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Home My WebLink AboutZ-9345FORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at .?.0.0..F.o..x..H.o.i..l.o.w..R..o.a.d. .... ~ Map No ............. Block No ........... Lot No .................................. REQi~S FOR ONE FAMILY DWELLING BUILT PRIOR TO conforms substantially to the ~]i~.b0~.~.. Ce~tificate of Occupancy dated ...A.p.r.i.1. .....2..~ ...... , 19..5.7, pursuant to which ~ No.. Z.~34~. dated ...De.c. emb.e?....~5 ...... , 19.7.8.., was issued, and conforms to -1! of the req,,ire- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Private One F,~ly Dwelling with Accessory Structure The certificate is issued to John B. Noz=an ( owner, ~~x of the aforesaid building. Suffolk County Department of Health Approval ......... ?r.e.-..E~..i.s.t..i.ng ............ UNDERWRITERS CERTIFICATE No .................. .P.r..e.-..E~.i.s..t..h!.g ............ HOUSE NUMBER ..... 70.0 ..... Street ......... .F. qx., .H. ql. 1. p.w..R. 9.a.d' .............. Building Inspector County Tax Number 1000-115-6-20 Location Subdivision BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 700 FOX Hollow Rd. (n-mber & street) Map No. Mattituck, N.Y. (Municipality) Lot(s) Name of Owner(s) JOHN& JOSEPHINE NORMAN R-1 John Norman Occupancy (type) (owner-tenant) Admitted by: Mr. Norman Accompanied by: Mr. Norman Key available Source of request Suffolk Co. Tax No. John B. Norman Date 1000-113-6-20 December 14, 1978 DWELLING: Type of construction Foundation cement block Total rooms, 1st. F1 ~ rooms Bathroom(s) p Porch, type open Breezeway Type Heat oil fired Fireplace(s) 1 Domestic hotwater Other wood framed #stories 1 Cellar parti~rawl space rest 2nd. F1 3rd. F1 Toilet room(s) Deck, type Garage One Car Warm Air X No. Exits 5 X open Patio, type.__ Utility room Hotwater Airconditioning Type heater Oil Fired ACCESSORY STRUCTURES~ Car Garage, type const. Wood framed Swimming pool Other Wood dock Storage, type const. Guest, type const. open VIOLATIONS: Location Cellar Housing Code, Chapter 52 Description Art. Inside cellar steps narrow also insuff- icient head room 52 Sec. 27- A&B REMARKS: This inspection also updates Building Permit 6603Z, issued for addition to bedrooms issued May 1975. C/0 number_is Z 5805. Also buildin~ oermit 7445Z issued July 1974 for s attached One car EaraEe - C/O n~mber is Z6261. Remarks: Inspected by: Curtis Horton Date of Insp. December 14, 1978 Time start2:30 PMend 3:30 P.~. 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 Dote ~....~....G.t..!...~..,..!.~..~....~. .............. New Building ................ Addition ................ Old or Pre-existing Building ....~.,. ......... Vacant Land .............. Location Of Property ~.~.~..~..~....~...!.~...~....~....F'......~.'~.~..~..~..~.~..~....~...~. ............ ..~...~...-C..-C!..T..~...~/...~.~...~..~....I../.~,~, Owner Or Owners Of Property .~,!.~...~...~....~...~..~...~..~..~....~..!.~..~......N....~....~....~.....~....~.. ...................................... Subdivision ~.I~..T...I.~...~.~....~...~..~.......J..!...~. ...................... Lot No..~..0. .... 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 .............. ~..... ............... Fee Submitted $ .... ~./...~...~. .................. Construction on above described building and per, mit meets olJ,,~plicable codes and regulations. Sworn to before me this Applicant~7~'~''':':''-'''''''''''~''''''~~-~ ................ day of ............................................ (stamp or seal) Notary Public .................................... County