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Home My WebLink AboutZ-10412FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificnte Of Occupancy No ..... Z.1.Q412 ...... Date ..... ~.~.r.c.h.. ~., ................... 19...81 THIS CERTIFIES that the building ................................................ Location of Property ........ B.QQ. F.oX. 1~ .o.1.1, q¥. B.qa..d, .......... ~ .a.~.[. Jr..t .u.c.,:, ......... House No. Street Ham/et County Tax Map No. 1000 Section ~...1.1.3. ..... Block 06 .Lot 21 Subdivision ............................... Filed Map No ......... Lot No .............. requirements for a one-family dwelling built prior conforms substantially to the -Al~p}+c~tion Certificate cf Occupancy .~?.~.~. %. ?2 ........... ,19. ? ~pursuant to which ~5~[~&%~t-~K'.' :.. Z ~ ~:.',Z .......... M~rch 4 B1 dated ............................ 19..., 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 ......... The certificate is issued to 'qoborb 0,ri!vie .h (owner, of the aforesaid building. Suffolk County Department of Health Approval ........ iD'.:l .............................. UNDERWRITERS CERTIFICATE NO. N/R to Building Inspector Rev. 1/81 Location Subdivision N~me of O~aner(s) Occupancy R-1 (type) Admitted by: Mrs. O~ilvie Key available Source of request BUILDING D~°ART~'~NT T0%',T~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 800 Fox Hollow Road, (number & street) Map No. Robert O~ilvi% & Norma Ogilvie Owner (owner-ten~'~t) Accompaniedby:. Mrs, 0gilv%¢ Suffolk Co. Tax No..113-06-21 Gary Flanner Olsen Date 2/5/81 Mattituck~ N.Y. (Municipality) Lot(s) D~LING: Type of construction Foundation Cement Block Total rooms, let. F1 7 Bathroom(s) Porch, type Breezeway. Wood Framed '1 Cellar ~ 2nd. F1 Toilet room(s) Deck, type Patio, type. Slate Garage. Utility room Hotwater No. Exits 4 Airconditioning Tankless Type Heat o~] w~.~ Warm Air Fireplace(s) Domestic hotwater Yes ,Type }]eater Other Room finished off cellar #sTories Partia~rawl space 3rd. F1 ACCESSORY STRUCTURES: . Earage, type const. Sto~age, type const. Swimming pool x Cuest, type const. ~Other Outside patio with a built in outdoor VIOLATIONS: Housing Code, Chapter 52 __Location Description Art. Sec. ~ Cellar No rail to cellar.steps 'i7 5o_o7_n This Certificate of Occupancy includes updating BP493?Z for a Swimming RemarKs:F°Q1 with fence - C .... O Z4125 January 15, 1971 ThisC.O also includes B.F.2~35Z issu~ Spri~ 12~ 1965-No C.O. was ever issued Inspected by:~~~.?~_~i-~-- Date of Insp. Feb~,~v Time start ll:O0end 11:30 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..' .~'.~ .~..~.~ .' .............. New Building ............. Old or Pre-existing Building .... .~ ...... Vacant Land ............. Location of Property.....~..~.~L, .~..,a.~.~.~. y?. ~ .~_..~..f.. j~./~-~.-~'.~.~.\~ .................. House No, Street Hamlet Owner or Owners of Property . .~--O~.....~...~....'~.~-...~...~....~...(~.~.'\ .~. !'.~-. ................ County Tax Map No. 1000 Section ...[. ( .~, .~..'~.... Block . .~...~.'..~..~. .... Lot, .~.,~.[,.~. ,C~.~... 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 $..~...~ .~, .................... /' ~ ,~" ,~j \' Con,ruction on above de~ribed building and permit~ts all ~p~able cod~'a~regulations. Applicant ,. 0 X 0 "MILLER of Way NOTE = ~"= MONUMENT SUFFOLK COUNTY TAX MAP DIST. I000 SECT. I1~, BLOCK 6 LOT 21 SURVEY FOR FREDERICK C. COWAN 8~ MILDRED G. MATTITUCK TOWN OF SOUTHOLD SUFF. CO., N.Y. SCALE: I" = 50' APR. 24, 1981 COWAN , GUARANTEED TO: FREDERICK C.~ MILDRED G. COWAN USLIFE TITLE INSURANCECO. OF N.Y. /PROFESSIONAL E~[I~i~E[R AIJ)I~