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Home My WebLink AboutZ-12730FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy to No. Z12730 Date August 28 19.8.6. THIS CERTIFIES that the building ....0.n.e...f.a.m.i..1 y..d.w.e..1.1.i.n, g ...................... Location of Property . .1.3 5 0..S.m $ I: h..D e :~.v.e../~ o r.t.h .................. $ o~.t.l~ 0 ~-.d ........ House No. Street Ham/et County Tax Map No. ]000 Section ...7.~. ....... Block ...... 2. ........ Lot .... 9. ............ Subdivision. 9.o. qs..e. .N.e.c..k..E.s.~..a .~.e.s. ........ Filed Map No..~ .6.6.3. ...Lot No. 1.0.4..P..+.. ] .0.5.. Requirements for a private one-family dwelling built prior conforms substantially to the 4~l~l~l~q[r[ fc~l/~ikdj2q~l~t~[lX !/~tq~ k/'g~ J4~ !~si l~[f'I~!~ XtJl~!~ Certificate of Occupancy .~.p..p.i.1..2.3 ........... , 19 5.7. pursuant to which ~i~l~j~X~ ................ ~)g.1.a730 dated ..... .tip. gu..s ~..2. 8. ............19..8.4, 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 ......... .. Q.me..f.a..m.~.l.y., .d.~.e.~. z..~.n~ ....................................................... The certificate is issued to Anthony Greco& wife .................... io¥.'o;, 'x .................... of the aforesaid building. Suffolk County Department of Health Approval ..... Iq / .~ .................................. UNDERWRITERS CERTIFICATE NO ............. Iq ./g .................................. Building Inspector Rev. 1/81 Location (number & street) Subdivision Goose Neck Estates Map No. Nmme of Owner(s) Anthony Greco & wife BUILDING DEPARTmeNT T0%'~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 1350 Smith Drive North 1663 Southold (Municipalisy) Lot(s)104? + lO5 Occupancy R-1 (type) A~mitted by:Jay Betrasgewski Key ~vailable Source of request , Tenant (owner-tenant) Accompanied by: same Suffolk Co. Tax No.76-219 Mary Ann Feavel .Date Aug. 23, 1984 D~LLING: Type of construction wood Foundation cement block Total rooms, 1st. F1 5 Bathroom(s) Porch, type Breezeway Type Heat oil fired Fireplace(s) Domestic hotwater Other #stories one Cellar partial Crawl space w~a 2nd. Fi 3rd. FI Toilet room(s) Deck, type Garage 'Warm Air xxxx No. Exits 3 yes Patio, typesl~t~ Utility room Hotwater Airconditioning Type heater ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other NONE Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter~i~k45 N.Y. STATE UNIFORM FIRE ?REVENWf. Location OUTSIDE Descriotion House needs paintin~ Art. I oec~ TION. CODE CHF I 1242. I Remarks: Inspected by:Curtis w. Horton £ . ..~,.:.:-,. :!~;. i.~,.;: .,~ .': : . ' - Date of Insp. Aug. 28, 1984 -Time start 10:00 end10:20 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 Architector 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 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 land use --?re-~;×±st,±n~; C. 0. $15.00 3. Copy of certificate of occupancy $1.00 Vacant land C.0. $ 5.00 New Building ............. Old or Pre-existing Building .... ./.../.. i~i~* Vacant Land ............. House No. Street 4-1am/et County Tax Map No. 1000Section .'7..~...."~... Block ........ ~.. .... Lot....~. .......... Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building an_d per/mit meets al,~ppli~odes an/~ ragu lations. Applicant..~')/~'.f. ~.4~; .~ _ .//~'/'4/~....-~,~-, ,~..~,: .~.~ , ................. Rev, 10-10-78 ¥ Ov~aer (s) Name(s) do(es) hereby state: CONSENT TO INSPECTION · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town · which is shown and designated on the Suffolk County tax map as District 1000, Section ~, Block ~- , Lot ~ 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~uthold. Dated: (Orint name) (signature) (print name)