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Home My WebLink AboutZ-10520FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z10520 ~o .................. Date ...... J.u..n?..8. ~ ................... 19 .~ 1. THIS CERTIFIES that the building ................................................ Location of Property 175.5 Sigsbee Road, Mattituck, New York 121[~[ts~ Ho: ........................................................ Street Hamlet County Tax Map No. 1000 Section ... 1. ~..6 ...... Block ...~ ........... Lot . .1.3. ............. Subdivision. B.a. g..~ :..~a..r.k..~e..o p.. ...........Filed Map No. 8.0.1 ...... Lot No.6 9.. 5..7. 0. ...... ., r~quir, ementa~ f.~r a.. On~ .Famt,ly II¥~lliJcgbjAil~ ,p~'.~or conforms substantially to me-~tPl~a~t-~o~-eam~mg-t~'mr~-meretoro~e-~leil-m~orrm~ - April 23 1~.7. pursuant to whicClC~l~t~%i~n~i~~-Occup"ncyZ10~20 dated . . d. .u .n ?. . 8. ................... 19 ~.1., 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 ......... The certificate is issued to Irene Harris on ..................... io~,n'e'r~.l~ Wd~[a~'gl'.J- - .................. of the aforesaid building. ONLY Suffolk County Department of Health Approval .,/.R ................................ UNDERWRITERS CERTIFICATE NO .... 1~/.~ .......................................... Building Inspector Rev. 1/81 BUILDING DEPARTr.~NT TO%',~[ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 1755 Sigsbee Road~ (number & street) Subdivision Matt. Park Prop. Map No. Mattituck, New York (Municipality) 801 Lot(s) 69 & 70 Name of Ovmer(s) Irene Harrison Occu~)ancy Admitted by: R-1 Unoccupied (typ e) (own er-t en~t) Mr. & Mrs. HarrisonA¢companied by: Same Key available__ Suffolk Co. Tax No.. 144-2-13 Source of request Richard F. Lark Date May 26, 1981 D%'~LING: Type of construction Foundation Cement Block Piers To~a! rooms, 1st. Fi 5 Bathroom(s) 1 Porch, type Screened in Breezeway ~ype Heat None Fireplace(s) 1 Domestic hotwater... Other Wood Framed #stories 1 Cellar Crawl space 2nd. F1 3rd. F1 Toilet room(s) Deck, type Garag% Warm Air No. Exits 2 TYPe heater Patio, type__ Utility room' Hotwater Airconditioning Electric ¢ ACCESSORY STRUCTtURES: .Garage, type const. Swimming pool Other storage, type const. Metal Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. Storage S]~ed All rusted out I~I 52-30-A Front Por,:h R~F l~ng h~lv III 52 31 C Bathroom Fl~or ~n~ ~,~1~ n~e~ repairing III 52-~9 D Outside Need Paint~n~ B~dlv III ~2-~1B Remarks: Summer Occupancy Only iNO HEAT) ' Curtis~W.' Horton Time start 3:1'5' 'end 3:30 J FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, 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 Date ....~.a~..2..6.,..];?.8.]. ......... New Building ............. Old or Pre-existing Building ....X. ....... Vacant Land ............. Location of Property .. l..~..~.~.. ...... S.J:..cj.s.~.e.e...~.o.a..c] .............. .~.a..~.~.±.~.~ .~ .......... House No. Street Ham/et Owner or Owners of Property . . .]:?.e.~..e, .~.a?..~.~.s.o.~ ......................................... County Tax Map No. 1000 Section . .[..4.4 .......... Block .... 2. .......... Lot...[..3 ........... Subdivision .'~~P~./?.':'/,-¢~ ........ Filed Map No. {~../ ..... Lot No. E.ff...+. Permit No ........... Date of Permit .......... Applicant .................................. ! Health Dept. Approval ........................ Labor Dept. Approval ......................... Underwriters Approval ........................ Planning Board Approval .................... Request for Temporary Certificate ..................... Final Certificate ...... .X ............. ~.'.~'.~ Y~,,! Fee Submitted $ .5...qq ........................ ul t~ons -- V Construction on above described building and permi/~alt/a~le~ and reg a' . Applicant .... ~,/./?~.. ~ .'7....~ ....... ;; .... . ...... Rev. 10-10-78