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Home My WebLink AboutZ-10333 a FORM N0.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. , Certificate Of Occupancy 71023 No ~ Date JanuaTY..~ t 19 . ~1 THIS CERTIFIES that the building . Location of Property ....280. Perk, .hyenue , , _ . , . , Mattituck, N. Y. House No. Street Namlet County Tax Map No. 1000 Section ~ 23...Block 07 ........Lot , 007 Subdivision ...............................Filed Map No. ........Lot No. . conforms substantial] to the ~ eauirements, _for a One Family Dwellin Built Prior to Y PPlitativrr'frn-Bm4ttilig"t°ernttt'3teYetttfrn'e~fii~'IITtMs'6fPh,'e'tl'dt'~d-- ....~'pril 2?, 57 710373 , 19 pursuant to which Building Permit No. ' . dated ...`T`~~u~~. 19 .81, 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 Family Private Dwelling The certificate is issued to .......I{l~m Properties Inc. .........owner,...... of the aforesaid building. Suffolk County Department of Health Approval , N/R UNDERWRITERS CERTIFICATE NO... , N/R *~*This includes B.P. #47522 issued 5/15/70 for an Addition-C/0 issued 8/7/70. ,#_7.3930. ~iL•Bu' di~ s e Rey ans BUILDITdG DEPAP,TPIEIJT T01~l~1 OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 280 Location Park Avenue Mattituck number & street Municipality Subdivision Described Map No. Lot(s) Name of Ovm er(s) Klam Properties Inc. Occupancy R-1 Unoccu Ted type owner-tenant Admitted by: Mrs. McDermott Accompanied by: Self Key available Suffolk Co. Tax No. •123-07-007 Source of request Gary Flanner Olsen Date 12/23/80 DWELLIPIG Type of construction Wood #stories 2 Foundation Cement Block Cellar partial Crawl space Rest Total rooms, 1st. F1 2nd. Fl 3rd. F1 Bathroom(s) 4 Toilet room(s) Porch, type Deck, type Wood Patio, type Breezeway Garage 2 Car Utility room Type Heat Oil Fired 'Warm Air Hotwater X Fireplace(s) 1 No. Exits 4 Airconditioning Domestic hotwater Yes Type heater Oil Fired Other Outside dressing room with shower; attached open shed ACCESSORY STRUCTURES: NONE Garage, type coast. Storage, type coast. Swimming pool Guest, type coast. Other VIOLATIOTJS: Housing Code, Chapter 52 Loca~~ion Description Art. Sec. Attached OPen Shed Cement Floor broken up, wood sills rotten III 52-30-A,B This includes B.P.#47522 issued 5/15/70 for an Addition Remarks: C/0 issued 8/7/70, 23930 Inspected by: ~ 1~i Date of Insp. 12/31/80 Curtis Hor~on Time start 11:00 end 11:45 FORM NO. 6 TOWN OF SOUTHOLD Building Deportment Town Clerks OfFice 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 Inspector 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 installations, 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 property 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 -..,,~i~":.2; Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 1 ~ ~ ~ Date ....~~.~~.Y~.l:~~~.~ hJew~ilding dition Old or pre-existing,6uilding Vacant Land ~L!~' \ _ \ Location:. Of Property ~a~.14V,~:...~'~k..~......~~.1~k.~.\~.~-,~:: Owner Or Owners Of Property ..!.~:`.~~.....".,1:~~.'.~.!.~~.....~..~~0`.1.Y~!\r/.~~..."..1~~::~ 'Sirbdivis~bn ................................................................Lot No............. Block No............. House No............. Permit l~o Date Of Permit ....................Applicant Health ept. Approval ............................................Labor Dept. Approval ters Approval ..............................................Planning Board Approval Request or Temporary Certificate Fin Certificate ~ - D-~ g Fee Sub fitted $ ~ ~ Construction on above described building and pertnit r~aeets all as le codes and regulations. Applicon ..,1 Sworn to before me his n/ C 7 ~ . fk ~ da of ..~.~.:1.~~~... I. ' p`3r seal) Y (Stain Notary Public County ~ lly ~ o ~ ~ ~ ~ ~ ~ ~ °-r