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Home My WebLink AboutZ-10644FORM NO. 4 TOWN Of SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z10644 No ................ :. Date August 18 1981 THIS CERTIFIES that the building Location of Property ...2. 7.4.7.5...M.a.t.n...Rg.a.d. t ..... C.u..t.c.h.o.~:.u.e.,..N..e.w..Y. 9.r.k .............. House No. Street Hamlet County Tax Map No. 1000 Section ...1.0..2 ...... BJock .... 1 ........... Lot ...1.3. ............ Subdivision ' .Filed Ma"p No ......... Lot No. ' conforms substantially to Two Buildings Built before April 1957 and Used a Store with habitable space and a smaller store. The occupancy for which tlfis certificate is issued is . ~ ...... The certificate is issued to Estate of Helen Madzelan ..................... ................... of the aforesaid building. Suffolk County Department of Health Approval ..... l~[[1 .................................. UNDERWRITERS CERTIFICATE NO .... I~./.1t ....................................... ;.. Building Inspector Rev. 1/81 BUILDING DEPYf~THENT TOWN OF SOUTHOLD, N. Y. }lOUSiNG CODE INSPECTION REPORT Location Subdivision 27475 Main Ro~d. ~numbe~-& ~treet). Map No. Yn~k (Mun±cipaLi~y) Lot(s). Name of O',mcr(s) Estate of Helen Madzelan Occubancy Was B-1 (type) Admitted by: Self Key available Unlocked Unoccupied own er-tenant) Accompanied by: Self Suffolk Co. T~x No.102-1-13 Source of request Stephen F. Griffing, Jr.,Atty. DateJUly 30, 1981 D?fEI,LING: Type of construction Wood Foundation Cement Block Total rooms, 1st. F1 3 BatLro~m(s) ~Porch, type Breezeway 1~fpe Heat Oil Fired Fireplace(s) Domestic hotwater Yes Other Wood Burner #stories. Cellar Partial Crawl space · 2nd. FI 3rd. Fi Toilet room(s) 1 Deck, type Garage Warm Air Central No. E~i~s 1 One Rest Patio, type.__ Utility room Hotwater Airconditioning Type heater ACCmSSO:.f STRUu~UR~S: .Garage, type const. Storage, type const. Wood, 3 Rm. Swimming pool Guest, type cons%. Other This storage building use to be a Barber Shop but has not been used as such for years. VIOLATIONS: Housing Code, Chapter 52 Locahion Description Art. Sec. Cellar Inside cellar steps bad II 52-27-A Toilet .Toilet room floor not waterproof iIII 52-32-D Stoc~ge Room Needs various repairing III 52-32-C Remarks: Curtis W. Horton T~me siartll:00 end 11:30 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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. 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 unusua~ 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 $5.00 Date ...~?.l.y..3.Of, .].9..8.1 ........... New Building ............. Old or Pre-existing Building . ..x ......... Vacant Land ............. Location of Property .. ~./.~./.s, .N.a.i.~..A.o.a.d;..C?.t.c.~.oc~. ?.e ;..~.Y ................................... House No. Street Ham/et Owner or Owners of Property . .g~ .t~.t, .e. 9.~. [-I~].e~_. ~,~.~$,;~_,. Dece~e~l ......................... County Tax Map No. 1000 Section ....1.0.2...0.0 ...... Block . ...0.1:.0.0 ....... Lot....0.1.3: .0.00. ...... 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 $..5,.0.0 .................... .// ;~,.t~ 'iR! iiiiiii0111on on above descrlb~pbp~::~~~i of ~!'~' 0 Z <I