. kitchen gas stove --no shut off V 2-52-B 2 ide ste s has to be re laced II 2-28-A outside retaining wall needs repairing III 52-31-A outside garage doors III 52-31-B outside house needs painting III 52-30-C J 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 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 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 buildipgs 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 . February .25, Y. 1982. . .. . New Building ............. Old or Pre-existing Building*.....X...... Vacant Land Location of Property ... W, S .Second."Stmeet,. New. Suffolk,..New .York ................ . House No. Street Hamlet Owner or Owners of Property . ,Florence P : Grathwohl andJames W.. Pugsley ........ .... ...... .. ... ... County Tax Map No. 1000 Section ..117.......... Block ... I0.......... Lot ..20,.5...... . . Subdivision ......... X fir ." .......................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 ..... X................. Fee Submitted $ ....5100 Construction on above described building andp m' e s h es and regulations. W'c a ressler, P.C. Applicant. ..... y By, . am ani$- 8353 P��.0O3 10ga7 Rev. 10-10-78 3I aq t %a *Built prior to 1957 (Copy of survey enclosed) acr.# 1q��6 For inspection, please contact Mrs. Florence P. Grathwohl at 734-6426. V/A f&N ® l _ -7 O 4.D / _�.-.mss. J D -!3- iV ! j i� _ u SCPALE •4>J° I D, MO U1'.1E`, ; i "AQA N, tI L; .. i rc TITLE UAP-AN"�;�: _♦�- FE c. VAN PC. w v L YO 125 - 2EE 4 P0R7 "3.Y. JNAUTHORIZED ALTERATION OR ADDITEOn j TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YC2K STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SL;: VEYOx S ILv:ID SEAL OR EMBOSS:D SEAL SHALL NOT BE CONSIDERED TO BE A VALID TiUE COPY. GUARAWt!S it:^•'AT:D MMEON SHALL RUN THE SURVEY ONLY TO TE'._ - F: R:V:HOM IS PREFAZEC, A: ' 0:1 HIS .ScKALF TO THE I TITLE C:aA: Af:T. GDY:::a::NTAL AGENCY ANC _11h LENDING L'.STEa7 K-120", AND TO THE ASS -G, _9S C' Tr_ LENIXNG WSTI- 59 TLTiO:•:. CUA:.A."TEES A E NOT TkANSFERABLI AC'':TICNAL INSiiTJTiONS OR SUZ•SEOUR -!3- iV ! j i� _ u SCPALE •4>J° I D, MO U1'.1E`, ; i "AQA N, tI L; .. i rc TITLE UAP-AN"�;�: _♦�- FE c. VAN PC. w v L YO 125 - 2EE 4 P0R7 "3.Y. f RES. SEAS. VL. FARM comm. I IND. I CB. misc. LAND IMP. TOTAL DATE REMARKS k OWNER STREET AGE BUILDING CONDITION NEW -4- j� AC Form Acre Ado FORMER OWNER N f E ACREAGEJ /g!' Tillable 2 Tillable 3 Woodland 'Swampland Brushlqdr N., isle House Plot / I S UJ OLirSt �1 lv9s-M 40. f RES. SEAS. VL. FARM comm. I IND. I CB. misc. LAND IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Form Acre Value Per Acre f Value Tillable I Tillable 2 Tillable 3 Woodland 'Swampland Brushlqdr N., House Plot Total