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Home My WebLink AboutZ-10549FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. C ... U FDA.T~ ertltlcate Of Occupancy No ...... Z 10549 ..... Date ........ 4 un.e..29 a ................ 19..81 THIS CERTIFIES that the building ................................................ Location of Property $/b6s~ )V'o.565' go.nd. R.voRue., .... ~r~te c o.nS ¢ ¥..New. 'g-o~'k ..... County Tax Map No. 1000 Section ...... 06'7- - .Block ......... ~ .... Lot ...... 1 .......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to"~ll~u/k~fll~4tfl&~ f~'~OguiRlifi~pe~-~m.l~ri~tolld~ lf~ddat~ this office dated ...... J. une. ~'9 ...... ,19.8.!pursuant tc~el~N:lt_~_fli. ~i~P._.~l. i_t_~_~(~2 u~_nc y..#.gl 05A9 ..... dated ..... g un-e · 29 ............... 19.. 8,1TM issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ........... Px~ivate· '0ns' 'PamiTy · Dw'®'3:lin~ .................................... The certificate is issued to ... ~T'oeeph' 'Ha~'£ev' t~tr~,~e'dr't~t;m'n't) ...................... of the aforesaid building. ......... ' Suffolk County Department of Health Approval ...... N/I~ ................................. UNDERWRITERS CERTIFICATE NO ........ N/.~ ....................................... Building Inspector Rev. 1/81 BUILDING DEPD3.Tr'~NT TO¥,~! OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT L ~. 565 Sound Avenue, Peconic oca~lon Subdivision Peconic Shores Map No. 117 Lot(s) 12p Name of Ovrner(s) Joseph Hataier & Wf. Occu~ancy~ Admitted by: Mrs. Hataier Key available__ Source of request Same .Accompanied by: 067-2-1 Suffolk Co. Tax No.. Feter Terranona Date June 11, 1981 D%f~2,LINGi. Type of construction Foundation Cement Block Basement~l~vek~ Total -~ooms, ~~X ~ Bathroom(s) Porch, typ~ Breezeway~ ~,pe Heat 0i% Fired Fireplace(s) Domestic hotwater Other Wood Burner Wood framed ' #stories Cellar partialCrawl space_ lst~d. FI 5 3rd. Fi 2 Toilet room(s) Deck, type Wood Patio, type Garage Utility room' Warm Air Hotwater x No. Exits 3 Airconditioning Yes Tjfpe heater Tankless Split level ACCESSORY STRUCTURES: storage, type const. Guest, type consto Oarage, type const. Swimming pool Other ~ATIONS: Housing Code, Chapter 52 W.obd' , Location Description Art. Sec. No Violations of the Housing Code, Ch. 52 were found, Inspecte~bY: _Date of Insp.June 17, 1981 · -' ' T~me start 2:30 'end 3:00 Cu'rtis W. Ho~rton FORM NO. 6 TOWN OF SOUTHO, LD 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... ./. New Building ............. Old or Pre-existing Building ... ~ ...... Vacant Land ............. Location of Property ...~.~. ?. ........... ..~.~?..~ .~..~.~.A/?. ~ ............... .~..~...c*£,..,~ ...... House No. Street Hamlet Owner or Owners of Property .....~..~.~.~./'~... ~..~..~../~./..'~.~....~.'~.~..~.~../.~. ~ .................. County Tax Map No. 1000 Section ...O..~.?. ....... Block ...... ~ ....... Lot.....~.....!. .... 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 ... e~..~ Fee Submitted $ . . .~. ........................ Construction on above described building and p~,,rmit meets aJJ applicable codes and regulations. Applican -..~./~ .............................. Rev. 10-10-78