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Home My WebLink AboutZ-10818FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z 108t8 ......... Date ..... D e.c.e mb ~.,p.. 15 ............... 19 ~J. THIS CERTIFIES that the, building ................................................ Location of Property . 2A95 ............. .P.e.c; 9;.~.q.k.a.n.e. .............. .p.e.qqn..~.c ....... House No. Street Hamlet County Tax Map No. 1000 Section . 0.7.4. ....... Block . ~)5 ............ Lot . . 9.0.5. ........... Subdivision ....... × ................ ~ ....... Filed Map No... ,~:..:..Lot No .... ~ ......... Requirements for a non-conforming pr-~vate two-family dwellfng conforms substantially to the built pPior to Certificate of Occupancy ......... A p r;L~ . 2 3 .... 19 5 ?. pursuant to which B~d~n'g-~ ~rn~t No ..... Z 1 0B. t8 .......... dated ..... D ~.c. e m b e~.. 1 5 .......... 19.8 .1, was issued, and conforms to all of the ~equimmcnts of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... .... ft. ,p, qr~.-.c.qn{'O?~g..p.r.i.y.a.t.e...t:~.o.-..f.a.m.:L. 1. y..d.w.e..1.1.i.n.g: ...................... The certificate is issued to ...... ~.a.t.h..e..r.i.n.e...A....qr..a.t.h.wohl (owner, ~dd~'d~dd~) ...................... of the aforesaid building. Suffolk County Department of Health Approval ..... ~/. 1~ .................................. UNDERWRITERS CERTIFICATE NO ............. ~/.1~ .................................. Building Inspector Rev. 1/81 BUILDING DFPARTHENT TOY?'[ OF SOUTHOLD, N. Y. HOUSING CODE _.o. m~=ur, REPORT Location 24q5 Peco2ic Lane (number & s~ree~) Subdivision % Name of O~,mer(s) Occupancy 1-2 (type) Admitted by: Mrs. Alb~rtsoo Key available Source of request Map No. Katherine A. Grathwohl ?econic (Nog~icipali~y) Lot(s).. owner {owner-ten~t) Accompanied by: Mrs. Albertson Suffolk Co. Tax No. o74-o5-oo5 William H, Price'~ Jr. Date Nov. 24~ 1981 DYfELLING: Type of construction Foundation brick Total rooms, 1st. Fi Bathroom(s) 1 Porch, type roof over Breezeway. ~ype }{eat ni~ ri~d Fireplace(s). Domestic hotwater Other FIRST FLOOR wood framed #s~ories 2 Cellar partial Crawl space rest 6 2nd. F1 3rd. Fl. Toilet room(s), Deck, type Garage, ~ car Warm Air No. Exits 4 Patio, type Utility room ~J~- steam Airconditioning Type heater ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other NONE Storage, type Const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Descriotion Art. Sec. .k.itchen Res stove--no shut 9ff V 52-52-B 1 cellar cellar steps narrow, no rail II 52-27-^~ rear ~OoF back door needs repairs , _. III 52-~1-B Remarks: This is a non-conforming two family dwelling. Inspected by: C~i'?~_'/~,,%~-~ '" -'~ Date of Insp. Nov. 2?, 1981 Curtis W. Horton Time start .2:15 end 3;00 BUILDING DEPAETHENT T0¥,?~ OF SOUTHOLD, N. Y. Location HOUSING CODE INSPECTION REPORT (number (Municipaiizy) Subdivision N~me o£ 0~,,mer(s) Occupancy Admitted by: Key available Source o£ request Map No. Lot(s) (type) {owner-tenant) Accompanied by: Suffolk Co. Tax No.. Date DVFELLING: Type of construction Foundation Tolal rooms, 1st. F1 Bathroom(s) 1 Porch, type si~e Breezeway Type Heat Fireplace(s) 1 Domestic hotwater Other SECOND FLOOR wood framed Cellar 2nd. FI #siories Crawl space 3rd. Fl. Deck, type Garage Warm Air No. Exits Toilet room(s) Patio, type__ Utility room Ho%water 1 Airconditionin~ Type }]eater ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Loca'tion Descriotion Art. Sec. bathroom needs repairs, floor, walls, etc. III 52-32-D ceilinm holes in ceiling~ various places III 52-31-C 52-32-C rnnf l~nkin~ .,. t~hroughout windows and~ doors.,need repairing III 52-31-B kitchen gas stove--no shut off V i2-52-B 1 pnrch needs repairing III 52-30-A only 1 exit to second floor apartment II 52-28-C Remarks: This is a non-conforming two family dwelling. Inspected by:~_~~./X~. _~~_ Date of Insp. Nov. 27, 198t Curtis W. Horton Time start.2:15 end 3:00 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, 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. 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 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 New Building ............. Old or Pre-existing Building ....X~. ....... Vacant Land ............. Location of Property . .~?.~.~].~' ......... .P.e..cq~.J..c..L..a~..e. ................... P.e.g.o.~.~.c....././.~. ~- ~,~ House No. Street Hamlet Owner or Owners of Property .... .K.a..t~t.e..r.J..n.e...A,~..G.r..a.t~h...who..h.1' ............................. County Tax Map No. 1000 Section .... 0.?.~ ........ Block .... .0.5. ........ Lot ..... 0.0..5 ........ 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 ....... ]~...(~......~-~T.'./~/,) Fee Submitted $..5,0.0. ...................... Construction on above described building and permit meets all Applicant ...~~~ ' ~iM'ITH