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Home My WebLink AboutZ-10548FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ...Z 10548 ....... Date ..... June- .26 ...................,19 .81 THIS CERTIFIES that the building ................................................ Location of Property 4S o. v illaga. Lane .......... ....Or. iipp.t I,. New York House Street Hemlei County Tax Map No. 1000 Section .025 ........ Block ... 02 .......... Lot ..Q03........... . Subdivision ...............................Filed Map No. ........Lot No. ............. conforms substantially to the A,ppII OW"t VAM95Uft USI&V1�1Wd I4Iii 10 J&_prior t ... A,p r i l .2 .3 .. 119 .5 Y pursuant to which &jj t�Q,P ,c c u p an c y Z.1.0.54 8.. dated ... dune. 2h ................ 19.41 , 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 ......... • • • • • • • • •Er•ivate. One .Family. awell.ing. W.i.tb. A.gCQpporY. i 4rpj9A .. .. The certificate is issued to ... Rmbert..0 .. Raevea.,.-Jr.. aoO. jj4r j.or!49. Reeves (owner, lessee or tenant) of the aforesaid building. r Suffolk County Department of Health Approval .... 41.. R .................................. UNDERWRITERS CERTIFICATE NO............ $j $................................. . Building Inspector Rev. 1/81 FORM NO. 6 iI 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 A"G��.�.--... ... . New Building ............. Old or Pre-existing Building .... !!/ .... Vacant Land ............. Location of Property ... �� ..... �. ! .�� YPi .. Q�C� ��/� Nj? 7I %v y House No., Street Hamlet Owner or Owners of Property ..... G.��4G:.'a.��.......... . County Tax Map No. 1000 Section ..�c ...... Block ...: G�...... Lott% ........... Subdivision .................................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant Health Dept. Approval ........................Labor Dept. Approval ........................ Underwriters Approval ........................Planning Board Approval ......... ............ A`�' Request for Temporary Certificate .....................Final Certificate .... .............. i. ."rAl�/v� v � J Fee Submitted $ ..\,.:....................... \\�y� .N, / Construction on above described building a meets a4ll applicab es and regu atio J Applicant . -� ( ......... iL Rev. 10-10-78 BUILDING DEPARTMENT TO1'1N OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 455 Village Lane, Orient New York number & street Municipality Subdivision Map No. Lot(s) Name of 0>,m er(s)Robert C. Reeves, Jr. and Marjorie Occupancy R-1 Unoccupied type (owner -tenant Admitted by: Mr. Reeves Accompanied by: Same Key available Suffolk Co. Tax No.O25-02-003 Source of request Robert C. Reeves, Jr. Date June 17, 1981 DWEL.LI NG : Wood Framed 2 Type of construction #storiesl2 Foundation stone Cellar4'artial Crawl space_ Total rooms, 1st. Fl 6 2nd. Fl 2 3rd. Fl Bathro�,m(s) 1 Toilet room(s)1 Porch, type Glassed in Deck, type Patio, type Breezeway Garage Utility room Type Heat oil Fired -Warm Air Hotwater X Fireplace(s) 1 No. Exits 2 Airconditioning Domestic hotwater Yes Type heater Tank Type Other ACCESSORY STRUCTURES: Garage, type const. One Car Storage, type const. Swimming pool Guest, type const.! Other VIOLATIONS Housing Code, Chapter 52 Location Description Art.1 Sec. Cellar Cellar Steps II 52-27-A Kitchen Gas Stove No Shut Off V 52-52-E6 Stairway No Rail II 52-27-B Needs Repairing - -B Remarks: Inspected by: I'd '; X11 Date of Insp. 6-19-81 Curds `icrcori T'