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HomeMy WebLinkAboutZ-11035FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No... 2,11035........ Date ...16, June ...................... 1982. THIS CERTIFIES that the building ................................................ Location of Property....5130 ,Nor.th _ Road . to. Bayview Southold House No. Street Hamlet County Tax Map No. 1000 Section .... Q79 ..... Block .. ? ...:.........Lot .. 6.............. Subdivision . X............................Fiil�ed Map No. X. ...... Lot No. . X...... . conforms substantially to the gep�lWMMr x arX kik sri VC g1 9 1 X 2§�ldated C rt'f" ate f Occupancy prior. to . Ap.r.il. 23 .. , 19 5.7. pursuant to which litxik)�ms4 i�o. ....... 11C .. 2.1.1435. . dated ..16. June. 1.9.82............ 19 ... , 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. .f.amil.y..dwed.ling..&.acc.eassor.y..one.-.car..garage The certificate is issued to Carol. L.... Per.r.y......................................... . (owner, lssree-oF feRarrtl of the aforesaid building. Suffolk County Department of Health Approval . N,/.R..................................... UNDERWRITERS CERTIFICATE NO. N,/.R ............................................ . !� f ...................... Building Inspector Rev. 1/81 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. B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and ''pre-existing" 111111 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 conditi buildings. 3. Date of any housing code or safety inspection of buildings or premises, or inent informa- tion required to prepare a certificate. C. Fees: �i9r 1. Certificate of occupancy $5.00 2S 2. Certificateof occupancy on pre-existin dwellin or land use .0 J. Copy of cerci icate o occupancy $1.00 Date-�4} New Building ............. Old or Pre-existing Building(X) . 'Vacant Land ............ Location of Property West of North Roads Bayview House No./ 5734 Street Hamlet Owner or Owners of Property .. Carol, L. Perry County Tax Map No. 1000 Section X7 , .. , ...... , Block .. 2............ Lot ... 6.......... . 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 per t'meet;s allppJ abl s and r I ns. CCI�CX eS a.w�Qi�.ts-Q� t�Pn.a,r Applicant -.1...._. ^ r4.9_+�p chon bare, Rev. 10-10.78 r4.9_ 1 P• ©' �G1! ,�r���I�g' �j CAROL L. PERRY, being duly sworn, deposes and says: I am the record owner of the land, buildings and improvements on a parcel of land comprised of approximate- ly 71,131 square feet and located west of North Road at Bayview in the Town of Southold. Tax Map designation Dist. 1000, Section 079, Block 2, Parcel 6. Since taking title to the property on July 14, 1967, there have been no changes or structural alterations to the improvements or buildings located on the property. To my knowledge all of the structures now located on the property existed before April 1957 and have always been used for residential purposes only. ca --y 6"e, Q.YY CAROL L. PERRY Sworn to before me this 4th day of June, 1982. r G Notary Public Jyt�: t of N RE i�fAfpY Stop of New York #711 QWUZ IN Suffolk Twin Wko March 30, 1 I ,� Location 51so —num Subdivision Name of Owner(s) Occupancy BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Na v f/r /Ca -k1 /o er & s Map No. � y ipality Lots) (typ e) (owner -tenant) Admitted by:Accompanied by: JC/ lGUC/ Key available Suffolk Co. Tax No. a q c� 2-006 r, �c air --Date Source of request DWELLING: Type of� nnstruction word ##stories (ujo Foundati4ori�ggc *Z;/G"---17t""<G /. • Cellar;R-72 Crawl space �P.*-7`L Total rooms, lst. Fl 2nd. Fl 3rd. F1 Bathroom(s) `TGvd - Toilet room(s) Porch, type Deck, type Patio, type — Breezeway Garage Utility room Lirl- Type Heat , Cn7r �� 'unarm Air Hotwater (!;;><L ;.-O Fireplace(s) 0l'I E No. Exits Airconditioning 6,7� �-��- Domestic hotwater SCS Type heater /F -S s Other ACCESSORY STRUCTURES:-2"-6-0/-�-.6 Garage, type const 0- C & /Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. �2 ` clE �— / X iM _-571o>, iL� / e" S c'/ 5 krz>) 4 Q F�/IECY :5-4-130 .�rrEs� Remarks :___10'7d?Y_ - �/dux, Gyo�a � ll�r� c7Ccl Ci// Q'c r 7�/l�u/ira� Inspected by: ---"'Date of Insp. C�cc2 ��01 Time start . end /CJ: G .� 9- 2- TOWN OF SOUTHOLD PROPERTY RECORD CARD p)- 6 OWNER STREET J,,1 VILLAGE DIST.1 SUB. LOT FORMER OWNER N 7— E ACR. S r W TYPE OF BUILDING RES. 4gZo SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 12 s-Z� 7 ;2 _4T;7 L) 6 111,%3Z76 v CCP *2 6�a5,- Fc, vfOCScAs.���)�%/ 2: C) AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total D 0 ^" e