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Home My WebLink AboutZ-11003FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z 1 1.(183.... Date ........ May. .21 .'. . . . . . . . . . . . . . .. 19 $2 THIS CERTIFIES that the building s, 2 ........................................... . 885 Bailey Avenue Location of Property.965........... ..... ChamplIn . rIAq@ ........ , Ge renport House No. street Ham/et County Tax Map No. 1000 Section ..Q34 .......Block . P.4 . ........Lot .: 014 ........... Subdivision ...............................Filed Map No. 2 9 A ..... Lot No. Requirements for a private one -family dwelling built prior to conforms substantially to the A@p4cat4on-Fbr-$uiIdinZ-Permitiierctafbrr fft&1n-tflls-aifiaLr ilated Certificate of Occupancy 3........... 119 5.7, pursuant to which. Blailding.I'amilt No. .. Z a 1 AQ J ............ dated .... 0�aY . ?).......... . ...... 19 82. , 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...... gr�,v,q>�g, orle-family uwEllin with. accessory storage shed.* The certificate is issued to ..... 0.4 1 G Q� r4. P, R a c k e t t (owner, /asiBv OFt�/ie1R%% of the aforesaid building. Suffolk County Department of Health Approval ... n /, r, , , , , , , , , , , , , , , UNDERWRITERS CERTIFICATE NO ........... 4/r ...... . . . . . . . . . . . ..... . . ... . *Building permit #8252Z issued for metal storage shed, C.O. issued, # Z7070. Chain link fence also located in both front yards. Building Inspector Rev. 1/81 BUILDING DEPARTMENT TONIN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 885 Bailey Ave. Location Champlin Place Greenport number & street Municipal: Subdivision Map No. 298 Lot(s)5P, 6P, 7P Name of Owners) Malcolm P. Sackett Occupancy R-1 owner type owner -tenant Admitted by: Mrs. Rackett Accompanied by: Mr. Rackett Key available ' Suffolk Co. Tax No. 034-04-014 Source of request Malcolm P. Rackett Date May 19, 1982 DWELLING: Type of construction wood framed #stories 1 Foundatipn cement block Cellar full Crawl space Total rooms, 1st. F1 6 2nd. F1 3rd. F1 Bathroom(s) 1 Toilet room(s) Porch, type Deck, type Patio, type_ Breezeway Garage Utility room Type Heat_ of 1 fired 'alarm Air Hotwater X Fireplace(s) 1 No. Exits 2 Airconditioning_ Domestic hotwater yes Type heater tankless Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. metal* Swimming pool Guest, type const. Other*B.P. 82522--C.O. issued 27070 VIOLATIONS: Housing Code, Chapter 52 Remarks: Chain link fence both front yards. Inspected by: U�_A-17 _Date of Insp. - 5/20/82 Curtis W. Horfon -Time start 9:00 end 9:20 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) ..X__. $ 'Vacant Land ............ Location of Property ........ Houge Ao. Streetl� Hamlet Owner or Owners of 7roperty 4).A-4 :100 -A .... 1 County Tax Map No. 1000 Section .... ✓ .y...... Block ..-O..Lot ...U../ .q...77.. Subdivision .................................Filed Map No. xg. �� l6..Lot No.S)0-io /O. A? Permit No. .......... Date of Permit ..........Applicant .................................. Health Dept. Approval ........................Labor Dept. Approval ......................1. . Underwriters Approval ........................Planning Board Approval ...................... Request for Temporary Certificate .....................Final Certificate .... ............. - Fee Submitted $ ... ................... Construction on above described building and permit meets all appl{cablqjcodes and regulations. Applicant . ,r�� :._ _.F. W.c. ..._ .... _ .... Rev. 10.10-78 Pke,-Co - It 003 Jac 8ETs