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Home My WebLink AboutZ-9969FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No ...... 7.9969 ...... Date ..... o'lJl~ e. 5 ..................... 19 THIS CERTIFIES that the building ................................................ Location of Property ...62./,5..Wel~.'~hsJ. t-a .}3lil,..~. ?0~. ~0~ .~..e~ .R., s~a$.~.~... House No. Street Hamlet County Tax Map No. lO00 Section . . .'il ~ ...... Block .... 1.0 ......... Lot . . .1.~. ............ Subdivision ..... ~o.l.1..~..O.~. ............... Filed Map No...~.7..~....Lot No...9~..-.~.0.0. ..... conforms substantially to the ..... Q,erl:k,fi~lj, of Occupancy ~799~9 ........ Apl:';tl...?.3 .... , 19 57. pursuant re wmcn ~m~a$-m~-~x~ ...................... dated ........... Ju~le · ~ .......... 19.80, 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 . .~.. ........ Oae.-~.ea~l. Iy..L~.e].ling .wl~h .(~.tache¢[ gor~ ........................ The certificate is issued to .... l~z~& .01~err. eich. ...................................... (owner, leeeee.o~4e~ac~)- of the aforesaid building. Suffolk County Department of Health Approval ...... I..*[~. ................................. UNDERWRITERS CERTIFICATE NO .............. ~..~ ................................. Building Inspector Rev 4/79 Tt .... OF SuU~n.~., N. Y . HOUSING CODE I~,~_ n~ION REPORT Location 62afl Westphalia Rd. & 2000 Cox Neck Rd., Mattituck (n~:mber & street) (MunicipalitY) Subdivision To!lewood Map No. 175 Lot(s) 99-100 Name of Owner(s) Erna 0berreich Occupancy .... Admitted by: R-1 (tYPe) Mr. 0zard Unoccupied (owner-tenant) Accompanied by: Mr. 0zard Key available Suffolk Co. Tax No. 113-10-16 Source of request Richard J. Cron Date May 29, 1980 DWELLING: Type of construction Wood Fo'~ndation Cement Block Total rooms, 1st. Fi 3 Bathroom(s) 1 Porch, type Breezeway. Type Heat Oil Fired Fireplace(s) Domestic hotwater Yes Other #stories One Cellar PartialCrawl space 2nd. F1 3rd. F1 Toilet room(s) Deck, type Garage Warm Air No. E~its 1 Type heater Patio, type Utility room Hotwater X Airconditioning. Tank!ess ACCESSORY STRUCTURES: Garage, type const. Wood 1½Car Swimming pool Other Storage, type const. Small Tool Shed Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Kitchen Outside Remarks: Description Gas Stove No Shut Off Chimney is flex pipe very Door shade Sec. 52-52=F-6 ~-54-A- I-B 1980 uur~ms Hot,on Time start 3:30 end 3:45 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 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. 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....l~..y....2? !.. 1.9.,8 9 ......... New Building ............. Old or Pre-existing Building ....X. ....... Vacant Land ............. Location of Property Cox Neck Road Mattituck House No. Street Hamlet Owner or Owners of Property Erna D. Ozarowski County Tax Map No. 1000 Section . ..1.1.3 .......... Block ..... .1.0 ........ Lot ...... .1.6. ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant ...R. '.1 .c.h.a.r.d...J.....C.r.o.n.,...a.s..a..t:.~.o.r.n. ey Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...... .X ................ Fee Submitted $ ..... .5, .0.0. ................... Con stru ction on above desc ri bed building and pe r~~. e~~ Applicant ~~,~~~0 ~'~te y Rev. 10-10-78