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Home My WebLink AboutZ-10595FORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z10595 Date July 22 1981 THIS CERTIFIES that the building ................................................ Location of Property ..... J .2.QQ~..bt.~.:l:.n...R.o.~.d...(.R.~...2~.)..~ .a.~.~..~ .&.r'3.qn. ,..~.e?...~p.e.k. .... House No. Strebt Hamlet County Tax Map No. ! 000 Section .... 31 ...... B!ock ...... 5 ........ Lot .. 2 .............. Subdivision ............................... FiJed Map No ......... Lot No .............. conforms substantially to to ....Ap.r.l..1..2.3. ......... 19 5.7. pursuant to whichqS~U~g[~t'l~of. .0.c.c.u..p.a.n.~y...~.~.0.5.9..5.. dated ... ~.u.l.Y...2 .2 ................. 198..1., 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 ......... .. yr.i.v.a..t~..qn..~.-7.a.m..~.~y..~.~..e.~3.~.n. & y.~.~.h., .~.e.c.e..s.~.o.r.y., .~.u.~. X..~.t.n.g., ? ............... The certificate is issued to ..... Ber.b.&t?. a. J[yltl. 0.*.Ei~.J, OII..alr~(t. Arlo, ..................... (owner, ~ o£ the a£oresaid building. Suffo!k County Department of Health Approva! .. ~/.R. .................................... UNDERWRITERS CERTIFICATE NO ..... ~l./.R. ......................................... aTuo e,,a[1 et, o~'a~e I~cceeeot'y bui].din~a and o~e acce.---o~y bu~ldi~ uit, h t, uo t'oome~ bath~ a~d ~&t~a~e. No kitchen ~'aci].itiea. ....... Rev. 1/81 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. 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 .... ?.'~./..7..~. ~. / ......... New Building ............. Old or Pre~existing Building ............ ~ Vacant Land :.... ....... '.. Location of Property .... ./.~'..?.O..~.'~.. ......... .'~..'~f-. ~.'~....~.~..~. .... .-~..~.J'../~.....~.~.~/~./..~./.7 .... House No. Street Hamlet Owner or Owners of Property ..... .~...l~...~-.,.~..~....-~ ..... .~..O. !~..~.....I?....F:~.,..3.b' ~ ?~.....~.!. County Tax Map No. 1000Section ..~.[.~ Block ..... .~... ..... Lot ~ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ....................... i,~~ Underwriters Approval , .Planning Board Approval ........ ............ ~,~ Request for Temporary Certificate . .Final Certificate ~ ...... ;, '. /~ Cee Submitted ........................ C°nstr"cti°n °n ab°v° de"ribed bu'l""" a~t_:~s "Il a""l~°d" "~ '~ ~0''' ~~~_ ~ ............. ~ ~~' ~. 10-10-78 Location BUILDING TO%'~[ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 12005 Main Road (Rt. 2~) East Marion, New York (number & street) (Municipality) Subdivision N~me of Ov~er(s) Map No. Barbara Ann O'Brien and Ano. Lot(s). Occupancy R-1 (type) Admitted by: Mr. Radford Key available Unoccupied ~owner-ten~t) Accompanied by: Same Suffolk Co. Tax No. Date Source of request Albert H. Brumond.' 31-5-2 July 17, 1981 DV~LING: Type of construction Wood Foundation Stone and Block Total rooms, let. Fi 6 Bathroom(s) 1 Porch, type Breezeway ~ype Heat Oil Fired Fireplace(s) Domestic hotwater Y~a Other #stories Cellar Partial Crawl space 2nd. F1 Large atti~d. F1 Toilet room(s). Deck, type Garagg 'Warm AirX No. Exits 3 Type heater Wood Utility room 1 Rest Patio, type Ho%water Airconditioning Gas ACCESSORY STRUCTURES: Darage, type cons%. 2 storage, type const. "Wobd Swimming pool Guest, ~ype const. Other Guest cottage with 2 rooms and bath and or attached garage. No Millhon F~rilities./Wood construction on wood posts) VIOLATIONS: Housing Code, Chapter 52 Location Descriotion Art. Sec. KitcheD No shut off gas stove. V' 52-52-B,2 . .Cellar One floor joist cut thru .. iiii 52-30-A Front. e~ tranQe Door ~ainted shut, IIII 52-31-+3~ hallwav needs reoairin~ B,A. G~est Cot!,a~e - Needs various repairs , ._ III 52-~0-A,f Remarks: !n spec ted by: ~?_~~/~_~ate of Insp. July 20, '81 ~ · ' · T~me start 2:35' 'end2:50 .~ ' · Curtis W. Horton .