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Home My WebLink AboutZ-9495FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .. ?` AP5.... Date .... Arri l . P. ................ 19.79. THIS CERTIFIES that the building located at 1y-50 .7:Su f. TT!. ......... Stlq@M . . . . . 9-4 .1 . 1 . . 'C?��i ��i�V i34 b�Ev fir.' •nLsMt'.lr} f�:wi:�'r�sr�tf �r�. dated ? .. A"r .............., 19. 7. pursuant to whit p h�� No.. 2.9495 dated ........... 19.7` , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is Pri„R+,e (►„e Pamt17T P`'`'a?�-'nor with Guest Accessonr Cottage issued is ............................................................. The certificate is issued to ........... '3nrton � ....... ............ ............... ( owner, J=sar=cx of the aforesaid building. Suffolk County Department of Health Approval .............”. I .. strop_, ................... UNDERWRITERS CERTIFICATE No. ........... HOUSE NUMBER . 15 5n....... Street ........Ne -w Suffolk d.Ygrk ........................................... 1'r Suffo......... Building Inspector County Tax Number 9000-997-09-005.001 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. 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 or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ... April 9, 1979....... New Building ............. Old or Pre-existing Building .....X...... Vacant Land ............. 15250 New Suffolk Ave New Suffolk Location of Property. • • • • • • • • House No. Street Hamlet Owner or Owners of Property .... • . David Horton & wf. . .................................................. County Tax Map No. 1000 Section ...... 005.001 117........ Block ... 09 ......... Lot ........ 5.00 . . Subdivision.................................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 ........ X.............. Fee Submitted $ ............................. Construction on above described building and rmjt s pp iic�abble codes and regulations. Applicant ..'�/... ....................... Rev. 10-10-78 4f-- 6-J J 0OZ01g9s- y s k It BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location (number & s Subdivision Map No. Name of Owner(s) Occupancy /C- G (type i4CA' , owner - c Lot(s) Admitted by: Accompanied by: /000 -It7-,req-oo-1-o0 0 Key available Suffolk Co. Tax No. 1 Source of request ,yc- x'rp/L/ Date DWELLING: Type of construction C &o0A"? 52.4.y,�7-_ #stories Foundation[rte ,t��,vr Eljc& Cellar ,rTL Crawl space gel --2 Total rooms, 1st. Fly ' 6 2nd. F1/1�I;c- S4,tOrd. Fl BathroomW 7114L Toilet room(s) Porch, type Deck, type Patio, type --- Breezeway Garage Utility room --> Type Heat �iY / ',4� `alarm Air Hotwater p,IL F11eZ;9 Fireplace�4 No. Exits %-Rio Airconditioning — Domestic hotwat< l;r/ � Type heater. Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Remarks: Inspected 10j1dr Date of Insp. 79 Time starts Zo bkend 4-15- f • Location A o G num Subdivision Name of Owners) _ Occupancy __�E— BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Der & s- e) c Map No. Lot(s) owner -ti Admitted by:_.L:/ITd,tJ Accompanied by: /000-ii7 o9--0o6:0r Key available --- Suffolk Co. Tax No./dee Source of request . . Date DWELLING: Coc.a7- Type of construction 1,&oo 0 F/�.t #stories C�,u� FoundationCellar Crawl space 1/ Total rooms, 1st. Fl-/""82�s 2nd. Fl 3rd. Fl Bathroom(e) 0",E Toilet room(s) -�- Porch, type eck, type Patio, type Breezeway Garage Utility room Type Heat /yo1LIZz— Warm Air Hotwater Fireplace(w) QA -r- No. Exits 0&, Airconditioning Domestic hotwater �a .�/� f��; t,Type heater. Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Remarks: Inspected by Dote of Insp. 4/— Time start /.rcofr. end/.'j/®,Pk, 'E(Z) Description- � ♦ L i ♦2 I t / � II � r A Remarks: Inspected by Dote of Insp. 4/— Time start /.rcofr. end/.'j/®,Pk, 'E(Z)