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HomeMy WebLinkAboutZ-9429 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. . . .......... . . . Date February 9 , 19.79. THIS CERTIFIES that the building located at 2000 Capt. Kidd Dr. ONAtxx 205 Linda Rd. Map No. . .1672 . . . . . Block No. Lot No. 1333 • OR 0► F LY s apt ► S :UI PRIOR conforms substantially to th • • • = i..='3J J'fa't� i= L�rvJ* i= �'V i�i �i- � iGi� ��� April 23F 'QfFI TE 0 OCCUPANCY dated , 19. 57 pursuant to which �; }gc g�o. 2,9429 dated February 9 , 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 Private One Family Dwelling The certificate is issued to Charles M, Miller & wf. (owner, hessetoorstemuttO of the aforesaid building. Suffolk County Department of Health Approval Pre- x3.sti.ng UNDERWRITERS CERTIFICATE No. . . . . Pre—Existing' 2000 Captain Kidd Dr.; HOUSE NUMBER . . 205 Street Linde B•d, %Mattituck� Ne York B Inspector County Tax Number 1000-106-2-38 • BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location //Q /`-7TC/G� (number & "street) (Municipality) Subdivision C,q , iy ; Map No. Lot(s) /5J' Name of Owner(s) e /ez -,S Occupancy / : ��, �ci Ar type owner-tenant Admitted by: L/- Accompanied by: .7F-4,7-- Key 7Fj 7Key available c9 7- 44/2 A., Suffolk Co. Tax No. /000 -70e-d- Source of request c ',q, F JAI/0k ,,0p-y Date 02/4/7< DWELLING: Type of construction /1414.0 F2 #stories p,c/ Foundation CE,,c Arz Crawl space ,®2T Total rooms, 1st. Fl 7 l 3lzs 2nd. Fl AT7/c 3rd. Fl Bathroom( 1u11._ Toilet room(s) Porch, type Deck, type Patio, type cb- Breezeway Garage - Utility room Type Heat -e--r2c_&,d Warm Air r-i ,) Hotwater Fireplace(, L!/cio®S13% No. Exits 714JO Airconditioning Domestic hotwater /a ,!/.?di Type heater G Ec7/2/L Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location , Description , Art. Sec. t-tene6-7-. J! ,c)a /err, PV/JS c�/GA:i7-/CO//,4 E- 4v7A)yC Oo/c, Y QZa -�` e- z . midral d Co 3ds-7412. Lu,o// $Z- A- 3- -rriEmzit. (,©s a4,05 .5z sz r3-Z- 5i f3 r N/f k R alb/Z /0 , I/oi-t of WhvcV2 - L)O 5 "Pc-Ca ur r �i�%.J�� 'i� r ,cit-5 _ / 6v� 5 Z (? � CC. i Iva Gu, z cf iJ /915/ gLa s ?i�'Nz �5r�c/ !! J2-3/.N- CELLA/2 f O c./. 1 v4770/J 'A'5 c y,z-�✓/e..) Remarks: Inspected by: % /Cieh�.l-�i ate of Insp. Time start/;/0/4°: end /'5U ?h 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 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date January 25 , 1979 New Building Addition Old or Pre-existing Building X Vacant Land Location Of Property Captain Kidd Drive, Mattituck, New York Owner Or Owners Of Property Karen L. Miller Subdivision Captain Kidd Estates Lot No. 133 Block No. House No Permit No. Date Of Permit Applicant Health Dept. Approval Labor Dept. Approval Underwriters Approval Planning Board Approval Request For Temporary Certificate Final Certificate X Fee Submitted $ 5. 00 Construction on above described building and permit' et all 9pplicabl: ..es and regulations. Applicant ,ef*, ,,,�7, Rich F. Lark, . orney for applicant Sworn to before me this ClAite,At 26th day of January, 1979 (stamp or seal) C'02 g a l Notary Public Suffolk County V9/1q Q4 �� �y I Notary Public, State of New YorkBARBARA DIACHUN //� 0�U u�� No. 52.4635190 Suffolk County COflUpission Expires March 30, :950 • a. ��rr I , dc. ,, /0 ' b. '1 1,4 t U , , �= x Mn SW0l*;0N:: i , )` '} § ;`,.: ioovol ; waw t', r lV ,. 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