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Home My WebLink AboutZ-9886FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No.. Z9.886.......... Date ..... Feb?"!?aY"Y. 27 .............. 19 80 THIS CERTIFIES that the building ................................................ Location of Property .237`x. Kenny ! s Road SA1#bP;01. Re -t House No. Street Hamlet County Tax Map No. 1000 Section ... Q�9...... Block .... Q7 ......... Lot .....006 , .... , . Subdivision . KennOwood................... Filed Map No. ........Lot No. .. 22........ . requirements for a one family dwelling built prior to conforms substantially to the Certi icate of Occupancy April 23 57 .........?9886,._... ....... , 19 . pursuant to which Br�b�. dated .... February .?7........... 19 80. , 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 ......... ...................... One Family Dwelling.................................. The certificate is issued to Richard A. and Gladys P. Pandolfi ..... ... fownei,�} i�9� of the aforesaid building. Suffolk County Department of Health Approval .......... NlR............................ UNDERWRITERS CERTIFICATE NO .................. N/R............................ 0 Building Inspector Rev 4/78 1 FORM NO. 6 TOWN OF SOUTHOLD Building Department 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......February 20, 1980 .......................................... New Building ................ Addition ................ Old or Pre-existing Building ......X....... Vacant Land .............. Location Of Property2375 Kenney's Road, Southold, New York Owner Or Owners Of Property Richard A. and Gladys . PY................................Pa...............dolfi .........an........................P........ Pan............dolfi ................... Subdivision�— ......................Lot No. �......... Block No............. House No.Z:s.T. Permit No ..................... Date Of Permit .................... A licant Richard J. Cron, Esq. , PP •••••as"'a'ttrrrrre Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate.......................................... Fee Submitted $ ........ 00 Construction on above described building and pe it me all p and tions. Applicant ...... � r ori �... .... tf t't oY'ii�.y........................ _. Sworn to before me this Z ffe 20th February, 1 �/hGH .............. day of ............................................ (stamp or seal) NotaryP lic ..........Suffolk .�r� yl /GC9G ............. County JANE FLATLEY NOTARY PUBLIC, State of New York No. 524 6654 1 8, Suffolk County Commission Fxpires March 30, 19�& I BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT r -7Z> Location (number & street) Subdivision Map No. Name of Owner(s)_ Occupancy_ e cip Lot('4 Z /",o L_ U Sc Admitted by: Accompanied by: Key available Suffolk Co. Tax No. IfJOC)-Q5�`��7-0c) Source of request ,C/Z J.Date Z -Zo— DWELLING: Type of construction W400 Tay1w E __ #stories (SNE Foundation [y�,(.��w!'/�lOce� _Cellare/,/__Crawl space�cr,71/- Total rooms, 1st. Fl�,C i s�,s 2nd. Fl 3rd. Fl Bathroom(s) O'er Toilet room(s) Porch, typeFZj�a,vim Deck, type Patio, type_CgACj Breezeway 77 Garage Utility room Type Heat n"U�L ` Warm Air1o6e gro °`�� twater -- Fireplace(s) — No. Exits/� ® Airconditioning Domestic hotwater\/'4-n Type heater c -L cc'�ICiC Other ACCESSORY STRUCTURES: Garage, type const._ Storage, type con st.Ok(Z �� Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Remarks: Inspected by: rA Rate of Insp. 7J, Time start /D._ nd (ZJ Description- MMMPA,Me W. a 1 All 'rip I ._. ..�./ Remarks: Inspected by: rA Rate of Insp. 7J, Time start /D._ nd (ZJ