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HomeMy WebLinkAboutZ-9432FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .. Z9432• . • • Date .. February ... 14 ........... 19..79 1120 Meday Ave THIS CERTIFIES that the building located at .. Street 420 Howard" St: ' ' ' ' ' ' ' ' XXXV= MapNo ............. Block No........... Lot No................................. . conforms substantially to the I � toj%jjjQ &F&IOR TO dated .. . 19 . pursuant to whii�rit gi`bF. FANCY Anri3 23 57` ..xxx Z94�2 dated .. February ....14....., 19. 79, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... PRIVATE • ONE • FAMIL• Y• DWELL• ING ........................ • • • • • • The certificate is issued to .. • • • • •Richard• Olmsted • • • ........................ • • • • ( owner, lessee or tenant) of the aforesaid building. xxxxxxxxxxx x Suffolk County Department of Health Approval ........Pre Exiating ............. UNDERWRITERS CERTIFICATE No . ................ Pre -Existing ............. Ave HOUSE NUMBER .... 0� ..... Street ....... • • • • • Hdodtd 'Stt' ......................................... ..... Matt ituc , • New• York.... . Building Inspector County Tax Number 1000-113-11-6 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 Date ....F.2Lruar 13.f. 1979... New. Building ................ Addition ................ Old or Pre-existing Building ............... Vacant Land .............. Meday Avenue, rlattituck, New York Location Of Property ..................................................................................................................................... Owner Or Owners Of Property .....Richard E. Olmsted .................................................................................................................... Subdivision................................................................ Lot No............. Block No............. House No............. Ra Permit No. Date Of Permit ....................Applicant..........ich.........rd..............Olmsted.................................. Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......X. ................................ Fee Submitted $ .. • 0 0 Construction on above described building4andrmit meets all,app icable codes and regulations. Applicant .r "':' £to'r'riey'forapp�icaii* Sworn to before me this 13th *.... day of ......February, 1979.... (stamp or seal) Notary Public Suffolk .. County MARY LOU DOROS'KI " NOTARY PUBLIC, State of New York NO. 52.1000858 Suffolk CewntY �7 ! �f�?�. Commission Expires Manch 30, 18' / J P t0.7 2A �• w O ti��•I �. O o ILL-! I 50 _ M 4 � Sr I -• I064A CID W 'S M 6o?t1.\0 o Q I o ; CID O i' O , pF'NE6y y0 o; IK y 0 ze UNAUTHORIZED ALTERATION OR ADDITION , • TO THIS SURVEY IS A VIOLATION Of t � , 4�„�_,,,,} p SECTION 7209 OF THE NEW YORK STATE ' O• 128 lb EDUCATION LAW. P S, �p /Oki( �C COFIf.S Of THIS SURVEY MAP NOT BEARING V, ENGINt�� THE LAND SURVSYOR'S Irle D SGAL OR •y,,,,. EMEOSSLD SIAL SHALL r> �T GL CONSIDERED TO BE A VAL!D 1RUE COPY. GUARANTEES INVICAIED HwiGt SHALL RUN SURVEY FOR ONLY TO 1'NE PERSON FOR Y:i:vM THE SU::VEY IS PREPARED, AND ON H:S 85ii\L? i^ iilc RICHARD E . OLMSTED TITLF COMPANY, GOYERNIhN;AL Af;;u-i AND MATT 1 T UC IC LENDIVG ]f'STITUTION UST,l;, H3SCr. A, .D TO THE ASsuNELS 'Qi T;:L I,.<uI.G rvsLa TOWN OF SO U T H O L D TUTION. GUARANTEES AR,. ilii T-ANZF„'ACLS ADDITIONAL INSii1UTIOrS OR Suik"QUENT CO.,TO S U F F. C N.Y. OWNERS.GUARANTEED TO SCALE 1"=40' SOUTHOLD SAVINGS BANK NOTE CHICAGO TITLE INSURANCE CO. APR. 7, 1962 n =MONUMENT LOT NOS. REFER TO MAP OF "TOLLEWOOD", MAY 1, 1962 NGIN FILED IN THE OFFICE OF THE CLERK OF FE B 7, 1979 PROFESSIO AND SUFFOLK COUNTY LAND FEB. 9, 1979 SURVEYOR, LIC. NO. 1284 RIv a A BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location IIIJCA-- - tnumber ,& streLat) kriunicipalizy) G Subdivision Map No. Lot (s ) Name of Owner (s) I !Y c H A/F z-) Occupancy C- Admitted by: Key available Accompanied ,/?/C ALdlooee? A401. ITT own er-e by: /� 0ZA45r-r-,c� Suffolk Co. Tax No. /006' //3 //-(,/ Source of request Z> - k 4 Date Z 3 Type of construction GUed O #stories ONS Foundation stir Cellar P,4r1 '4- Crawl space i Total rooms, 1st. F1 S � 2nd. F1 3rd. F1 Bathroom (AY) t-�G G Toilet room(s) Porch, typeF,,,,�-/. /{,,c�F) Deck, type Patio, type Breezeway Garage Utility room Type Heat Lcrvr Z4 -- 'rearm Air c3,-/- Hotwater FireplaceW kV/�,y. No. Exits �j�Q Airconditianing Domestic hotwater Type heatergsj� Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art.1 Sec. zf,.-- FF_- Remarks: Inspected by ate of Insp. Z //317g Time startPZ0 .lY end /:-�© t.'H- J Z