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Home My WebLink AboutZ-9925FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. ??;.5 .......... Date ...... April, 18 THIS CERTIFIES that the building ................................................ Location of Property .07A UaS: Avenue,. pout*old House No. Street Hamlet County Tax Map No. 1000 Section .77.........Block ..001 .........Lot ... .......... Subdivision. HBe .Bay Estates ......... Filed Map No. .1170. Lot No.h. Of. 2.5.113521253; conforms substantially 1pHe��r o April 23 1957. pursuant to Certificate of Occupancy ,9825 ............ P 3bNjL*=j150jjt1No. dated ... 4.341— 18 ... . ........... 19 AQ , 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 ......... ...................pl<lv�t�..Qne: k't y . �W�t7.l �i►.g ....' ....................... . The certificate is issued to . JerOme.Lewin and wife .................................................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . W t ..................................... UNDERWRITERS CERTIFICATE NO......... N/R.... . . . .................. . .... . This Certificate of Occupancy includes an update on the addition built July 3, 1972, Building Permit No. 59828; C/O issued January 30, 1974, 85775. Curtis 999a"nspector Rev 4/79 FORM N0.6 TOWN OF SOUTHOLD Building Department 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 triplicate 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 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date .... April ..7A ... 1.9$Q............ New Building .................... Old or Pre-existing Building ........ N.................. Vacant Land ............................ Location Of Property .........875 Oak ....Avenue....Southolds...New York ....... .......................................... Owner Or Owners Of Property .... Batty ..T.Z....Z+s~V1X3................................................................................ Subdivision................................................................Lot No............. Block No............. House No ... 1�.7.5... Permit No ..................... Date Of Permit ....................Applicant .. Betty..D.. Lewin .................................. HealthDept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ...... X................................ Fee Submitted $ ...S. 00 Construction on above described building a e 'tVen II pp i b odes and regulations. Applicant ..... ... .. "'"WEE ..................y Be by u of h H. Bruer AtEorne Sworn to before me this 7th y April, 1980 (stamp or seal) ................ da of ....................... Notary Public ....... uffo.lk.County .................. BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location_ 875 Oak Avenue, Southold. New Subdivision Goose Bay Estates Map No. 1176 Name of Owner(s) Jerome B. Lewin and wife Lot(s) Occupancy R-1 type owner -tenant Admitted by: Self Accompanied by: Self Key available Four Sails Realty Suffolk Co. Tax No.77-1-13 Source of request Rudolph H. Bruer Date 4/7/80 DWELLING• Type of construction wood framed #stories one Foundation Cement block Cellar full Crawl space Total rooms, 1st. F15 2nd. F1 3rd. F1 Bathroom(s) 1 Toilet room(s) Porch, type Deck, type Patio, type Breezeway Garage Utility room Type Heat Electric Warm Air XX Hotwater Fireplace(s) 1 No. Exits Airconditioning Domestic hotwater yes Type heater gas Other ACCESSORY STRUCTURES: NONE. Garage, type const. Storage, type const. Swimming pool Guest type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Descri tion Art. Sec. Kitchen Gas stove - no shut off V 52 -52 - Cellar Cellar steps too steep and steps too far apart II 52-27-A Outside Front steps need repairingIZI 52-30-A Remarks: Inspected by: Date Date of Insp. 4-15-8o Curtis HortonTime start 2:30 end 3:00 P_M, ; 252; I TOWN OF SOUTHOLD PROPERTY RECORD CARD �-- OWNER STREET VILLAGE DIST. SUB. LOT ORMER OWNER N E ACR. 3 S W TYPE OF BUILDING RES. � SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS ,� O v O D Z S 44 e- 17o / U�-��7 0 ,D << PFRril i s f.2 7 3,1-, Ie .. AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD L S l o u _% O House Plot DEPTH BULKHEAD Total DOCK