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Home My WebLink AboutZ-9304No. .7-9.304..... FORK No. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy Date ......... Novrember .16.,..... , 19-78. THIS CERTIFIES that the building located at .608.00 .North. Road........ Street Map No.... XXX...... Block No. .... XXX... Lot No.... XXX .......................... RE UIREMENTS FOR ONE -FAMILY DWELLING built prior to conforms substantially to the •gax>c heretofore ale in this office CERTIFICATE OF OCCUPANCY 4MMSx...Apri1.23.,........., 19. 57. pursuant to which No. Z93.Q4 . . dated ...November..16 , ...... , 19.7.8., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. PRIVATE. ONE-FAMILX..Di9ELLING..................................... The certificate is issued to . Jo.1m. P... and .Eileen. Hunter ......................... ( owner, &wA=s=Axxl*) of the aforesaid building. Suffolk County Department of H4alth Approval pre -Existing .... . ............. . UNDERWRITERS CERTIFICATE No...............Pre......-Existing................... HOUSE NUMBER .. 6 0 8 Q Q ...... Street ... -Noxkh . RoAd , . Greenport,. New. York. ................................................... ............................. 1000-045-1-7 ". ........ . Building Inspector 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... /. .............. New Building ......... .600 or Pre-existing Building ... ..... Vacant Land Location of Property A/ylioA ... %A6 .... W. oi ...... M 44, .. lt% ..J'FI JAM. AV �.4ffA"'4?J A r House No. Street l Ham/et Owner or Owners of Property ..iia oN.ffte4 TAA ....................... ................ ies ItkwToCANk RY, Xb S P4R*1 ,V,r „]J 5F County Tax Map No. 1000 Section ............... Block ............... Lot ................ 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 ....................... Fee Submitted $ ............................. Construction on above described building and permi meets all applicable codes and regulations. Applicant .... f a!: BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location /1on7-X1 number & s iiaw'ArAFILMM Subdivision Map No. Lot (s ) Name of Owner (s) Occupancy /C type owner -t -t Admitted by:F- Accompanied by: SIffLF Key .available wT �,t_.Suffolk Co. Tax No. /lcoo_-<�5�>- /- 1 Source of request�40��.o/i ti ' CfZti�U.✓� _ Date DWELLING: Type of construction�.��.� #stories /- . Foundati.ont;w&, &Z _ .,�a� .0 _Cellar:z,,A-7 , __Crawl space,--' �a�Z Total rooms, 1st. FlJZ- DB2 2nd. Fl Ft-ATa 3rd. Fl Bathroom) 0,0,E /1 Fxclal Toilet room(s) Porch, type��_Deck, type�i•��4 +loor: Patio, type Breezeway Garage z Utility room T auTr.�r j, Type Hotwater Type Heat 6A5' F/� farm Air. , �z Fireplace(s) No. Exits Tava Airconditioning Domestic hotwater 444 r Type heater Cljs F( c0 Other ACCESSORY STRUCTURES: Garage, type const. Z (w/OudO�r•P trstorage, type const. Swimming pool ----- Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art.1 Sec. C'C/�4cc= 7 �`1�sssnr fcNs - 4� a - (- —'7 5z-� 8 r a • w� ,o c T _ ,L�H aJ 77r Ale kel&' 7 r. 5ccv�-✓ t=��a2 U5fi t-Ci/Z mac_' �N — I.� sup lCl��AZ4rl/�ov �a,c/!�% <aL - �/p /f/V —N� SG _ 1d7�' /� Remarks. F�G'G� A/tR f`tlin/6 G' Inspected by: 7& 4g-zL----_Date of Insp. t/ 3� ?d Time start '3� u C end/.-t'S7/0