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Home My WebLink AboutZ-11124FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date ..... ~. u..g.u.~.l?...1.1 .................. 1982 THIS CERTIFIES that the building .~... I .3.) ......................................... Location of Property 1.35.5. ............... .D.e.e.p. Hole Drive Mattituck h3,,~ No. '" 's't,~3i ....................... County Tax Map No. 1000 Section .. ! .15 ....... Block .. ! .3 ........... Lot.. 1..~. 3.. ~..2 ....... Subdivision .... .X .......................... Filed Map No..X. ...... Lot No..X ............ Requirements for a private one-family dwelling built prior to conforms substantially to the A'~fieati~n-f~r Certificate of Occupancy ·. Ape. g.i..2.3. ......... ,19.5. 7. pursuant to which'Bo2qdingPe, fi,i; No .... Al. ] .1.2?. .......... dated ..... .~. u. ~..ug.~' . .1.1 ............. 19 .~2., 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 ......... .a..p.e. ;.v.a?...o.n.a.-. ~..a.m3Ay...a~. % .Lx.n.~...a.n?...~.~.o..a. ¢..c?.~.~. 9r.y' .a. ?9.r.a.g. ?' .b.u.~.x.a. 3.n.g..?:' The certificate is issued to ...... ~.n.n...P.q~..np.n.~.ls.~ ...................................... (owner,-le,~ee.o't-te'den'r)' of the aforesaid building. Suffolk County Department of Health Approval ....... n./..r ................................ UNDERWRITERS CERTIFICATE NO ............... n./..v ................................ Building Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD., N. Y. HOUSING CODE INSPECTION REPORT Location 1355 Deep Hole Drive Mattituck number & street Municipality Subdivision X Map No. X Lot(s) X Name of Owner(s) Ann Fosnanski Occupancy R-1 tenant type owner-tenant Admitted by: Jean Croce Accompanied by: same Keyavailable 115-13-11 & 12 ° Suffolk Co. Tax No. Source of request Richard J . Cron , Esq . Date 6/15/82 DWELLING Type of construction wood framed #s-tories 1 Foundation cement block Cellar full Crawl space Total rooms, lst. Fl 6 2nd. Fl 3rd. Fl Bathroom(s) 1 Toilet room(s) Porch, type Deck,. type Patio, type Breezeway Garage Utility room Type Heat -oil fired Warm Air Hotwater X Fireplace(s) No. Exits 2 Airconditioning Domestic hotwater gas Type heater tankless Other ACCESSORY STRUCTURES: Garage, type const. wood storage Storage, type const. Swimming pool Guest, type const. Other cement block garage VIOLATIONS: Housing Code, Chapter 52 Location Description Art. 1 Sec. cellar cellar steps narrow & steep II 52-27-A outside porch columns need repair III 52-30-A storage needs major repairs III 52-30-A, C block garage door & windows need replacing III 52-30-C ' Remarks: Inspected by: ir , J' �Date of Insp. August 5 , 1982 Curtis W. Horton - Time start 11 :45 end 12 : 15 It i ..y.� f '°'fI{ r�+4�'1 •�� 5 �.�-. r'.. �� .". S!'��1 1... ;• .SECTION 7209 OF Y TURIt STATE 'EDOCATIOM LAW.'; 1" G; Q COT1.5 CF 71 ,-a�ING ,¢. THL L i EMR0.5 �. 1 ,,. ..a�SIDERED TO at A-2111L:l {�- +I �} ! `,� GUAFAn Tf.13.;I - :Na.l. kUW O 1 r Y«Vi R �G.. .fi L 1� 4/ ONLY TO U �_ y,, IM, SUM IS PREFAL D. k. _. .LF TO THE N � � TITLE CL'MiAhT, AGir1CY A. LENDING IidSTITL'Ti.i•, L>T;U H.wc(A!, X-C 150.0 N THEIASSIGNM F THE D TION.GUARANTEES A:FNIOTT Ahs#&A4� I 'O ADDITIONAL INS7ITUTIONS Ok SWSEOUr j `WNERS,ui y .� � '¢ 0 .N MAP OF I .AND` to �0 4 Ll suYTa Fop- --coo �'t ' 1� M t G HRF—L POSNOWSK1 NN t � � Ari MA-t-rt7UCK f Tov, N OF SOuT"OLO, N.Y. i - go 0 --- ��`'• 5 c a 1 d 40 t" `1` � o ��, . • a i �rc�ri p i p a� � �t.+cxYcxr��at -�o �!•�� t2iv��K,� SCxvitil�.ja� � �Cir,k cas surucyr�d Mt�y Z3, 19�. Q+td w. Va" -rL y i .snn Tz- � L.ic�H�cd Lcxn+r,� SuYveyoYS i GYc�Y•1pgY'1', New �O�rk „ u �.e�tfitr».-. �'a'a*W�,!it ,'�. �Si?�-�f;.r,:_. ...ty✓. .- ,:.e i. ._.. _.., .., _ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 install~ 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. For existing buildings (prior to April 1957), Nonconforming 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date June 15, 1982 New Building ............. Old or Pre-existing Building ..... ~. ...... Vacant Land ............. Location of Property ..... [.3..~.5 ................. .D.e.e.]~..H.o.~.e.. ?.~.~ .v.e ......... ~ .~.t.~.~.u..c.~ .... House No. Street Ham/et Owner or Owners of Property Alfred J. Posnanski - ~.Q/?ow County Tax Map No. 1000 Section ... !!5. ........ Block ...... .~.3. ...... Lot....1~..&..~,2 ..... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant..~..~.c~.a?.~.. ~....?.~.o?.~...a?..a. ~ .'c.o.~?..ay Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....... .Z. .............. Fee Submitted $...5.., .0.0. ..................... AppliCant/~f. ~~~_,,¢~.....~...~¢~. ........ J I I