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Home My WebLink AboutZ-10800FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of 'Occupancy No. 21.0800.......... Date ...... 1)t�cember 4 ..............1 19.91 THIS CERTIFIES that the buildings ............................................... Location of Property 121 15 ................... Wji. R94A . • ..... • .. East, Marian House No. Street Hamlet County Tax Map No. 1000 Section ..0 3 3 .......Block ..R 5 ...........Lot ... 993 .......... Subdivision ...XX ..........................Filed Map No. .X ......Lot No. .. X ......... Requirements for a private one -family dwelling built conforms substantially to the.Aiiplicatiou-fog-Building-Fex i •iere4efera-Fikd-in 4kis-office-dated Certificate of Occupancy prior. to . Ap r. i l . Z3. .., 19 57 pursuant to which-Htriiding illermit-No. ...... 4108.00 ..... • • dated . Ae mm b e r..4 .............. 19 Al. , 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 . $...... . pr,vate one -family dwellin}�, one car garage, and a wooden storage structure. The certificate is issued to ........Jame,s 0, Orr and wife (ownerr;si e�� of the aforesaid building. Suffolk County Department of Health Approval ...... A0 ................................ UNDERWRITERS CERTIFICATE NO ............... / R . ........ .... Building Inspector Rev. 1/81 BUILDING DF,,PAFTr,!E:!,]T I TO'i'111 OF SOUrl`TOLD, N. Y. jjOTjc,,NV - CODE INSPECTION REPORT Location 12115 Main Road -East-Marion —7R,L51CIPa I I t� number & street ) � Map No. X Lot(s) X ,Dubdivision XX -i;ame of 0ti,mer(s) James 0. Orr and wife Occupancy R-1 owner (typ) (owner-tenalit) l,d.fn; -t-11ed by: Mrs. Orr Accompanied by: same Key available Suffolk Co. Tax No. 31-5-3 source of request Frederick J. Tedeschi -Date 11/20/81 D'JE1, L$ I N G : Type of construction wood framed #stories 2 Foundation Cellar full Crawl space Total rooms 1st. Fl 4 2nd. Fl— 4 3rd. Fl_. Bathro".m(s) 1 Toilet room(s) Porch, type roof over Deck, type Patio, type Breezeway—..— Garage Utility room Type Heat oil fingd. arm Air Hotwater steam Fireplace(s) No. Exits Airconditioning Domestic hotwater_yes —Type heater— oil fired Othe h off' the kitchen ACCESSORY STR1JC'-"LM,7S: irage, type const. one car Storage, type const. large wood Swimmin,- pool__ Gjost, type const. Other 11 VIOT S: Housing Code, Chapter 52 i'ATJ.. .�To"T Location Description Art. Sec. airle cellar door needs repairing III 52-31-B. u f f V 52-52-B2 —to III 52-30-A ed repairing front 2 III 52-31-B door needs repairing needs various repairs III 52-31-B & Remarks: Date of Insp. December 1 , 1981 Inspected by: : 00 end 11 :25., Time start 1 1 Curtis W. Horton s C 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 surrey 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 rata '// %// New Building ............. Old or Pre-existing Building ... Vacant Land ............. Location of Property �.�°�.-/.l.:?....... � .� `:." .. ��::°'v:..! `:4!1%! . House No. Street Hamlet Owneror Owners of Property ... 7 .......................................... . County Tax Map No. 1,000 Section ................ Block . AW...:�..... Lot .... ....... . 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 $`—�— Construction on above described building and permit meets alllica a codes a d regulations. Applicant .... ... ....... .....:e............ ..... Rev. 10-10-78 Pre c. o. 2-1ogoo �p� ��/ s7 -r2 o�-�� TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE D15T.SUB. LOT c.FORMER OWNER I N %E -7- S W 1 3. a 6 t- Ivo j TYPE OF BUILDING i RES. SEAS- I VL. FARM j comm. CB. MICS. Mkt. Value LAND IMP. j TOTAL DATE REMARKS --------------------- BUILDING CONDITION 1 BELOW. ABOVE V;0—lIu—e Per i Vclue Acre 1 FRONTAGE ON WATER AGE NEW NORMAL FARM Acre Tillable Woodland FRONTAGE ON ROAD Meodowland DEPTH HouseZ ot, IBULKHEAD Total DOCK .0 M. Bldg. Extension Extension Extension COLOR Co f-!) -r ' TRIM -- —7-4: I Foundation iBoth Dinette Porch Basement Floors K. Porch Ext. Walls Interior Finish LR. 114, Breezeway Fire Place !Heat DR. Garage Type Roof lRooms Ist Floor i BR. Patio Recreation Room! Rooms 2nd Floor FIN. B 0. B. Dormer I Driveway Total It k -j J, -