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Home My WebLink AboutZ-10811FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ~1.08J.1 ........... Date ...... ~ecember..1.0 .............. 19.81 TH]S CERT[FIES that the, building .......................... . ...................... ,,Location of ?roperty .32.0..J3e t,t,s..,St,...(.670..Glen~.c~oc~. ~. ) ..... C~l:l;~,hogu~ ........ House No. Street Hamlet County TaxMap No. ]000 Section . .11 0 ....... Block ...06 .......... Lot . ~.0~. ~..0. Q0 ..... Subdivision...I~0y~.t, qo¢..Re~;l..t.~....,. ...... Filed Map No. 5.39.:..Lot No. 10 ........... ,Re~.uiPements.,f, or~ p~ivate one-fami,~y dwelling ,. ,C~eP..tifJ,,cate_of Occupancy built,. 10.r.& or..~0. Ap.r.i 1 .gi~ 9 5.7. pursuant to wmcn m~zmu~g.~.~u~,i~, No .... Z-10811 ........... dated ... D~e.c e,~be.n. 10 ............ 198.1., 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 ......... ........ a..p~iy~t,e, o~. f~mJ, l¥..cl~ 11.&ag ..................................... The certificate is issued to ...... N. illia-m. F...Henegiaan ..... . .... (owner, le.s~g.t~t~ " ...... of the aforesaid building. Suffolk County Department of Health Approval ...... NY.R ................................ UNDERWRITERS CERTIFICATE NO .............. N,/.R ................................ Rev. 1/81 Building Inspector BUiLuI[,,= DE~m~YP, THENT TO¥,~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Loca%ion 320 Betts St., 670 GlenwQod Rd., Cutchogue (number & street) (~iunicipali~y) Subdivision RavatoDe Realty Map No. 539 Lot(s) 10 Name of O~.,mer(s) William F. Heneghan Occupancy R-1 (type) Admitted by: Mrs. Hene~han {owner-tenm~t) Accompanied by: same Key available Suffolk Co. Tax No. t10-6-7 & 8 Source of request William F. Hen'e~h'an Date_ 5/1/81 D~'fEI,LtL ~: Type of construction woo~ framed Foundation cement block ..Cellar full Total rooms, 1st. F1 5 2nd. FI 2 #stories 2 Crawl space 3rd. Fi Bathroom(s) Porch, type Breezeway Type }{eat Fireplace(s) Domestic hotwater Toilet room(s) Deck, type Garage Warm Air x No. Exits 2 yes Type heater Other utility room in basement, also a shower ACCESSORY STRUCTi~ES: NONE Carage, type const. Swimming pool Other Patio, type__ Utility room Hotwater Airconditioning gas Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Lo, ca'lion Descriotion Art. Sec. chimney is not an approved tYPe V 52'-54-A-.1 Remarks: Curtis W. Horton T~me start..9:15 end 9:30 ,4 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), Nonconforming 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 ........... ~ ...... · ......... ~ z.--'~:,../-~-'~. ,c:, ~.~=_ ' House No. Street Ham/et Owner or Owners of Property ....~.../~..'...'(~:..~:'.~'~...~../'.~./? .?~'. ......................... County Tax Map No. 1000 Section ././..0. .......... 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 ....................... Fee Submitted $. X/" ~ Construction on above described building and permit meets all applicable codes and regulations. Applicant..., .................................... Rev. 10-10-?8 C~O.