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Home My WebLink AboutZ-10523FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No... g ~ O~.~3 ........ Date ..... 4pp, e...1~., ................... 19.8.1. THIS CERTIFIES that the building .......................................... · ...... Location of Property ..... 2..8.0..S.~..rg.h.s. 9 .n..R.o.a..d, ......... C..uy.c.h. 9$.u.e.,' . .lq.e?...Yg.r.k. ..... House No. Street Ham/et County Tax Map No. lO00 Section ...... 103...Block ........ :1 J0 ..... Lot ....0.1.8 .......... Subdivision ............................... Filed Map No ......... Lot No .............. .re,qu~re~eRts ~fo~ .e,.on~ fa,m$ly, c~wel,~.ip$ ,b, qil~ prior', to conforms substantially to me .a,pp~.~or- ~$a~a~ng. ~e~r~u~. a~r.~o~r.~.e~a. ~n. ~ms..~mo~-tmt~ .... _ ,.C~ti~ica~q,,c~ ~cupacny Z10523 .... Apr~.l. 83., ....... , lP. 5~pursuant to wm~rr~ttmcnrtg're~m~t,~ ...................... dated .... J.u..n.e..1.2. ................ 1~, 1. . , 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 ......... .... ~. r.Lv.a. ~..e..o.n.e..-?.a.~..~ .z ~..o....e.z.z.~. n..~ ............................................ of the aforesaid bu~ding. Suffolk County Department of Health Approval ... N/.~ ................................... UNDERWRITERS CERTIFICATE NO .... ~/~. .......................................... Building Inspector Rev. 1/81 BUILDING DEPARTr-LENT TO¥.~,~ OF SOUTHOLD, N. Y. Location Subdivision HOUSING CODE INSPECTION REPORT 280 Strohson Road, Cutchogue, New York (number & street) (Muanicipality) Map No. Lot(s) Name of Ov~er(s) Matthew J. Mullen and Marion J. Mullen Occupancy R-1 (type) Admitted by: Mr. Mullen Unoccupied (own er- t enact Mr. Mulle~ Accompanied by;~ Key available__ Suf£olk Co. Tax No. · 103-10-018 Source of request Richard F. Lark Date June 9, 1981 DVf~.LING: Type of construction Foundation Cement Block Total rooms, 1st. F1 ~ Bathroom(s) 1 Porch, type Glassed in Breezeway ~ype Heat Oil Fired Fireplace(s) Domestic hotwater Yes Other ACCESSORY STRUC?I~ES: Carage, type const. Swimming pool Other Wood Framed #stories 1½ Cellar Full Crawl space 2nd. F1 ? 3rd. F1 Toilet room(s) ~ Deck, type Patio, type Garage 1 Car Utility room Warm Air x Hotwater No. Exits 2 Airconditioning Type heater 0il Fired None Storage, type c~nst. Guest, type Const. VIOLATIONS: Housing Code, Chapter 52 Loca-hion Description Art. Outside House needs painting III Sec. Remarks: Inspected by: ~~ ~/~~'~ Date of Insp. 6/11/81 Time start 3:35' end 3:50 Curtis W. Horton 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. 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 .. ?.~.~, .e..9.~...~.9.8.]; ......... New Building ............. Old or Pre~existing Building ............ Vacant Land ............. ..... .......................... Location of Property ................. Cutchogue House No. Street Ham/et Owner or Owners of Property . .H,a...t~.h.e.~....J....~..u.:]..1.e.~...a~.~...~.a~.~.o.~..~.....~.~.]..[.e,~ ............. County Tax Map No. 1000 Section . . .~.0.3.: .0.0 ...... Block . . . 0. .[.0... 0. .0 .0 .... Lot. , . .0.~.8., 0.0.0 ..... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ..................... · x Request for Temporary Certificate .......... Final Certificate ............................ Fee Submitted $..5....0.0 ....................... Construction on above described building and permit meets all applicable codes and regulations. \ ,, Applicant ' (~.E) .~.... Rev. 10-10-78