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HomeMy WebLinkAboutZ-9485FOBS NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy X9485March 29 79 No. ............ Date ............................1 19.... THIS CERTIFIES that the building located at ..15.95. Lake. Dr., .......... hoc Map No. ..xxxxxxx.. Block No.. xxxXXxxLot No ....... xXXXXX== ............... REQUIREMENTS FOR ONE FAMILY DWELLING BtILT PRIOR conforms substantially to the TO CERTIFICATE OF OCCUPANCY xdubmbot ... April ... 23....... 19. 5.7 pursuant to which 0 rill ding V x No.. 794$5. dated ..... March...29........ 19.79, 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 .........Prlvate..One. Family..Dwelling ............................... The certificate is issued to ..........Robert. Madden ............................. . ( owner, of the aforesaid building. Suffolk County Department of Health Approval ........... Pre—Existing ....................... Pre—Existing UNDERWRITERS CERTIFICATE No . ............................................ 1595Lake Drive i HOUSE NUMBER .............. Street .......................... . Southold, New York ........................................... �:................ ............... 1, B ldinInspector County Tax Number 1000-059-05-009 Location Subdivision BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT D, N Map No. Lot(s) Name of Owner(s) /%ooy n/ Occupancy e .'I' Admitted by: 5cG Accompanied by: -5--E-4IF Key avail abl Q 1 o) Suffolk Co. Tax No./o0o-0SY-©5 00,9 Source of request<o7�vFc��Tizoru 1,ocu,1:7A1C4= ysDate 79 DWELLING: Type of construction 60co o #stories p tiF Foundation Cellar Crawl space A-�' Total rooms lst. F1 ""`5 — z a/r�s 2nd. Fl 3rd. Fl Bathroom(s) cAeo i:: /, Toilet room(s) Porch, typeDeck, type tzloao-veF Patio, type Breezeway___— Garage Utility room Type Heat No1%,,F 'Warm Air Hotwater Fireplace(s) — No. Exits Tu/o Airconditioning — Domestic hotwater yzo Type heater NQS Fi/zc� Other ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other VIOLATIONS• Storage, type const. Guest, type const._ Housing Code, Chapter 52 Location Description Art. Sec. /T �/y �77 � ` -:7 a0 A. "iQ /,C C070, /-/a;r TC/� y EjC - //o �NvT 4F I�,OL �� fJT �J�4/ is 1� Sol 5 tNT2/cs .ZZZ - A : d R'55L/z 2 -- /i3,,z r - /V o s5 S a- - -� ass/.✓ � ,O/Z� _ Remarks: C%�4cuL 5/,,OcZ lgcc�5s 02 hoC�cO Inspected by:&Y:e � ate of Insp. Time startp'/Oi0Aend10:3o /�%� 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 ..... March .26, .1979... . New Building ............. Old or Pre-existing Building .... X ...... Vacant Land ............. Location of Property .... 1595. Jake. PxiYe.,..Ne1"1. XQrX .................... House No. Street Hamlet Owner or Owners of Property ............ Madden ............................................... 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 $ . 5...QQ....................... Construction on above described building and pern)#' meets all applicable codes and regulations. Applicant .. A,64v ............ . Rev. 10-10-78 V (,Tl U O BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location /�` 9.�! 49'<-'C wiz. number & street Subdivision �oc�7f/OGD, n/•�1• Map No. Lot(s) Name of Owner(s) �c7l�c27 /`7�ovFiv Occupancy /C - (type) (owner -fit) Admitted by: Accompanied by: 5c4IF Key available�i��l,��oey Description /c,- Suffolk Co. Tax No./000-o-)�-Q.S=oo? .3 Ca IA.' C5�7-X� 7ciZ Source of request�to?NF.Cti , ��T2atu ,o y�Date 1 ,moo? 5 � DWELLING: Type of construction U)00o#stories Q ti.,�= Foundation Cellar Crawl space l4GL S Total rooms, 1st. F1 z azo 2nd. F1 3rd. Fl Bathroom(s) o.e,;;- r=- /i Toilet room(s ) Porch, type Deck, type_ezoo,2,,(A,s� Patio, type Breezeway Garage Utility room Type Heat No M` Warm Air Hotwater Fireplace(s) — No. Exits 7-ivo Airconditioning — Domestic hotwater Yc`O Type heater C -AS F-,2c•,o Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. .3 Ca IA.' C5�7-X� 7ciZ A/o SNui 0Fit- 101-t,7i47- PJ QS 1 ,moo? 5 � t ass ST` A i2�s�r� r / A 6 - ,SSI•i/ .O - .t! 1L1 Sd2-/ Remarks: Inspected by: C'/; �A' rub, Cc Zo2 Aockzo z P) Date of Insp. c,�-o2 <- 7� Time startIO'10WAend /i 4