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HomeMy WebLinkAboutZ-9585FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy NoZ9585............ Date .......... July .69 ..............11979 - THIS 1979.THIS CERTIFIES that the building ................................................ Location of Property .25-100 .................. • Main • Road...... • • • • • • • Orient N House � tree �•lamlelt Y. County Tax Map No. 1000 Section ... 41.g ..... Block .... 06 ........Lot .... fl06......... Subdivision ........7C7= .................Filed Map No. 7(= ...Lot No. . x7QCX....... R uir eats for on yal conforms substantially to the Application for built prior to Certifies, a of Occupancy ........ April• 25 .. , 1957. pursuant to which] (No. 29585 ............... dated ......July .6 . /............ 197.9 . , 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 ......... ...Qn9. Aax13 y..dwe7.lJxg ....................................................... The certificate is issued to ... TOba . Lala . Orro...................................... . (owner, l� of the aforesaid building. Suffolk County Department of Health Approval ..... N/R................................. UNDERWRITERS CERTIFICATE NO......... R/R..................................... Rev 4/78 E Location Subdivision BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT iv mber & street 0 Map No. Name of Owner(s) %� ,4jA- 015_/zf4 icipality Lot(s) Occupancy X r / (type) own er-tetaa Admitted by: I -//e- 0'41f� Accompanied by: Key available Suffolk Co. Tax No. 16M Source of request Date Z/Z 72 DWELLING: L opKn Type of construction 65j7oo t2Al-rc #stories TZ Foundatio ,e,Arz& ���i`-� wc• Cellar Crawl space Total rooms, lst. F1 2nd. Fl 3 g/ 3rd. Fl Bathroom(.&) /��j= _TS-e�� oilet room(s)2'`f7-Z. Porch, type Deck, ype Patio, type Breezeway Garage Utility room J Type Heat Of-, ?7Z.q l Warm Air Hutwatner � - Di 2 _l�Fo Fireplace(,s� %ori&[--;-) No. Exits Airconditioning i Domestic hotwateType heater ct ijz — ��w��r-rS Other ACCESSORY STRUCTURES: Garage, type const./cno (A/c Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description I Art. Sec. (aQ5 - ✓ F � 2 - Remarks: Inspected by i, a Date of Insp. 7—ems % n Time startc3% _Mend '�D /'w TEL. 765-1802 c��FFO(k�D TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN LL SOUTHOLD, N.Y.A1971 June 25, 1984 To Whom It May Concern: Checking the inspection report on the Toba-Laja-Orro residence, we find a two car wood frame accessory garage is mentioned. This is to verify that thru over -sight it was not put on the Certificate of Occupancy #29585 of July 6, 1979 but in actuality it does exist. �Yours `I ; A. Victor Lessard Exec. Admin. VL:sw 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. Attached. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. Below. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. None. 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 . ,Tune 12 , 1979 New Building ............. Old or Pre-existing Building ..."9C....... Vacant Land ............. Location of Property . , ,Main Road, Orient, Suffolk County, New York ........................................................... House No. Street Ham/et Owner or Owners of Property ,Toba Laja Orro ...................................................... County Tax Map No. 1000 Section .....18 ........ Block ....6 .......... Lot ..... 6......... . Subdivision.................................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 ....XX. ............... Toba Laja Orri, being duly sworn, deposes & say: Fee Submitted $ ., 5.00 Premises is a one—family dwelling, seasonal use, and is in fair to good condition. Upon information and belief , Construction on above described building and permit meets all applicable codes and regulations. � Applicantx ..7,20 .. ...... Toba Laja ro EWISE vltARof Rev. 10-10-78 NOTARY PUBUC, State of New Yoq( No. 52.4634436, Suffolk CouqW Sworn to before me this Term Expires March A Ig �p /% day of June, 1979. e,a. Notary Public TEL. 765-1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 April 13, 1984 To Whom It May Concern: Please be advised that as far as the Building Department is concerned, on present information there are no violations on the dwelling located at 25100 Main Road, Orient, also known as Suffolk County Tax Map No.: Dist. 1000, Section 018, Block 06, Lot 006. Sincerely, Victor Lessard Executive Administrator VL:ec