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Home My WebLink AboutZ-10212FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. Z10-~12 Date 0ctobet' 23, 19 ~0 THIS CERTIFIES that the building ................................................ Location of Property ;77~0 ~egsau %o~nt~ ~osd, Cuteho~ue, N.Y. h~s~ ~d ........................................................ 10h ~et 16 ~a~let County Tax ~ap No,~ 000 S~ctio~ ............ Bloc~ ......... Lot ................ Amende~ ~D or o ~ -- ~ ' NaSsau ~t. a~ A 156 175 requirements for a one-ramble' c~n~ ~u~ft' 'p~b'r to ~7 CePtifica~e of 0ccupanc~ ~r~ ~. 73 19 7.'pursuant to w~ch B~ffg~~-. ..... 7~.L] 777. ....... dated . P.~ 9~.~. ~ ............... 19. ~, was issued, and conforms to an of the requirements of the app~cable provisions of the law. The occupancy for w~ch t~s certificate is issued is ......... Ch~pl*~ ~. H~ok and ~e ce~ificate is issued to ..................... io~.3~, ~~ ................... of the aforesaid building. Suffolk County Depa~ment of Health Approval U~ERWRITERS CERTIFICATE NO. Building Inspector Rev 4/79 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 2750 Nassau Point Road, Cutchogue Location street) Amended MaD--o~~aumber & Subdivision w~,~ wt.. ~? A Map No. NAme of O¥~ner(s) Charles J. Heck and Wf. Occupancy R-1 (type) Admitted by: Self Key available William ~urtz Source of request DWELLING: Type of construction Foundation Cement Block Total rooms, 1st. F1 k Bathroom(s) 1 Porch, type Glassed in Breezeway. Type Heat 0fl fired Fireplace(s) Yes Domestic hotwater Yes Other Bathroom in cellar (Municipality) .Lo](s) Unoccupild ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other VIOLATIONS: Location Cellar Accompanied by: Suffolk Co. Tax No..1 Rudolph H. Bruer ~ Wood (own er-tent ~t ) Self )4-12-16 175 O~t. 21, 1980 1 ~es ice Date type__ #stor: Crawl sp~ 3rd. F1 Cellar Full 2nd. Fi Toilet room(s) 1)~clcj-ty~- X Patio Garage. in cellar Utility room 'Warm Air Hotwater No. Exits 2 Airconditi Type heater Tankless )ning Storage, type const. %Iood-Small Guest, type const. Housing Code, Chapter 52 Description Stairs ooen one side Sec. Remarks: Curti~ Horton Date of Insp. Oct 22, 1980 Time start2:30 ~nd 2:45 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 New Building ............. Old or Pre-existing Building ...~. ........ Vacant Land ............. Location of Property ...~.~.s.s.~. g..~.o.~.~..R.o.~j..C.g.t.c.~.o.g.u.e.,.. ~.e.~..¥.o.~.~. .................. House No. Street Ham/et Owner or Owners of Property .... .C.~.~. ~.[.e.s.. ~,. ~e..c.]5 ...................................... County Tax Map No. 1000 Section ...[..0.~ ......... Block ... ;L.;{ ......... Lot.. 3.6. ........... Subdivision ...2~t(~Tz~e.c]. ~. Q.~. ~G.s.s.~q ..... Filed Map No... ~L.5.6. .... Lot No... [7,5. ....... Pt. Map A Permit No ........... Date of Permit .......... Applicant ...C~..~.]~..s..~T,. ~e.¢.]5 .............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .... ~ .................. Fee Submitted $...5...q0. ...................... Construction on above described building and p regulations. App.cant ..... ( .... RU~ H~ ~e~,~TA~qrfiey for Charles J. Heck /Ul~, ,,~q~- ,~ . ~1' j.~l~ I 1