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HomeMy WebLinkAboutZ-9537FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. .495.37.......... Date ...... May.. 23 .................. 19.79 THIS CERTIFIES that the building ................................................ Location of Property 13 75 SeawOOd Dr. Southold P Y House )Vo. ....................... Street ....................... Ham/et County Tax Map No. 1000 Section . 079 .......Block .... 07........Lot ....... 060 . • • . • • Subdivision ... SeaWOOd.Aores..... • ... • . •Filed Map No. . 2575..Lot No. ...?3:n24... . conforms substantially to the 1110] !1 u To CERTIFICATE OF OCCUPANCY .... April ... 23...... , 19 57 pursuant to which Jvddhwdk=dt No. . Z9537 • • • • • • • • • • • • • dated .Max... �3................. 19 .7 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 ......... P...........r.i,vate .One. Family, ,Dwelling with Accessory Structure The certificate is issued to ......Robert. Fi.. A. 01tw. E. • P&t;l ........................ (owner,�IX of the aforesaid building. Suffolk County Department of Health Approval ........ Pre,Exlsting ................... ng UNDERWRITERS CERTIFICATE NO.....................Pre-Existi........:..................... . .... ............................... Building Inspector Rev 4/79 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..MaY.21,...1979 ................. New Building ................ Addition ................ Old or Pre-existing Building ..... X........ Vacant Land .............. Location Of Property ..See attached survey ..................................................................................... Owner Or Owners Of Property ..........I;obert..E:...aul........................................................................... Subdivision................................................................Lot No............. Block No............. House No............. Permit No ..................... Date Of Permit ....................Applicant.................................................................. Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval.............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate.............X.......................... Fee Submitted $ ......5.00 ..................... Construction on above described buildinda permit�pWaly,�6ppRgdbte-�odes and regulations. Sworn to before me this 21st...... day of ..... ................ Notary Public ...... Suf9.Q. I X ............. County 1.P H Bruer r as Attorney ffo�r�y��1 *7 icant, Robert E. Paul ROV tt- 15G& (stamp or seal) CO Z gS�rj �' ��17, �� cod I- ti .6'goo 4 ?p 1,110 - vs tT M. R AP DIST WAIN—"TA FOR APPROVAL TO CONSTRUCT ._ \ T/TLENO. 79 -5225 �lip�Ty Bgy��F�L �p'QD s ce' St PSE OF Ne'l> O P{tD W V O4 's s �0 45893 �a LAND SUB4E�'ol SURVEY FOR MICHAEL HANGLEY - 8 RUTH HANGLEY LOT NO. 23 8 24, "SEAWOOD ACRES, SECT. / AT SOUTHOLD DATE: MAY 17, I. TOWN OF SOUTHOLD SCALE I - 40 SUFFOLK COUNTY, NEW YORK NO. 79— 256 N UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED TO SURVEY LE CAW 7209 OF THE NEWYORK STATEEDUCATION USL/FE T/TLE /NSURANCECOMPANY *COPIES OF THIS SURVEY NOT BEARING THE LAND OF NEW YO4A' _ SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL R/VERHEAO SAV/NGS BANK NOT BE CONSIDERED TO BE A VALID TRUE COPY )(GUARANTEES INDICATED HEREON SHALL RUN ONLY TO M/CHQEL B RUIN HANGLEY THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 1575- (number 3 number & street (Municipality) Subdivision S; -,j u/ad,o ,�%r 3 Map No. 2 5'75 Lots) Name of Owner(s) Occupanc1l,AeA o type owner -tenant Admitted by: moo, Accompanied by: !' Key available Suffolk Co. Tax No. 1ooa-o7-a7-a6o Source of request �ate g-Lz ! Z7 g DWELLING: Type of construction 6CAVOZ2 #stories o�ew Foundation , Z�LOC&_ Cellar J/ Crawl space Total rooms, 1st. Flz sates 2nd. Fl — 3rd. Fl Bathroom( a w,G Toilet room(s) Porch, type — Deck, type Patio, type Breezeway Garage Utility room -T Type Heat eE:vyrrzN L- Warm Air Hotwater Fireplace(s) No. Exits ? d Airconditioning Domestic hotwater ,bLa�Tr� Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description iArt,. Sec. :z) L011wOOVS Do IV07- PIC6VIoe 5Z�w7 4 e4& 2 ,c/4 �itJ� U5 t=7�Z- Remarks: Inspected by: Date of Insp. Time start/- d P end /�71c 3