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Home My WebLink AboutZ-10051FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No ...... Z~P9~ ..... Date ..... .~..l~.y., .2..9 ................... 19.80.. THIS CERTIFIES that the building ................................................ Location of Property 220tl.~j Main Road Ort®nt, ......................... County Tax Map No. 1000 Section 1 ? .Block 4 .Lot ........ :.: ...... Subdivision ............................... Filed Map No ......... Lot No .............. requirements for a one family d~elltng built prior conforms substantially to the ~ Certtfioate of 0coupanoy ZI" ~'1 April 23 , 1957 pursuant to which ~Tn~lga~o~'~ ..................... dated ..... .g.~.l.~...2.9. .............. 190.0. ,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 ......... Private One Pamtly Dwelling The certificate is issued to Catherine Mo~iff ..................... i o~n'e~', ~ ...................... of the aforesaid building. Suffolk County Department of Health Approval ............ 1~../R. ........................... UNDERWRITERS CERTIFICATE NO .................... 1~../~. ........................... to Building Inspector Rev 4/79 Location Subdivision N~me of Owner(s) BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 22045 Main Road (n-mber & street) Map No. Catherine McNiff Orient, N.Y. (Municipality) Lot(s), Occupancy Admitted by: Key available Source of request R-1 owner (type) Mrs. McNiff (owner-tenant) Accompanied by: Mrs. McNiff Suffolk Co. Tax No. 1000-17-4-24 Catherine McNiff Date July 24, 1980 DWELLING: Type of construction Foundation stone Total rooms, 1st. F1 wood Cellarpartial 3 2nd. F1 3 #stories 2 1/~ Crawl space rest 3rd. F1 1 Bathroom(s) Porch, type (2) Breezeway Type Heat oil fired Fireplace(s) 2 Domestic hotwater Other 1 Toilet room(s). 2 roofed overt , screenec DecK, type Patio, type.__ Garag~ Utility room X Warm Air ~ steam No. Exits 7 Airconditioning yes Type heater tankless 2 stairways leading to 2nd floor ACCESSORY STRUCTURES: Garage, type const. 2 story Storage, type const. Swimming pool Guest, type const. Other Outside wood - waterless toilet VIOLATIONS: Housing Code, Chapter 52 Location Description Kitchen Gas stove - no shut-off Garage Needs roof, sills fixed & garage door Outside Screen doors need fixing . Outside House needs painting III Sec. ~%2- 52 B6 52-30 AC 52-63 C 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 natu r. al or topographic featu res. 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 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 $5~.00~ 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 .//~ate..~ . . .~. · .~/. ./..~..~'.~.. New Building ............ _Old or, P[:~.xisting B~ilding .. I¢'. ...... Vacant Land .......... ,... Location of Property . .'~.Z..'.¥..~.. ~ ......... /'''''f~'~'<~-'~%~'"' · House No. Street I-larnle~' Owner or Owners of Property ....... ..~...~..~. ................. County Tax Map No. 1000 Section · · · 1'7 ........ Block .... .~. ........ Lot.....c~ ....... 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 $ ............................. Construction on above described building and J~el~:dt meets all ap. cllicaJpl,~Qdes and regulations. Applicant..~'.~.~/.~.(.~ .................... Rev. 10-10-78 ~, ~, Z_I~'~LS"I