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Home My WebLink AboutZ-9922FORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy Date ...... ~,Pr.i.~.. !.b ....... : .......... 19 .~.0 THIS CERTIFIES that the building ................................................ Location of Property .... ~.0.~..~O~.'~h. S.e.~..Dr.i.v.~ ................... .~.O.t!.~;.h.o.l.~,, N...~', House No. Street Ham/et County Tax Map No. 1000 Section ...~..t4 ....... Block .... 14. .......... Lot ..... .~ ........... Subdivision ............................... Filed Map No ......... Lot No .............. requirements for a one fnmtly dwelling built prior to conforms substantially to the Certificate of Occupancy .... .~'P.17.$ .]'. ?.~. ....... , 19 .~?. pursuant to which ~ ........... .~?.~.'7. 7 ..... dated .... .~p?.~.l...1./~. .............. 19 .~).. , 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 ......... ....................... ~r..~y~.,...~.,.e.. r.-.~.t.l:..y...ry.,..~.~.~.n.$ ........................ The certificate is issued to .......... R.O..b.~..1~...~.o..~. ~.~.:!..~.~.. a..~.f.: ....................... (owner, ~ of the aforesaid building. Suffolk County Department of Health Approval ......... .~./~.R ............................. UNDERWRITERS CERTIFICATE NO ................. .~./..R ............................. Rev 4/79 Location Subdivision Name of Owner(s) BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 305 North Sea Drive (number & street) Map No. Robert J. Ravitz & wf. Southold~ N.Y. (Municipality) Lot(s) Occupancy R - 1 (type) Admitted by: self unoccupied (owner-tenant) Accompanied by: self Key available Suffolk Co. Tax No.1000-54-4-5 Source of request Deborah Eds°n Date April 9~ 1980 DWELLING: Type of construction wood framed Foundation cement block Cellar Total rooms, 1st. Fi 5 2nd. FI full #stories 1 Crawl space 3rd. Fi Bathroom(s) Porch, typeroof over Breezewa~ Type Heat oil fired Fireplace(s). Domestic hotwater Other Toilet room(s) Deck, type Garage under Warm Air X No. Exits yes Type heater cement Patio, type Utility room Ho%water Airconditioning. electric ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other NONE Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Deck Outside Outside Outside Description Cement slab sett]img Front steps Garage doors Needs painting Art.I Sec. III I 52-31-~ II ~ 52-27-A II~'] 52-50-A . III I 52-31-B Remarks: Date of Insp. April 14, 1980 Time start 11:00 end 11:30 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 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 peoperty showing all property lines, streets, buildings and unusua~ 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 ate of occupancy on pre-existing dwelling or land use f certificate of occupancy $1.00 $5.00 New Building ............. Old or Pre-existing Building .. · ..v~.... · Vacant Land .............. Location of Property. ~.~..~..-..~. .............. ~.~t~,~..~. >~-~.~....~?. ...... ~,~.(~,'.,-i~.~..'~.. ~. House No. Street Ham/et Owner or Owners of Property ................................ County Tax Map No. 1000 Section .... ,~..~. ....... Block ...L_.¢ .......... Lot, .~ .'~. .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $~ .................... Construction on above described building aod~rmit me~licable codes, and regulations. Applicant..~ ........ ~....~..~,,. ................ Rev. 10-10-78