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Home My WebLink AboutZ-11065FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z.1.1.065 .......... Date .......... J.uly. THIS CERTIFIES that the building ................................................ Location of Property ...~.~. 5 ............... lq0~.~..~ .tr.~.e.t. ................ qr. 9p.n.p.o..r.~ .... Mouse No. Street Hamlet County Tax IVYap No. 1000 Section . .Q/f2 ....... Block ...q ! .......... Lot ...0.0..5 ........... Subdivision. J~g. P.f..P..~F.t..9.f..g.h.q..E.R~.a..t~iled Map No..8.5 1 .... Lot No.. ~.8 .......... of Thomas F. Price, Sr. Requirements for a private one-family conforms substantially to the A~p~iaa, tio~fo~.gtiqdi~g-l~emi4-be~efe~-C-d~-im-i'l~-efffi~e'd~ dwelling built prior to qe~rt~&l,~cate or' Occupancy ..... April..23 ....... , 19 ,,RT. pursuant to whicn mmei~g-l~em,Ve No ......... ZJ .1.065 ...... dated ....~.u.l.y...8 .................. 19 82,, 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 ......... The certificate is issued to of the aforesaid building. ...... Rilliam. S .... Jaeger. ................................ (owner, le~ee er..tereee~ Suffolk County Department of Health Approval . n/r ..................................... UNDERWRITERS CERTIFICATE NO .......... ~ZC ..................................... Building Inspector Rev. 1/81 Location BUILDING DEPARTMENT TO~'~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 225 West Street Map of Fart o~n~Der & street) Subdivision Estate of Thomas F. Map No. 851 Price Name of Owner(s) William S. Jaeger Greenport (Municipality) Lot(s) 58 Occupancy R-1 (type) Admitted by: Key available Source of request unoccupied (owner-tenant) self Accompanied by: self unlocked ~ Suffolk Co. Tax No. 042-01-005 Wm. H. Frice, Jr.' pate 5/13/82 D~,,~LLING: Type of construction wood Foundation cement block Total rooms, let. FI 2 Bathroom(s) 1 Porch, type BreezewaL Type Heat oil fired Fireplace(s) Domestic hotwater Other #stories one Cellar partialCrawl space X 2nd. Fi 3rd. FI Toilet room(s) Deck, type Garage one-car 'Warm Air No. Exits 2 yes Patio, type Utility room Hotwater X Airconditionin~ .Type heater tankless ACCESSORY STRUCTURES: NONE Garage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 _Location t Description Art~ Sec. ~arageJ signs of termites in the garage III ~2-31-A inside holes in walls,also windows in front & back door broken III 52-31-B cellar cellar door broken~ this is also the entrance back step III 52-30-A Remarks: Inspected by: . -. a. te of Insp. June 24, 1982 Curtis W. Hort~n -Time start 2:30 end 3:00 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. 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 D,te .... ........ New Building ............. Old or Pre-existing Building XX Vacant Land Location of Property West Street Greenp. o.r..t ...... House No. ~ i~ Street Hamlet Owner or Owners of Property William S. Jaeger County Tax MaD No. 1000 Section 042 Block 01 Lot. 05 M~[p of Part of ~h~ .......................................... Estate of Thomas F. Price, F ed Map No. 851 .Lot No. 58 Subdivision .Sr. · ................................................ 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 $ 5o 00 / Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10-78 Applicant ff.' 'ffi ¥; ' 3k-'.' ......... ' for William S. Jaeger