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HomeMy WebLinkAboutZ-9562FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No..g.9.5.6.2. ........... Date ................. ~qn..e..2. Q, ...... 19.7.9 THIS CERTIFIES that the building ................................................ Location of Property . .5.5..0..C..~..a.r..P.o..i.n.t..D..r~.v.~. ~...~.a.s.t. ~..S.o.~ .t .h.o.]:,d. ................. House No. Street Hamlet County Tax Map No. 1000 Section . .9.0. ........ Block ...0.2. .......... Lot ...0.~(~ ........... Subdivision..C.e.d.a.=...~.e.a.c..h..~.a.r..k ...........Filed Map No..9.0. ..... Lot No..],0.6 ......... Requirements for a One Family Dwelling built_Pti, or.to conforms substantially to the __ Certificate of Occupancy ..... .~p.r.~..~..2.3., ..... ,19-1~. pursuant to whic~~ No ....... ?P.~.4 .......... dated ........... .J.u.n.~...2.0., ........19..7 .9, 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..xy.~.e.~., 9~., .r.a~..x.~..~. ~ .~r~..~.~.x~ ........................................ The certificate is issued to ...D.I..3~..~..K.o...H./~...I~..C.K ...................................... . (owner, ~s~aez~ of the aforesaid building. Suffolk County Department of Health Approval ..... .P.I;. ~..--.~.x.~..~.t.~.n. cj ...................... UNDERWRITERS CERTIFICATE NO ............. .P.r.O.-.~.x.~..~.~.~.~g ...................... Building Inspector Rev 4/79 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y- HOUSING CODE INSPECTION REPORT Location 550 Cedar Point Drive East Southold (number & street) (Municipality) Subdivision Cedar Beach Park Map No. 90 Lot(s) 106 N~me of Owner(s) Diana K. Hallock Occupancy R-1 (type) Admitted by: Mr. Hallock Key available Source Of request unoccupied (owner-tenant) Accompanied by: Mr. Hallock · xxx Suffolk Co. Tax No. 1000-90-02-016 Diana K. Hallock Date June 14, 1979 DWELLING~ Type of construction Wood Foundation cement block Total rooms, 1st. F1 four Bathroom(s) one Porch, typeclosed in Breezeway Type Heat electric panei~arm Air Fireplace(s)_ one No. Exits Domestic hotwater ves Deck, type Garage #s~ories one Cellar partial Crawl space rest 2nd. F1 ..... 3rd. F1 - Toilet room(s) --- .... Patio, type. --- Utility room Hotwater two Airconditioning Type heater electric Other ACCESSORY STRUCTURES: Garage, type const. - .... Swimming pool Storage, type const. Guest, type const. wood Other VIOLATIONS: Location cellar door rear of house storage shed inside Housing Code, Chapter 52 Description all rusted out needs paintinq broken shinqles & broken windows needs a better heating system Art. I Sec. III 52-30-A III 52-31-B v 52-32-A-1 V 52-32-A-1 Remarks: This dwelling is for summer occupancy Time start, 10:35 end 10:50 pm FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 featu res. 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 Date l Tq ...... New Building ............. Old or Pre-existing Building . ~ ....... Vacant Land ............. Location of Property H~o~u. Owner or Owners of ProperW ...~).;~ .~...~{ii. llo., k ..................................... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Map No ............... Lot No ............... Permit No ........... Date of Permit .......... Applicant :'. ~-~'~-.'~o~ __ ~).~ . .¢~. ......... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..... ~ ............. Fee Submitted $ .... 5~.'..0.0. .................. Construction on above described building and permit meets all applicable codes and regulations. · Applicant /. ~ .~ .~. ~..~. ~.~ ....................... 99,9l ............. ' ~INAUTHORIZED ALTERATION OR ADDITIO~ fO THIS SUEVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT MAP OF . PP..OPEP. TY 5U~VEYE'~ DIANA IX,. B AY VIEV"4 - HALL. 0CK 50UTHOLD 5¢FFoLK Co..N.Y. I~! = CONC. ~46NUME-l'-i'r 'T-ITLE NO. 5 - 31698 LITTLE pECONIC i~A¥ LICEc['"F-.ZD.~ ~.A/'- ~,UE.V EYOE 5