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Home My WebLink AboutZ-12567FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.~ l ¢5b.Z .......... Date ...... .J.u.n.e.. J9 ................... 19.8.6. THIS CERTIFIES that the building .0. n. 9./.a.m. .i .1 y.. d..w 9.1.1. i..n g ......................... Location of Property 1315 Albo Drive Mattituck House No. Street ................. County Tax Map No. 1000 Section . 1. .2.~ ........ Block .. 9.3 ........... Lot .0. J .5 ............. Subdivision ........... .XX ................. Filed Map No... X~( .... Lot No .... )2~ ........ Requirements for a private one-family dwelling built prior conforms substantialIy to the ~l~1~1~ ~llt~ lllltl~ l~::tr~K l~l~/~Xfilml ~ I1~i1[ ~l~f~e~7~r~I! ·../{Pr:[.]..53 .......... 1957. pursuant to which llthld~il~lt~±cate of Occupancy Z12567 dated ..... 4.u.n.e.. ! 9 ............... 198.4. ., 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 ......... .... One..£ami~ The certificate is issued to . .E .1.1.% q .~ .~..&...N .a AY. H o o g h k i r k "'io .er, ....... of the aforesaid building. Suffolk County Department of Health Approval ....... N ¢. ~-.o ¢ ~ r& ........................ UNDERWRITERS CERTIFICATE NO. N o r e c o r d Please see attached housing code inspection report. to Building Inspector Rev. 1/81 BUILDING DEP.~d~Tr~LENT TO~'~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location Subdivision 1315 Albo Drive (numoer & street) X Mattituck Map No. (Municipality) X Lot(s) X Name of Owner(s) Ell'iot C. Hooghkirk & Mary Occupancy A~mitted by: R-1 (tYpe) Mrs. Klinge tenant (owner-tenant) Accompanied by: same Key ~vailable Source of request ~ Suffolk Co. Tax No. 126-03-015 Robert E. Hoogh~irk ~ate 6/4/84 D~LLI~: Type of construction Wogd Foundation cement block Total rooms, 1st. F1 Bathroom(s) 2 Porch, t~Te Breezewa~ Type Heat Fireplace(s) 1 Domestic hotwater Other #stories one Cellar ?~ Crawl space rest 5 2nd. F1 3rd. F1 Toilet room(s) Patio, type Utility room Hotwater xx Airconditioning yes Type heater Electric Deck, type Garage 2 car oil fired 'Warm Air No. ~¢its 4 ACCESSORY STRUCTURES: Garage, type const. Swinm~ing pool Other None Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location M~n bath Gara~ Garage Cellar Outside Outside Descriotion Wall need~ ~'~p~irin~ Steps to garage no rails No fire separation garage Leak in pipe in cellar Needs painting badly Shin$1es missin$ sidewalls entrances need repairin~ Art. ~V III 1 Sec. 52-32'D · ;2-.27-B~ 52r51-2 52-31-B 52-31-B 52-30-A-B Remarks: Inspected by:~Date of Insp. ,~,,ne ~a, ~ga~ Curtis W. Horton 'Time start 10:~5 end 11:4~ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~outhold, 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. B. 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling/ land use --P ~' e- ]~× ± s t. ± n g C.O. $1 3. Copy of certificate of occupancy $1.00 ~'acant. land C.0. $ Date... ~ .~.~..-T~. c~. ............. New Building ............. Old or Pre-existing Building ...~. .......Vacant Land ............. Location of Property ... ~..~. [ ~.. ........... .~.~../?.o..~ .i.~., ................ ~ ~..~ .7'~j..C_.~., ..... House No. Street Ham/et Owner or Owners of Property .~/.o..~...~...F~.F?.~.~....I.~.o..o..G..I.~./.~. [ .~.,/.~ ..................... County Tax Map No. 1000 Section ....... /*..'~-. ~... Block ...~ ........... Lot../'.J. ............ 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 Temp~,ry Certificate .................... ~Final Certificate .... · .d2-~. · ~ .............. Fee Submitted $. ~.?..~./.~..d? ..... ~...:~..(.(.~. ..... Construction on above described building and permit meets all applicable codes and regulations. ...,o.,o-,a CONSENT TO INSPECTION /__-/..L jo/-/-(f/%A~/~.~/ zL~(po~/.~/~l~z,/¢ , the undersigned, Owner(s) 'Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) o~ the premises in the Town of Southold located at ~/_'~O ~ ~, /V% ~T~ ;~-o · which is shown and designated on the Suffolk County tax map as District 1000, Section /~_~ , Block ~_~ , Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: __ That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon· to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws· ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so %vith the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws· ordinances, rules or regulations of the Town of Southold. (si~natur~ (print name) (print name)