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HomeMy WebLinkAboutZ-9431 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z9431 Date February 13 , 197.9 . THIS CERTIFIES that the building located at 200 West Street xioArdStox Map No. Block No. Lot No. conforms substantial) to the . I I . OR ONE FA1 I Y DWELLING BU LT PRIOR TO Y ��rea'aa'csae �acccsea } aYGvJ�iC"1L�'le3aisae' 00TEEEOCZCU9P4 CYdated . . . April. . .23 , 19.57. pursuant to which dated . . F.ebruary. . .1.3 . . . . . ., 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 issuedis PRIVATE ONE FAMILY DWELLING The certificate is issued to Harry Miller & wf. (owner,inmsx of the aforesaid building. Suffolk County Department of Health Approval Pre.-Existing UNDERWRITERS CERTIFICATE No. . . . . Pry-Existing HOUSE NUMBER . . .200 Street y West.Street .Gr.eenport,. N: .York B • din: Inspector County Tax Number 1000-42--1-2 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—IS-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 February 12, 1979 New Building Old or Pre-existing Building )fax Vacant Land Location of Property 620 West Street - Greenport House No. Street Hamlet Owner or Owners of Property . .Lir .. Mi1]tr & Wife County Tax Map No. 1000 Section 42 Block 1 Lot 2 34-35 plus east. Subdivision Est. of Thos. F. Price Sr. Map No. 000851 Lot No. , Permit No. Date of Permit Applicant Harry H. Miller Health Dept. Approval Labor Dept. Approval Underwriters Approval Planning Board Approval Request for Temporary Certificate Final Certificate XX Fee Submitted $ . 5.00 Construction on above described building and permit meets all applicable codes and regulations. LI/ Applicant . . . . . C':?' % l. . . � {'( 82.02:, -*15-a6-0 Rev.10-10-78 C-0 Z-1410/ QV.0. BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location Zc 0_14- 7" - • �i/��Ej C/�C,��///��o� y (number & street (Municipality Subdivision yas. j.. /cLiz. Map No. Lot(s) Ji- 3y/-tor33 Name of Owner(s) /14W/cc/ A-/sl/A-/Z. 'y occupancy f r 4<< /7/ t type owner tcnant Admitted by: H, 1--61/ /c. Accompanied by: ,-//e5- Key -//e.5 Key available Suffolk Co. Tax No. /©fdap - LLz- / Z Source of request,c / // ,aa) - //kre Date Z//z/79 DWELLING: // Type of construction (.14)4D T7,qIi #stories / /!z Foundation �� 1 e a/QGk Cellar , 7 L Crawl space 04ipT2 4/0,4/u Total rooms, 1st. Fl g z ais' 2nd. Fl Z 'I 3rd. Fl — Bathroom(} Toilet room(s) Porch, type — Deck, type Patio, type — Breezeway Garage Utility room Type Heat CC/>,r/P�Z Warm Air Hotwater ©/L 77;c40 Fireplaces) No. Exits 77c.io Airconditioning Domestic hotwater /9// Fitm/ZS Type heater_,U,�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. c=7/.4//ZLU.O Z'� P FX• .CJO 01/2.L 710 L- 242-,,,47 43. z, T U E TIZ /a05 a>— /c'v /.. 4A,(17i -- 45-02-.5"-ZL3) ✓'.,1 AR4% ri A/D J .5-7)7/05 P/'cot.o11 s�o; -ole I� . E-K -�- f' .;-d--J( e3. .5" isW6i e f JIJ/A.v0'w, 4-xvs Civc34c', =/0i,vi f L.iiv� %/J ,65.13/ d. Remarks: Inspected by: #1/ �'" , �/' w i of Insp. 2/3// Time starth9j564,hend //.'Aj 1 k.