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Home My WebLink AboutZ-16676FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE Certificate Occupancy No.. Z!6676 ..... Date Feb. 26, 1988 THIS CERTIFIES that the building .. 0..n.e..f..a .m.i.l.y..d.w.e. 1. 1..i.n.g... ................. Location of P ~ 830 Oak Ave. Goose Bay Estates Southold roperry ............................................................... House No. Street Ham/et County Tax Map No. 1000 Section 7 7 .Block 1 . .Lot 4 Subdivision ............................... Filed Map No ......... Lot No .............. REQUIREMENTS FOR A PRIVATE ONE FAMILY DWELLING BUILT PRIOR TO conforms substantially to the A.]tl~l~ltt//~lIlf~X~l~[gXl/~=~tX~t-~tli~/oYr:~Xi~ev~i~nX~~d CERTIFICATE OF OCCUPANCY .A.p.r..~.1..2.3. :..1.9.5. .7 .... pursuant to which lii~al~lt No..Z.I.6..6 .7.6 .............. dated F e b. 2 6, 1 9 8 8 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 ......... One family dwelling , rear deck attached to dwelling. The certificate is issued to ALEXANDER GREENDALE 6, WIFE ..................... io¥.'d., i 'idff dlix'x' ................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A N/A PLUMBERS CERTIFICATION DATED: SEE INSPECTION REPORT Building Inspector Rev. 1/81 Location Subdivision N~me of Owner(s) BUILDI~G DEPART~,~NT TO%'~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 830 Oak ve. Goose Bay Estates [numOer & s~ree~) Map No. Southold (MunicipaliLy) Lot(s) ALEXANDER GREENDALE & WIFE Occupancy Residential (type) A~mitted by: Zeva Greendale owner (owner-~enan~) Accompanied by: Same Key available No Suffolk Co. Ta~ No. 77-I-4 Source of request Zeva Greendale Date 2/26/88 DI~LLIMG: Type of construction Foundation Block Total rooms, 1st. F1 Bathroom(s) 1 Porch, type Breezewa~ Type Heat Oil Fireplace(s) One Domestic hotwater Other Wood frame Cellar Full 6 2nd. F1 Toilet room(s) Deck, type Rear 9'X9' Patio, typ~ Garage Utility room Warm Air xx Hotwater No. Exits 2 Airconditionin~ None LP Gas Type heater #stories Crawl space 3rd. F1 ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. Location OUTSIDE SLEEPING AREA VIOLATIONS: Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention & Building Code ~ Descriotion I Art. I Sec. SMOKE DETECTORS REQUIRED 2/26/88 reinspected detectors installed Remarks: Inspected by:~~ ~~ -GARY F/SH ' r Date of Insp. 2/26/88 'Time start ]o:~0 end FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted I ~ 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 property 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ...... 2../.2.6./.8..8 ............ New C OhS tr uc t i on ...... Old or Pre-existing Building ...x.x. ....... Vacant Land ............. Location of Property 830 Oak Ave. Southold House No. ~¢ Z ~ ~ ~ Street Hamlet Owner or Owners of Property Alexander Greendale ~ County Tax Map No. 1000 Section 77 Block ! Lot. 4 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 ....................... Fee Submitted $ ............................. Construction on above described building'~,and permit mee~ll applicable codes and regulations. Applicant . .~..~. ,..,o.,o.,a c.o. itl 25.