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Home My WebLink AboutZ-11241FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z.1.124.1 .......... Date ...... Qg.t,.o.b.~'..6 ................. 19 .$$ THIS CERTIFIES that the building ................................................ Location of Property .210 ................ Ter.v.~r. L~a.r~o .................. $.o.u.g.h. 9.1.d.... House No. Street Hamlet County Tax Map No. 1000 Section . .Q65 ....... Block ...O ~ .......... Lot . .Q !3 ............ Subdivision...JOnRtberL .T,. O.v.e.t?. I; 9rL ..... Filed Map No..1. Q~ 5...Lot No. ~. 3.. ~. 9.f. .6.. Requiremants for a private one-family dwelling built prior to conforms substantially to the A~eatk~n-f~r-~-~Idtng-Permit-l~r~tof~re,-fil~d-itl-ttds-tffflee-Oa, ted- Certificate o~ Occupancy ·..~.r.~,l. 2.2 .......... 19 5.7. pursuant to which BxRldi~g'Ptaxrrit'No....gJ.l.~.6. .1 ............ dated ....0.¢.~ 0 be Jr.. 6 .............. 19.8.~, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... a. p~,Vt~.t;.e..(~.e.-.f. ~;L.ly.. ~t~.o. 11 ~.rL¢. O~3.d..~3¥.e.o.-. c..a?..a.q 9.e.~.s. 9Fy' .~9.eA~e.,: ....... The certificate is issued to .... ttla~ .I~ ,..& .l~la~v~ar'~.t..$ ,..P.q~. ¢.e.l.1 ..................... (owner, I~ of the aforesaid building· Suffolk County Department of Health Approval ..... .n/.~. ................................. UNDERWRITERS CERTIFICATE NO ............. .n/.~. ................................. Building Inspector Rev. 1/81 BUILDING DEPART,~'~NT T0¥~I OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 710 Terry Lane ~nuamoer & s~ree~) Subdivision Jonathan T. Overton Map No. Southold (Municipality) 1055 Lot(s).3 & 4P Nmme o£ Owner(s) Ray D. & Margaret B. Purcell Occupancy R-1 A~mitted by: Key ~vailable Source o£ request owner {type) Mr. Purcell John J. Nickle~ ' (owner-tenant) Accompanied by: same Su££o!k Co. Tax No. 065-01-013 Date 9/17/82 D~'~LLI~: Type of construction wood framed Foundation cement block Cellar full Total rooms, 1st. FI Bathroom(s) #s?ories 2 Crawl space 3rd. F1 Porch, type Breezeway Type Heat oil fired Fireplace(s) Domestic hotwater Other Toilet room(s) 1 Deck, type Garage 'Warm Air No. ~its 3 Patio, type · Utility room pantry Hotwater x Aircondi2ionin~ Type heater t.ankless ~es ACCESSORY STRUCTURES: Garage, type const. ~ car wood, Storage, type const. ~gx~®~ with storage over Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location ~ara~e Descriotion garage doors need repairing Art. t Sec. III I 52-31-B Remarks: Curtis W. Hort~n 'Time start 12:05 end : 12:25 FORM NO. 6 TOWN OF SOUTHOLD ~uiiding Departmenz 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 sur,¢ey of property with accurate location of all buildings, property lines, streets, and unusual natur3l or tooograohic features. 2. Final approval of Heaitlq L)ep~. 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 appl.icable. 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. 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 New Building ............. Old or Pre-existing Building(X).._.~... _- = /Vacant Land -. ............ Locat.o. of Property ..... 7/o 7'.~.~.~.~ /-,~,~'~ ' 30 ~ ................................... /. z,,/"/-/¢z. House No. ~ (reer Ham/et Owner or Owners of Property .., .7~.~./_ '~ .... ~..~.~...~.. ~ ~.~. ~..~..~.~ .~¢~~ Countv Tax Map No..lOOOSeotion ...~ ...... Block .... ~/. ....... Lot...O.l~. ........ Subaivision . ~t~ ~'O~ ~O~ ¢ ........................... Filed Map NO. ~..Lot No.~.~¢ ...... Permi~ No. Date of Permit ~ ~' ~ - .................... ~pp,loCR~ .................................. Health Dept. Approval ........................ Labor Dept. Approval ...................... "O Underwriters Approval ........................ Planning Board Approval .................. ~ ..~ Request for Temporary Certificate .Final Certificate ........................... Fee Submitted S .~.~ ~ ~ ........ Z~ Construction on above described building and perr~i(meets all app~cable_.co~es and regulations. ~D~.~ 2~ Applicant .... ~._~..~. ~..~,~ .......... /.~..~ / -.,..':.":.::..?,.tt:.h-mt--.* :.;'. "-~ ~ -- -.: . ,..' . '. ' ' ... '~"-t,('"'( -