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Home My WebLink AboutZ-9242FORM NO. 4, TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No...Z92./42 .... Date .... 0ctoher...1.'] ........... , 19.7~. THIS CERTIFIES that the building located at . ./4845. P:~ne. Neck. l~d, ..... Map No ............. Block No ........... Lot No .................................. ~UI~S ~R 0~ F~LY D~~ BU~T PRIOR confo~ substantially to the dated .. Ap.~ .... 2~ ........ , 19.~7. p~suant to which ~ No.. dat~ .. October .. ~ ........ , 19.78., was issued, ~d conforms to ~ of ~e req~ ments of the applicable pro~sio~ of the law. The occup~cy for which ~s certificate ~sued is ....... ~9~9..~9. ~fl~X .~~g. W~h. ~.qe~gR~. The cert~icate is ~sued to ........ ~;$~%~. ~. ~9~%9~. &. M~ .................... (owner,~ of ~e afores~d building. S~olk County Dep~tment of Health Approv~ ............ . ~re~z~g ......... U~ERWRITERS CERTIFICATE No ...................... ~l~.~$~g. ........ HOUSE ~ER ...~5 ....... Street ........ P~e. N~.~k. RO.~4 ................. .............................................. on hokd.. .York ............ Bffild~g ~spee~or FORM NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, hi. 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 ...................... New Building ................ ~n ................ Old or~re-exis~g Bulling .....~ .... Vacant Land .............. Location Of Property ...... ~:.~....~..~..~.....~-....~~..)...~......~...'...~... Owner Or Owners Of Property ...~..~..~.......~..~.~.~.~.~.~.. ................................. ~ ............ iiii).i 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 ......... ..~.... ......................... Fee Submitted $ .~. ..... ............... Construction on above described bu~Je~g a Lt meets al ble codes and regulations. .......... ....... ................................................ Sworn to before me this / // ...~....~.. ...... day o,~~....~...~....... ,, ..... /~,~ (stam~;~/Z ~' Stale of INolary Public, New Yor~ bio. 52- 2~'59600 QueJified in SuffcJk County Te, m Expires March 30, 197~ / HOUSING CODE INSPECTION October 5, 1978 4845 Pine Neck Road R-1 Southold, N.Y. Tax Roll: William J. Pollert & wf occupied: owner Upon receipt of an application for a Pre-Existing Certificate of Occupancy I made an inspection of the buildings at the above captioned premises. I was admitted to dwelling by Mr. Pollert who accompanied me on this inspection that began at approximately 1:15 P.M. The dwelling is a one and one half story wood frame structure constructed on a masonry foundation. The east wing contains two guest bedrooms each having their own separate entrance and each contain a full bathroom. Extreme end of building is a three story lighthouse that is accessible from a recreation room. The second floor landing of the lighthouse provides access to the loft that is used for storage facilities. Third floor of light- house provides look-out facilities. The m&in portion of dwelling on the first floor consists of a vestibule entry in the rear of building this provides access~servants quarters which comprise of full bathroom, bedroom and a ~itting room. There is a kitchen and butler's pantry, a dining-breakfast room, hallway entry, three bedrooms, a full bathroom that connects to one bedroom and is also accessible from the hallway, living room with fireplace, a corridor with entry provides access to formal dining, formal dining room contains a fireplace, in addition there is a sun room that is not heated, main entry, trophy room and full bathroom. Second floor contains a suite of rooms comprised of a master bedroom~ a full bathroom, study with fireplace and dressing room. Heat is furnished to all rooms within the main portion of the dwelling from an oil fired steam~_furnace located in partial cellar. An oil fired hotwater f~hAa0~ provides domestic hotwater to all plumbing fixtures within the dwelling. An accessory structure is a wood frame cottage for the caretaker. This structure contains an attached garage with three bays. The habitable area contains a living room that serves as a sleeping room, a kitchen and a ikall bathroom. This unit is heated electricall~ each room containing a wall unit operating on its own individual thermostat. I found no violations of the Housing Code,~hapter 52, of the Town of Southold, N.Y. / Inspection was completed at app~ ~imate~ 2:15 P.M. R~ c~ly/s~bmitted, EDW D HINDERMANN Building Inspector Code