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Home My WebLink AboutZ-10462FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy 0462 Apr il 20 81 No . 21 ................. Date................................,19... THIS CERTIFIES that the building ................................................ Location of Property ..., 710 Pine Tree Road, Cutchogue, New York ....................................................... House No. Street Hamlet County Tax Map No. 1000 Section ... 104 .....Block ..... 1.........Lot ... 30 ............ Subdivision Nass.au...Far.ms...............Filed Map No. .1179 ... Lot No. FAQ .12.4.... . .......... . requirements for a one family dwellinj built prior to conforms substantially to the Applieation-for-$URding-kepmipp4-herefofeFe-t=iled-in lus--oot� cactiatecL- April 23....... , 19 �7 pursuant to which -BA ingi'i�r oof OccupancyZ 10462 dated A pr i 1 .2 .0 ..... 19 3.1. , 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 ......... Private One Family Dwelling with accessory structure. ................................................................................ The certificate is issued to Georgietermn a & Wf • (ownerJe.wg ar t ripa(L - of the aforesaid building. Suffolk County Department of Health Approval . N / R .................................... UNDERWRITERS CERTIFICATE NO.. N/A ............................................ Rev. 1/81 0 ........................................ Building Inspector 0 BUILDING DEPARTI•IENT TOUT; OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 710 Pine Tree Road Cutchogue, �P„ v�„i number & street (riunicipalit-Y7- Subdivision Nassau Farms Map No. 117Q Lot(s) P/Q X24 Name of Ovrner(s) George S. Peterman & Wf. Occupancy R-1 owner (type) own er- t en ar,t Admitted by: Mrs. Peterman Accompanied by: Self Key available Suffolk Co. Tax No. 404-1--10 Source of request R. G. Terry, Jr. Atty. Date April 14, 181 D' MLING : Type of construction Wood #stories Foundation rPmenr. Rlnrk Cellars„l, Crawl space Total rooms, 1st. F1 5 2nd. Fl 3rd. Fl_ Bathroc,m(s) 1 Porch, type Toilet room(s) Deck, type One Patio, type Breezeway Garage attached Utility room Type Heat oil Fired Warm Air Hotwater x Fireplace(s) No. Exits 4 Airconditioning Domestic hotwater Yes Type heater Tankless ..Other, ACCESSORY STRUCTURES: Garage, type const. Storage, type const. wood Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description. Art.1 Sec. Exit Kitc en - Storm door broken III 52-31-B - No door or rail top nf rpllnr Remarks: Inspected by:('' y, -Date of Ins 79�fp• A o r i 1 14 1981 Curtis W. Horton Time start_10:30 end 10:45 �3 01 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" 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 Date.......................... New Building ............. Old or Pre-existing Building . X ........ Vacant Land ............. Location of Property ....... r4~ 7A /`... ^",/... ...... .. . House No. Street DD am/et Owner or Owners of Property . C - County Tax Map No. 1000 Section ... Block .... !?J F.'.... Loot ... Subdivision . t5�..............Filed Map No. 1011 ....Lott 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 $ .� .v : .................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ............... �: K1 Rev. 10-10-78 A1,�y V BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y HOUSING CODE INSPECTION REPORT Location Municipality number & street di -,►•_„_Map No.�% '% �% Lot(s) Subdivision - �-�----�-� , Name of Owner(s) Occupancy — owner-tenan types A�� Admitted by: :� Accompanied by: — Key available_ Suffolk Co. Taxat e Source of request DWELLING: stories f->-� Type of construction Foundation -Cs-.� _Cellar Crawl space_ _— Total rooms, 1st. Fl S 2nd. F1 3rd. F1 _ ---- Bathroom(s) Toilet room(s) Porch, type Deck, type_ ------Patio, type_____ Breezeway Garage Utility room Type Heat � Idarm Air Notwater_ Fireplace(s) No. Exits t4 Airconditioning Domestic hotwater Type heater - Other ACCESSORY STRUCTURES: ` const. Storage, type const. Garage, type Guest, type const. Swimming pool Other -� ti—,;,o. rnap- Chaoter 52 Remarks: Dale of Insp. Inspected by: n �-- � �� l��r Time start (, ` U end O 01 le, 1 , - /6L/ - / - /6 L A _111i:L!8TE RECORD CARD OWNEREsT REET VILLAGE DISTRICT SUB. LOT IF f f Aia, Iv- Y_, 14 101 e Xc ',I L., -e FORMER OWNER N p/ E ACREAGE $ 13,9 -YAW W TYPE OF BUILDING RES. SEAS. VL. FARM comm. IND. CB. misc. LAND IMP. TOTAL DATE I REMARKS 70 CY/e _e 3660/V j/ AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable I Tillable 2 " if & --Z -7 0 Tillable 3 Woodland th or -0, Swampland Brushfond'�' House Plot Tctal Cf M. Bldg. Foundation Basement T Bath Floors Or" >< Extension Ext. Walls Fire Place Interior Finish le., Extension Porch Attic X _T Rooms 'IZl Porch M. Bldg. Foundation Basement Bath Floors Extension >< Extension Ext. Walls Fire Place Interior Finish le., Extension Porch Attic X Rooms 'IZl Porch 1st Floor Breezeway Patio Driveway Rooms 2nd Floor Garage/Z 2 7 6 0. B. k Z6 1 1-33/ W