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HomeMy WebLinkAboutZ-11265FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z.I. 1265 ......... Date ........ 0¢.t. qt~ot'..19 ............. 19.82 THIS CERTIFIES that the building ~...(.21 .. ........................................ Location of Property .2.9.5. ........... .M.a.i.d.e..n..L.a.n..e .................. lq.a.~.i.t.u.c, lf ...... House No. Street Ham/et County Tax Map No. ] 000 Section ...1.t~ 0 ...... Block .. 0.1 ........... Lot .... 0. Q ? .......... Subdivision... Z ........................... Filed Map No.. X ...... Lot No..X ........... Requirements for a private one-family dwelling built prior to conforms substantially to the Al~l~lioat-ie~e -f~r-B~qht/ng- taermit- heret~ffore filed- in- toais- effiee.~ate4 Certificate of Occupancy .... gpr. ll. 23 ......... 1957. pursuant to which B~i.k~4~-laei, m~t No. Z.1.1265 .............. dated ..... 0 c.t.o b e lC.. l 9 ........... 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. pr. irate..one.-.family, d~e.e, lling .~;i.th .acc.e. as o~'3., one.-.cat', g.,ere~-,., ..... The certificate is issued to ....... .Ha.r.q ], .d..R.... R..e.e.v..e...~..l{.n.g.t.h. 91? ...................... (owner, ~ .ta~erJ~).. of the aforesaid building. Suffolk County Department of Health Approval .... .n./..~ .................................. UNDERWRITERS CERTIFICATE NO ............ .n / a .................................. Building Inspector Rev. 1/81 Location BUILDING DEPART~NT TO%'~I OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 295 Maiden Lane [numoer & szree~) Mattituck (Municipaii~y ~ Subdivision X Map No. Lot(s) Nmme of Owner(s) Harold R. Reeve, Jr. & another Occupancy R-1 (tyPe) A&mitted by: Silkworth Agency unoccupied (owner-tenant) Accompanied by: same Key available Suffolk Co. Tax No. 140-01-007 Source of request Robert L. Tooker Date 10/15/82 D?~LLi~: Type of construction Foun. dation poured cement Total rooms, 1st. F1 ~ Bathroom(s) 1 Porch, t~e screened in Breezewa~ Type Heat gas Fireplace(s) 1 Domestic hotwater Other wood framed #stories 2 Cellar partialCrawl space rest 2nd. Fi 3 3rd. Fi Toilet room(s) Deck, type. Garage. one-car 'Warm Air No. ~its 5 Patio, type__ '~ZZZ~ room pantry Hotwater gravity feed Airconditioning yes Type hea~er gas ACCESSORY STRUCTURES: wood, Garage, type const.one-car & stor~rage, type const. Swi~ing poo! Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. I Sec. kitchen gas s~ove--no shut off V I 52-52-B (2) ' Remarks: Curtis W. Hort6'n 'Time start 3:10 end 3:30 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 o'r 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 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 prem, ises, or other pertinent informa- tion required to prepare a certificate. , Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwe{ling or land use 3. Copy of certificate of occupancy $1.00 $5.00 New Bui!ding ............. Old or Pre-existing Building(~). _.~/_,. _-=/Vacant Land ............. Location of Properw...~..~'-~, ............. /~.~../~ .... Owner or Owners of Property . .l~. .' . .-.~..~. ~'~./.~.1~. ..... ~ ....... County Tax Map No. 1000Section ..}.~..q ...... Block ....~..J ......... Lot .... 0~...~. .... Subdivision ...... .)~r. ......................... Filed Map No... ~ ...... Lot No..,~'. .......... Permit No. -- Date of Permit ~ .Applicant Health Dept. Approval....~.{.d{.. ............... Labor Dept. Approval .... ./~.l.~. .............. Underwriters Approval . ,A~/(~ .Planning Board Approval ../~/..~. ...... .. Request for Temporary Certificate ..................... Final Certificate .....~...- ......... * · ¢z~ Fee Submitted $....~. ...... ~ .............. Construction on above described building and permit'meets all app~cable_,codes and regulations. Rev, 10-10-78