HomeMy WebLinkAboutZ-10159FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No. Z. 10~.59. Date September 25 80
THIS CERTIFIES that thc building ................................................
Location of Property ..... 1 S 00..Yourhg8. Ro. ad, Ori ent
House No. 'S'~/e~£ ...............
County Tax Map No. ]000 Section ... D.18 ..... Block .... 0.2. ........ Lot ...0.1.0. ...........
Subdivision ............................... Filed Map No ......... Lot No ..............
~e_q~ir,em~nt~ f~r., g. o~e-famil¥ dwelling built prior to
conforms substantially to .tll~kpllnca/,an-ttlr..J~u~t~.ll~g.~-gr~,ig. lt~r4gofO~_~ in 4hi,-ef-fiee~datcd---
.... ~ot'.~.l. · 2.~ ....... ,19.57pursuant ~og~l~]~g_l~,,~g~.l~.fl.n.c.Y... 7.'[0'1.5¢ ......
dated ..... $ et~t emb~.. 25., ........ 19. $0, 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.. Dw.e. ll&lag .A.c.c..e.s.s.qr.y..T.w.q..C.a.r..G..a.r.a.g?..&..T.w. 9' ~t.q.r.a.~e...Structure.,
The certificate is issued to .... Et. isho .Mebermle_~. .........
(owner, le~~j~X ..........
of the aforesaid building.
Suffolk County Department of Health Approval .. N/.Ft ....................................
UNDERWRITERS CERTIFICATE NO ..........
Rev 4/79
Location
Subdivision
(numbEr & s~reet)
' Map No.
Name of Owner(s)
Occupancy,,,,/ - /
[type)
Admitted by: ~.2~c~/~~_/~.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
(Municipality)
Lot(s),..,,---
(ew~e~tenant)
Accompanied by:
Key available
Source of request. ~~/
Suffolk Co. Tax No.//ffk~-cY/~-O~P~-O/~
/
DWELLING:
Type of construction_ /~j~oo ~d/~g~_
Foundation ~o~ ~/~F ~ Cellar~--~//
Total rooms, let. F1 ~
Bathroom(s) ~/
Porch, type /~o~('~ Deck,
Breezeway - Garage~
Type Heat ~7-~_. .
Fireplace(s) ;~_~ --/~; f9
Domestic hotwater
Other
2nd. ~x ~ ~
Toilet room(s)
type ~
Warm Air
No. Exits
#stories
Crawl space...
3rd. F1
Patio, type
Utility room'~~
Airconditioning..~
Type heater /~ ~~
6CCESSORY STRUCTURES: /~ ~.
Garage, type const.~ <~ ~ f>~. Storage, type const.~~
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
~~__ Description Art____~. S ec_____~___
I
0.)
Remarks: ¢ .~f /
Inspected by: ~~~/¢~//~D~%e of Insp.~'2~/~~ /~
Time start~;~r ~.~ e'nd ,.~:,~-~ ~.1%.,.