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Home My WebLink AboutZ-9810FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy Date December 28 19.7..9 THIS CERTIFIES that the building ................................................ ~,cation of Vroperty .... .~.Z .00...z.n.d$.~...~.e..o.~...~..n.e ............... ?e.o.o.n. $.%..~. :¥, .... House No. Street Ham/et County Tax Map bio. ]000 Section .... ~ ...... Block . . ./~. ........... Lot ...... .~ .......... Subdivision ............................... Filed Map No ......... Lot No .............. requirements for a one family dwellingbuilt prior to conforms substantially to the%l~p~8[XllltlO ~/ll~llgg~%~~l~ ,~b~-~.i,iee ltll,,i Certificate of Oocul~acy ·..Ap~t.~...~ ......... ,19 .~ pursuant to ,~c~~t ~o ......... Z. 9.e.~.0 ....... dated . .D..e.o.e.m .1~. r..~.$ ............. 1979. , 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...0~..e.. F.em..~l.y. T~..e .l!~ng,. A..$1m.d~O. w].a,~;ac, hed..d~e~ling, unit,. A .stor. age building and A two car garage The certificate is issued to ........ Rioh/t~ Cs..R.a.~.h .&..~.f~ ............. io¥,'~;, 7~4~ ~Y~C~d6~ ........... of the aforesaid building· Suffolk County Department of Health Approval ............ .N~.. .......................... UNDERWRITERS CERTIFICATE NO .................... .N~.. .......................... Building Inspector Rev 4/79 BUILDING DEPARTMENT TO%'~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 1200 Indian Neck Lane (n-mber & street) Subdivision Map No.. Peconic, ~.Y. (.Municipality) Lores) NAme of Owner(s). Richard G. Rath & wf. Occupancy R - 1 (type) 'Admitted by: Mrs. Rath Key available owner '(owner-tenant) · Accompanied by: Mrs. Rath Suffolk Co. Tax No.1000-86'4-3 Source of request Wm. H. Price~ JrJ, Esq. Date Dec. 20. 1979 D$~ING: Type of construction Foundation Brick · Total rooms, 1st. F1 Bathroom(s) 2 Porch,~type-roof ~VS~m$S~eck, type Breezeway 'Garage Type Heat oil fired 'Warm Air Fireplace(s) ~ No. Exits Domestic hotwater yes Other ACCESSORY STRUCTURES: Garage, type const. Wood/2 car Swimming pool Wood framed #stories 2 Cellarpartial Crawl space rest ' 6 2nd. F1 ~ ~rd. F1 Toilet room(s) 1 Patio, typ~ Utility room X Ho~.~ater X Airconditioning Type heater off/oil burner Storage, type co'st. Guest, type"const. Other Large studio w/attached 3 room cottage VIOLATIONS: Location . Rear steps up Cellar steps Housing Code, Chapter 52 · Description No hand rail 'Not even & level Wobd Art. Sec. TT 52-27 B II 52-27 A cement Front pch. WOO~ section Deck and floor jo~sts ~ed r~ps~r]ng TTI 57-3n A Side porch & deck Cement cracked -badlv liT 5P-51 A Wood shed Very bad shape III 52-50 A & C Remarks: Inspected by:_ ~. Curtis Horton Date of Insp._ Dec. 27,1979 Time start 1:20 end 2:00 FOB, M NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, H. Y. 11971 APPLICATION FOR GERTIFICATE 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 Rte .............. New B~lilding ................ Addition ................ Old or Pre-existing Building .... ..Z. ......... Vacant Land .............. Location Of Property ..... ~..~...d.~.~...~.....~..e..c...~.~...~..~..~.e.~t.~.~...e..~...~..~....l..q~..S...e..e.~..S.~..~..v...e~..~.~.~9~.~] ............... Owner Or Owners Of Property ....~..[..?..h.~.~..d.....G..e...~..r...~..e.....~...a:~..h.~.~.~..C...~..~...m..e..l...~:....d.T.:.."~.~.!~..~]~.~.~..~ Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ X Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ ~. 00 Construction on above described building and permitmeets a~l~ codes~.~ and regulations. Applicant .......... Wil~iam H. Pri~. Sworn to before me this of .... ...... ....... co.. IP~'INC~ L. PRICE, JR. ,iOTARY FUDL:C, ST~,TE CF N~W YgRK MY ~mmission Expirg~a[ch~O (stamp or seal)