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Home My WebLink AboutZ-10282FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy Z1 0282 Date ..... ~o. a..o.m.b.o.g..~ ................ 19 .~.0. THIS CERTIFIES that the building ................................................ Location of Property ... 1. .~ .'?.~..~. o..~?.~.1..y..P.o.~..d..L..m~..o ............. .S.o.u..t;.h.o.]:..d,..~. :~: .... House No. Street Hamlet County Tax Map No. 1000 Section ...0.6..9 ...... Block .... 0.~.' .........Lot ..... .09? ......... ............................... Filed Map No ......... Lot No .............. Subdivision requirements for ~ one family dwelling built pri~r to conforms substantially to the ~~~Ir~r?nt~t ~T, ax~gt~[i~:~4LN~ Certificate of Occup~ae~ .... .g.p.~.t..1..~.~ ....... , 19 .~?. pursuant to which t~ No ...... .g.'i.O. 2..0.2 ......... dated .... I¢..~.o?.m.b. ?.z-.. [ ............ 19~. 9. ,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 ......... ........ o).~.e. ~..~.z.~:, .~. :.z.~..~. ?../.:?.~.~.e.~. ?.~.~..~...~.a., .z~..~..~.~.o. ~:.~.~.~., .~..~..z..~.~...~. The certificate isissued to Ilaz'old Reeve, JPo & ~o ..................... io;;.'o'r, :~r~ira¢,;lO ...................... of the aforesaid building. Suffolk County Department of Health Approval ............. .N./.R .......................... UNDERWRITERS CERTIFICATE NO ..................... .N.~.. ......................... Building Inspector Rev 4/79 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 1375 Ackerly Pond Lane Southold, N.Y. (number & stre'~t) (Municipality) Subdivision Map No. Lot(s) N~me of Ovmer(s) Harold Reese, Jr. & ano. Occupancy R-1 (type) Admitted by: cleanin$ woman unoccupied (own er- tenant) Accompanied by: self Key available Suffolk Co. Tax No. 1000-069-0~-007 Source of request Robert W. Tasker, Esq. Date Nov. 26, 1980 DWELLING: Type of construction Foundation brick Total rooms, 1st. F1 B roo Cs), Porch, type glassed in Breezeway. Type Heat oil fired Fireplace(s) Domestic hotwater Other Deck, type Garage Warm Air X No. Exits 2 yes wood #stories Cellar full Crawl space 2nd. F1 1 3rd. F1 Toilet room(s) Patio, type Utility room Hotwater Airconditioning Type heater electric ACCESSORY STRUCTURES: Oarage, type const. Swimming pool Other large barn bein~ rebuilt Storage, type const, large barn Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Lqcation Description Art. ~c. Back porch sills and floor bad III ~2-~O-k Stairs/up no hand rail ..... II ~2-2_~_~_u~& Upstairs ceiling & walk need repqirinE. III q2r%2-C Bath new waterproof ~oor needed .... III ~2-32-D Cellar cover for electric panel , ~ ~2-~6-A- Kitchen no ~ut qff gas stove _ floor & ceilin~ need reo~irin~ ~ K2-~P-E6 ~u~s~d~ nee~u painting & repqiring . III ~2-~0-C Remarks: Inspected by. Date of Insp. Dec. 1~ 1980 Curtis Horton T~me start ~0:30 end 11:00 FORUM NO. 6 TOWN OF $OUTNOLD , Building Department Town Clerks Office 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 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 applicabJe. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I. 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 New Building ................ Addition ................ Old or Pre-existing Building ...... .¥. ....... Vacant Land .............. Location Of Property ...W..e..~..L.~.J:.d..e....A..~.k..e.~.r..l~...P...~..n..d.~..L...a:.n..e.~...S...~..u..t..h..~..~..d.:....N...Y..:....~.~.~.9.~?.~.~.~. ............. Owner Or Owners Of Property Harold Reese, Jr. and Ronald Reese Subdivision .............................................................. Lot No ............. Block No ............. House No ............. Permit No .................... Date Of Permit .................... Applicant ................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ....................................... Request For Temporary Certificate ........................................ Finc~l Certificate ....~.... .................................. Fee Submitted $ ..~.... ........................... Construction on above described building and permit meet.~%~ll applicable_~c,~es and regulations. Applicant .................... ~,'~......~.......~-~..?.....~...~ ....................................... Robert W. Tasker, Attorney Sworn to before me this .~..5..t.h. day of .. N .o, ve .m...b..e...r.,...1..9...8.0. · Suffolk co Notary Pubhc .................................... Count~4 (stamp or seal)