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Home My WebLink AboutZ-12750FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z.1.?750........... Date ...... Se .. P.t. ... 4.................... 19.84 THIS CERTIFIES that the buildings.?- .00e, ,fatnil,y, , dwellings , . 1..19n -habitable , also accessory structures (3) Location of Property..5.2475....... Main. . WO.................Southold Nouse No. Street Hamlet County Tax Map No. 1000 Section .. 63........Block .......5 .......Lot ..... 12 Subdivision ...............................Filed Map No. ........Lot No. .......... Requirements for a private one -family dwelling built prior to conforms substantially to the}��glgi��q}�qt}{p#ic}�np7db{bfitifXflillf�%dC�i�CX1HtSdi� rtificate of Occupancy A p r i-1 .23 ........., 19 5 7. pursuant to which R1AIIfg IR"x►XtX1 m ..................... dated ..S e p t....4 ................. 19$ 4. , 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 ......... 2 One family. dwellings, 1 non -habitable, and 3 accessory structures. ................................................. The certificate is issued to ....M i d r e d, D,., , Newbold of the aforesaid building. Suffolk County Department of Health Approval ............ N /A .......................... UNDERWRITERS CERTIFICATE NO .................... N/A .......................... Please see attached inspection report. Building Inspector Rev. 1/81 KITi 2N DW BUILDING DEPARTT�TENT TOVoNt OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location -52475 Main Road Southold number & street (Municipality) Subdi4ision Map No. Lot(s) i Name of Owner(s)_ Mildred D. Newbold Occupancy "unoccupied" Tenant rear dwelling (type) owner -tenant Admitted by: Mr. Smith _ _ Accompanied by: Same Key available ' Suffolk Co. Tax No. 63-5-12 Source of request R.G. Terry Jr. Date D1ffELLI`1TG : 8/3/84 Type of construction Wood framed ##stories 2 Foundatiogc;ck & cement Cellar partial Crawl space rest Total rooms, lst. F1 5 2nd. F1 3 3rd. Fl attic Bathroom(s) 1 Toilet room(s) 1 Porch, type glassed in Deck, type^ Breezeway Garage Type Heat oil fired Warm Air Patio, type Utility room 1 Hotwater XX Fireplace(s) No. Exits Airconditioning Domestic hotwater yes Type heater Gas Other ACCESSORY STRUCTURES: Garage, type const. wood Storage, type const. 3 old wood ftia>a 1AgXp111 metal shed Guest, type const. Other One family dwelling (Non habitable) VIOLATIONS: Haaaixgx9mdm7jXC tVrxP2 CH. 45 N.Y. STATE UNIFORM FIRE VDV1FVMTTMT _ -, , ,,, Location Descriution lArt.1 Sec. ;HEN AREA Floor joist need replacing �+ 1242.7C JPSTAIRS Toilet room upstairs floor had etc. 1242.7D Holes & cracks in plaster walls 1242.7J DUTSIDE Rear steps need replacing I 1242.5J DUT"IDE Front porch sills gone I` it 'TORAGE All in bad -shape it 1JILDINGS Need repairing" I D ONE FAMI Ynon-habitable) ELLING Remarks: Inspected by: \.cc c4 t.3. Date of Insp. Aug. 13, 1984 Curtis W. Horton Time start 9:00 end 10'_.00 _ 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 submitted4+eeteto 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. 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 / land use --Pre-Existing C.O. $15.00 3. Copy of certificate of occupancy $1.00 r Vacant land C.O. $ 5.00 Date.......................... New Building ............. Old or Pre-existing Building ...../X...... Vacant Land Location of Property ��q.. jG ......... . fi�!`'c t .............. House No. Street O Hamlet Owner or Owners of Property ....... ..,,44N7J.-a-�...................... . County Tax Map No. 1000 Section ...........)... Block ......... Lot .......... 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 $ ..` /.r. �(/ � ................. Construction on above described building and permit meets s�all l�ajjp-�plicabl codes and regulations. Applicant . !(�..�'`�j Rev. 10.10-78 i� . _ . vim' _ ... _ _. • � � . _ _ � � .. ... _ _ . / _ � =_ _. BUILDING DEPART14ENT TOW -INT OF SOUTHOLD, N. Y. Location HOUSING CODE INSPECTION REPORT Subdivision Map No. Lots) Name of Owner (s) %( Occupancy Admitted by: Key available Suffolk Co. Tax No. 41'V -- 6 Source of request / �, Date _ T'AT,=T T T\Tr . Type of construction #stories Foundation el ar Crawl space Total rooms, lst. F1 2nd. F1 3rd. Fl Bathrooms ( ) Toilet room(s) Porch, type Deck, type Patio, type Breezeway Garage Utility room Type Heat ! Warm Air Hotwater X Fireplace(s) No. Exits Airconditioning Domestic hotwater Type heater Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. f". Guest, type const. VIOLATIONS: -/A Remarks: Inspected by: Date of Insp. ime startend P