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Home My WebLink AboutZ-10402FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date February 17 1981 THIS CERTIFIES that the building ................................................ Location of Property ...2.6. .9 .0.5. ?! .a.i.n..R..o.a.d .................C.u.t.c..h.o.g.u.o. ................ House No. Street Ham/et County Tax Map No. 1000 Section ...1.0.9. ...... Block 2 .Lot 16,1 Subdivision Highland Estates .Filed Map No.6537 .Lot No. 1 requirements for a one family dwelling built prior to conforms substantially to the-;~fip'lrc~flg~7 tgr-l l'dT£ -i ;' Tt-ff ;G?oS; dated Certificate of Occupancy ..... ?.p.r.i..1..2.3. ....... 19..5.Tpursuant to whie'h- mrar g"Fe-rma'N'o'. ........... .z.1.0.6. 9.2... dated .... .F ?.b.r.u..a .r.y.. 1. 7 ........... 19..B.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 ......... Private One-Family Dwelling The certificate is issued to ...... 75..h.' .ig.h.l.a..n.d..R.q .a.d..C.o..r p.. ........................... (owner, of the aforesaid building. Suffolk County Department of Health Approval ....... .N./.R. ............................... N IR UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 BUILDING DEPARTP~NT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location_26905~ Main Rd.&75 Highland Rd. Cutho~ue (number & street) -(Municipality) Subdivision Highland Estates Map No. 6537 Lot(s) Name of 0v~er(s) Howard Rosenstone Occupancy. R-1 (type) Admitted by: carpenter Key available Source of request ( o~h-8~-- tenant ) Accompanied by:. self Suffolk Co. Tax No. 109-2-16 1 Abigail A. Wickha'm Date DWELLING: Type of construction Foundation Stone Total rooms, lst. F1 Bathroom(s). two Porch, type Breezeway. Type Heat~il r~e~ Fireplace(s) two Domestic hotwater yes #stories Cellar~Crawl space 2nd. F1 4 3rd. F1 Toilet room(s)~ Deck, type Garage Warm Air No. Exit~ thrse Type heater Patio, type Utility room Airou~ditioning oil fired Other attached utility shed, wood burning stove ACCESSORY STRUCTURES: None Earage, type const. Swimming pool Other storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. V. 52-52-B kitchen ~as stove no shut off _ upstairs holes in the ceiliDg FIT_ qP-32-C, autsido rc,~ attached.,,uti~ily shed need III. 5~-3( repairing extensively outside side walk.~.eed Dain~n~ bmd]v TIT 2 )-A+C ,1 Remarks: Dwelling is being remodeledextensively through out Inspected by:~ ~//.. ~.~ Date of Insp.1 _ 27 - 81 T~mo start/~jz/~' end/.'5/3, ~/~. BUILDING DF-oAP, Tr.~NT TOl;%~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location Sub~i~l~ Estates N~e of O~mer(s) 26905 Main Road Cutchogue (number & street) Occupancy.. (type) Admitted by: Self Key available Open Source of request (Municipality) Map No. 6537 Lot(s) 75 Highland Road Corp. Unoccupied (owner-ten~-~t Accompanied by: Self Suffolk Co. Tax No..109-2-16.1 Date DVf~LING: Type of construction Wood Foundation Stone & Blocks Total rooms, 1st. F1 7 Cellar 2nd. F1 #stories Crawl space 3rd. F1 21 Bathroom(s), 1 Porch, type Breezeway, Type Heat Fireplace(s) Domestic hotwater Other Oil Fired 1 Yes Deck, type Garage Warm Air No. Exits Toilet room(s) Patio, type Utility room -~wa~e~ Steam 6 Airconditioning Type heater ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Cuest, type const. VIOLATIONS: Housing Code, Chapter 52 . Location Description Art. Sec. Back Rm Fell thru large hol~ in floo~ Bathroo No Floor at all Dinning Rm. Do Not Walk On Remarks: Inspected by: Date of Insp. T~me start end 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 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 7/25/80 New Building ............. Old or Pre-existing Building .. ;( ......... Vacant Land ............. Location of Property ....N,/.S..M.a.~.n..P~l,. ~:l~l:ObQgl~e ,. ~lCW. l~or~. .............................. House No. Street Ham/et Owner or Owners of Property ........ .H.O.W.A.RD..X.i~[..~..R.O.S .E.N.S.TQ]N]~ ............................... County Tax Map No. 1000 Section ...~.0.9 .......... Block ... ~ ........... Lot.. 016ol ......... Subdivision .N.a.D..o.~..~.l.g~.l.a~..~?.t.a.t.e.s..a.t..C.u.t.c.~:Map No... 6597 ........ Lot No...1 ............ Permit No ........... Date of Permit .......... Applicant ...A~..i9.~.~.1..A:..~.i.c.~b~. .............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..... Z ................. Fee Submitted $..5, ~)0 ........................ Construction on above described building and permit meet//~./~,_plica, bJ~ co~s a~/x~,~g/~a~t~,s..,~ , Applicant ......... /~.--2..4~-~... ~. ~.....~..~..~/..~~.. Rev. 10-10-78 ~igail A. Wickham ~