HomeMy WebLinkAboutZ-16271 FORM NO.4
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall . .-�r �
Southold,N.Y. v
PRE—C.0- or
Certificate Of Occupancy 9-�'195�• �� 9a
No. . , , Z16271. . _ . . . Date „October 8 , 1987
THIS CERTIFIES that the building .One, f a m i l y d w e l l i ng, , a c cess o r y g a r a g e, fence .
Location of Property 75 OSSEO AVENUE, LAUGHING WATERS , SOUTHOLD
House No. Street
Hamlet
County Tax Map No. 1000 Section P.8.7 . . . . . . . .Block . . A 3 . . . . . . . . . .Lot . . . . .9.17. . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. .Lot No. . . .
Requirements for a private one—family dwelling built prior to
conforms substantially to the �C �Ct$d;ilXFdtXBi1SdIXy�ti� gXX1C� �
April 23 , 1957 Certificate of Occupancy
. . . . . . . . . . . . . . . . . . . . . pursuant to which II HMft4%Klf*lo. . . . . . Z,1 6 2 7.1. . . . . . . . .
dated 0 c t o b e r. 8., . ]9 8 7 . . 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 familydwelling, accessorygarageand fence .
. . . .
The certificate is issued to , WILLIAM LEES
(owner�R ��kXXXX . . . . . . . . . . . . . . . .
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . . . . . . .VA . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . N/A
. .
PLUMBERS CERTIFICATION DATED: N/A
***SEE ATTACHED INSPECTION REPORT****
Also had B .P .#Z ] 272 with C .0 .#Z945cfo an ad iti`on
. . . . . . . . . . . . . . . . . . . . .
Building Inspector
Rev.1/81 /� /�
I I 1 Ci O'c/ ef)t 0- �'t,
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BUILDING DEP^P.TNE !T
T0;J1\T OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPOFT
Location 75 OSSEO AVE . -LAUGHING WATERS SOUTHOLD
(number d street) (;,iunicipaiity)
Subdivision Map No . Lot(s)
Name of Owner(s ) WILLIAM LEES
Occupancy R- 1
type owner-zenanz)
Admitted by: Joni Cesta Accompanied by: Joni Cesta
Key available Suffolk Co. Tax No. 087-03-017
Source of request DAVID DALY Date 9/23/87
MTELLI`TG:
Type of construction WOOD FRAME mstories 1
Foundation BLOCK Cellar PARTIALCrawl space PARTIAL:
Total rooms , 1st. F1 4 + bath 2nd. F1 3rd. Fl
Bathroom(s) 1 Toilet room(s)
Porch, type Deck, type Patio, type_
Breezeway Garage Utility room
Type Heat oil Warm Air xx Hotwater
Fireplace(s) NONE No. Exits 2 Airconditioning YES
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. WOOD FRAME Storage, type const.
Swimming pool Guest, type con t.
Other Split rail fence
VIOLATIONS: Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention
ldi ode
Lncation DescriD tion lArt. 1 Sec .
Remarks: ��i� %
Inspected by: -'Z - Date of Insp. 10/8 /87
GARY F SH Time start 9 : 45 end 10 : 15
a . m ;-I . M .
FORM NO.6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 — 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in typewriter OR ink, and submitted sa 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 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 informa-
tion required to prepare a certificate.
C. Fees: f ►
1. Certificate of occupancy $25 . 00 -- BUSINESS 0 .00 ACCESSORY $10.00
2. Certificate of occupancy on pre-existing dwelling 50 . 00
3. Copy of certificate of occupancy $ 5 . 00 , ov ears $ 10 .00
.Vacant rand C_O.
S.Updated C.O. $ 50 .00 Date September. . . . . . . . . . . . . . . . . . . . . . . . . .
NewConstruction. . . . . . Old orPre-existing Building . . . . . X. . . . . Vacant Land . . . . . . . . . . . . .
Location of Property . 7,5. .4:�peo ,Ayenuer• Laughinq.Waters.. ,Southold. , . _ , . . . .
. . . . . . . . . . . . . . . . . . . .
House No. Street Ham/et
Owneror Owners of Property . . William.Lees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No. 1000 Section . . . 0.$7 , 90. . . . . Block . . . .03:00 . . , , , Lot. . ,017: 00 . . . . .
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 Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . . . .
Fee Submitted $ .50;00 . . . . . . . . . . . . . . . . . . . . . .
Construction on above described building and permit meets all applicable cod d regulations.
Applicant . r • . . . . . . . . . . . . . . . .. . . .
D V M. Y' , s'
Rev.10-10-7e et, Marvin arti
48 Wall Street
3733 New York, New York 10005
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STATE OF NEW YORK )
COUNTY OF S v FFo K . ss" AFFIDAVIT
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HELEN REDHEAD, being duly sworn, deposes and says: i
1. I reside on Osseo Avenue, Laughing Waters, Southold,
i
Long Island, New York.
2. Deponent has lived in this area for over 3 0 years.
3 . Deponent is familiar with the house belonging to
�I William Lees located at 75 Osseo Avenue in Laughing Waters and
knows that said house was built prior to April, 1957 and has
been used as a personal, one-family dwelling.
HELEN REDHEAD
IISworn to before me this
14-PA day of September, 1987. f
NOT P BLIC
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No y Pul)hc, State M Ncw York
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BUILDIiIG DEPART1,1ENT
TOWIN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location S e5l."X-v
(number & street) 6f (Flunicipality
Subdivision 00 - m-No. --&g-.ca
Name of Owner(s)
Occupancy
p 7e owner- enant
Admitted by: Accompanied by:
Key available Suffolk Co. Tax No. 0-F
DIVI D
Source of request k � Date
DWELLING:
Type of construction Gl/C--Cw #stories f
Foundation Cellar nri'g Crawl space
Total rooms, lst. Fl x-41. 2nd. Fl 3rd. Fl
Bathroom(s) Toilet room(s)
Porch, type Deck, type Patio, type
Breezeway Garage Utility room
Type Heat 'rearm Air Hotwater
Fireplaces) Dom-- No. Exits Airconditioning �
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 45' N.Y. State Uniform Fire Prevention
Building ode
Location Description JArt. ) Sec.
Remarks: G
Inspected by: Date of Insp. /0 0
Time start "Men