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Home My WebLink AboutZ-9577FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. Z-5577 ........... Date ............... July. 3.,........., 19-79 THIS CERTIFIES that the building ................................................ Location of Property..410. South .Oakwood. Drive., .Laurel • • • • • . • • • • • • • • • • • • House No. Street Hamlet County Tax Map No. 1000 Section ...145 ...... Block .... 03 ......... Lot ...005• • • • • • • • • • Subdivision. Laurel .Park ................Filed Map No. ..212...Lot No. .12......... . Requirements foria Privrat� e� owe conforms substantially to the g prior .to.. April .23,..... , 19 39 pursuant to wUSh fi"�`o 'T ... 5.9577......... . dated ............... Jul.y..3,..... 19 . 79, 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 ......... .............. Primate. ..Qne-FAmily..Dwelling. .(seasonal). and. Accessory.S:torage Building The certificate is issued to . Fred. Novak. &.wf........................................ (owner, kffffAkko� of the aforesaid building. Suffolk County Department of Health Approval .. pre+Existing • • • • • • • • • • • • • • • • • • • • • • • • • UNDERWRITERS CERTIFICATE NO.......... Pre -Existing �.. V Building Inspector Rev 4/79 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. 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 / c� Date ...... 1?" . ............ . New Building ............. Old or Pre-existing Building .... A...... Vacant Land ............. Location of Property .. �G'� . �) � '�2�, ............. .............. ...... ............ House No. Street Ham/et Owner or Owners of Property f . _.)Y,�`. County Tax Map No. 1000 Section ......... Block .....0'3 ....... Lot ..4�0. s� ...... Subdivision .A.- . — �.. Al .......Map No....02 l .... Lot No...... a..... . Permit No. .......... Date of Permit ..........Applicant .................................. !' Health Dept. Approval ...... ..Labor Dept. Approval ........................ Underwriters Approval .&14—L.D.. ...Planning Board Approval ...................... Request for Temporary Certificate .....................Final Certificate . .................. Fee Submitted $ .. .. /................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ....... ��....................y�'.(.`...... . Rev. 10-10-78 � � C' ! v 77 7/3 �� DOUGHERTY & SCHNEIDER ATTORNKYs AT LAW KOCH BUILDING THOxAs P. DouoHSHTx BALDWIN. NEW YORK 11510 JOHN F. G. SCHNKIDER BAS WIN 3-2621-2622 June 25, 1979 Building Department Town of Southold Main Road Southold, New York Gentlemen: Enclosed is our check for "not over $5.00" to cover the cost of obtainin a Certificate of Occupany on property having the following description: ..."being at Laurel, in the Town of Southold, County of Suffolk, and State of New York, known and designated as Lox 12 on a certain map entitled "Map of Laurel Park, Property of Ravatone Realty Corp., Laurel, L.I., N.Y., surveyed and subdivided by Daniel R. Young, Engr. and Land Surveyor, Riverhead, L.I., N.Y., August 17, 1925" and which said map was filed in the Office of the Clerk of the County of Suffolk on October 5, 1925 as Map No. 212." Property is located on the U'est Side of So Oakwood Road. '�!e are not sure if the building was erected prior to 1957. 'mould you kindly check your files and if no Certificate of Occupancy is on file, please do all necessary to obtain one. Very truly yours, DOUGHERTY it SCHNEIDER By: TPD:fh I a NOTE: R=MONWIENT LOT N'O S. f,4' FFI TO fr.P Or "LAUIREL PAIK", 1:1 'mt: OFFICE OF CUZEOF SUFFOLIC COON Y. SURVEY OF LOT N0. 12 LAUREL PA RK LAUREL TOWN OF SOUTHOLD SUFE. CO., N.Y. SCALE: 1",30" tvlAY 10, 1p'61 G IARANTEED TO: Ot-.IC TITLE GUARANTY CO. (TITLE (10. S- 34760) Pflo!-'L t -Aim 12343 rIVER;lEAD, N. Y. Location Subdivision Name of Owner(s) Occupancy BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT e szre kmunicipalizy) Map No. Z / Z Lot (s) / 7-- owner - Admitted by: T�2Ev _Accompanied by: CSX./07 Key available Suffolk Co. Tax Source of request, F5 Date 6 -Zs- 7� DWELLING: YY%r<< Utt�t Type of construction l O T`f�i/� #stories Clln ear ,,e L Crawl space /ci L Foundation ��lclC.L floc_ _ -- Total rooms, 1st. Fl `w C. 4r- d. Fl Z Kots 3rd. Fl " Bathroom D'f,'Z Toilet room(s) _ Porch, typec/44-447 moi Deck, type Patio, type= dam' Breezeway Garage gLjZCOX Utility room Type Heatarm Airaic. FA�0—,y Hotwater Fireplace(s) dAI No. Exits '7—Wo Airconditioning� Domestic hotwater,d//?/A;7 ��Type heater FZg TI: � z2 E Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. ZGoQv Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 . - Description- R �m 4 I'll �/ i .moi ♦. .> L IP t Remarks: Inspected by: Date of Insp., /7 Time start/ OO •� endue 71� ilt