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Home My WebLink AboutZ-11411FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z.1.1.4. ! .1 .......... Date .... .~.a,q .u.a?.X .5. .................. 19.8.3. THIS CERTIFIES that the building $...(.2. ) ......................................... Location or Property .1. 0..7.7.0 ................. ?I.a. ~.n. ?.o.a..d ............. .E.a.s..t..M.a.p, .5 .o.n... House No. Street Ham/et County Tax Map No. 1000 Section ..Q .3.1 ....... Block ... ! J .......... Lot ...0. ! .1 ........... Subdivision .... .X .......................... Filed Map No...X. ..... Lot No. ,..X. ......... Requirements for a private one-family dwelling built prior to conforms substantially to the ~,l~ie'a-ti~n-f~e -B-uitdi-ng -taermPt -heretcrfor~? filed -in -tl'ti~ -o-ffio'e-d'aXe'd' Certificate of Occupancy .... A.p..r.i.1..2..3 .........19 .5.7. pursuant to which-B-nfleli'ng ?,refit-No...Z.1.1.6.1. 1. ............. dated .... J.a.n..u.a.r.y...5 .............. 19.8.3. , 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 r.~.v.a..~9..qn..e :.f.a.m. $ .ly..d. ¥ 9.1.1. i..n.~' .a.n..d..a.c.c.e..s.s.o.p.y...g.a.p.a..g.e.. ................. The certificate is issued to Clara K. Rackett (owner, of the aforesaid building. Suffolk County Department of Health Approval .... p./.a. .................................. UNDERWRITERS CERTIFICATE NO ............ .n./.a. .................................. Building Inspector Rev. 1/81 -. Location Subdivision X Name of Owner(s) Occupancy A&mitted by: Key available Source of request BUILDING DEP.,MRT~NT T0%'fN OF SOUTHOLD, N. Y. HOUSING CODE INSFECTION REPORT 10770 Main Road (number & street) Map No. x Clara K. Rackett East Marion (Municipality) Lot(s) R-1 (~ype) Mrs. Rackett owner (owner-tenant) Accompanied by: same Suffolk Co. Tax No. 031-11-011 William H. ?rice,'Jr. Date 9/14/82 DWELLING: Type of construction wood framed Foundation poured cement Total rooms, 1st. F1 3 Bathroom(s) 1 Porch, type screened in Breezeway. Type Heat oil fired Fireplace(s) 1 Domestic hotwater yes Other Deck, type. Garage. Warm Air No. Exits #stories 2 Cellar x Crawl space rest 2nd. Fi 3 3rd. FI Toilet room(s) 1 Patio, typ~__ Utility room Hotwater x 2 Airconditionin~ Type heater gas ACCESSORY STRUCTURES: Garage, type const. 2-car wood Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Descriotion kitchen gas stove--no shut off toilet roo~ floor bad condition cellar cellar stairs--termites in stringers outside roof has been leaking " needs painting ceilings garage upstairs ceiling needs repairs sill s & other repairs needed Art.1 Sec. v 152-52-B, 2 III 152-32-D Iit 152-30-A I III I 52-31-C III 52-32-C III 52-30-A- Remarks: Inspected Curtis W. Horto~ .' . .~ .,. Date of Insp. 11/17/82 · Time start 2:30 end 3:00 FORM NO. 6 TOWN OF $OUTHOLD 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 a'nd 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: ' 1. Accurate survey of peopert¥ showing all property lines, streets, buildings and unusua~ natural or topograph ic featu res. 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 occupancv on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 xx $5.00 Date . .S.e..~.t.e.~.~.e.~..]~4..~..[?.8..2... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ../...~..~ ..~. ~). Main Road East Marion House No. Street Hamlet Clara K. Rackett Owner or Owners of Property ............................................................ 031 011 011 County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ........ '~ ........................ Filed Map No. ' .Lot No .............. Permit No ........... Date 'of Permi'~ '. ......... Applicant ................................. ~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...... .~.~. .............. Fee Submitted $ 5.00 Construction on above described building and permit meets all Rev. 10-10-78 au~J~plicable~s and regulations. Applicant .......................................... William H. Price, Jr. Attorney/Agent for Clara K.