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HomeMy WebLinkAboutZ-10442FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ..Z! 044.2 ........ Date ....... ................... 19.?l THIS CERTIFIES that the building ................................................ Location of Property.. 4.7.0. Iio.bart..Road.,....... .. S.4ut1io.ld, . 4..X........ .. . House No. Street Hamlet County Tax Map No. 1000 Section ..064 ....... Block . A ........... Lot ..002, ......... . Minor Frederic P. Rich 2 Subdivision ...............................Filed Map No. ........Lot No. ............. requirements for a One Family Dwelling Built prior to conforms substantially to the A�ppTicatiwz�aS,B�ildiag.l'.await.l�eretcfvre.d.an.thic.office..dated. Certificate of OccupancyZ10442 .. April. 23, ......... 19 57 pursuant to which•BuildiRy-pen"it-Nor.-, .................... dated ...... A p r i.1 .8 , ............. 19 . A I 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 ......... Ds+elling .with .Acc.assory..Bo,&t .Shed . and .GazAkbo. . The certificate is issued to ...... F r e d o r i c P. Rich (owner, %acpea er..tor+awt�. — .. of the aforesaid building. Suffolk County Department of Health Approval ..... N1? ................................ . UNDERWRITERS CERTIFICATE NO ............. N/R................................. i Building Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location / S% d ff A0,4D c,71YO4,0, N• number & street) (Municipality)�— Subdivision Map No. Lot(s) Name of Owner(s) P /BCH Occupancy L< / "le .5. a/ ,type owner -tenant) Admitted by:,,HiC5. F.G(/. ,gt1,Q�,J Accompanied by: Key available Suffolk Co. Tax No.161jo Hyl–ar-OOo� Source of request" Al. DWELLING: Date -f ?1 Type of construction Uj&&y &4tZg & #stories p,C, Foundation (?zXWBA,-r CellarjEL(ACrawl space Total rooms, lst. Fl S' /,i6KS 2nd. Fl 3rd. Fl Bathroom(s) 7kjo Toilet room(s) -- Porch, type — Deck, type Patio, type Breezeway Garage/,Q�f/� Utility room Type Heat a5te� G._ Warm Air Hotwater p/c, Fireplace(s) No. Exits Airconditioning : Domestic hotwater y&5 Type heater FIez-10 Other F.(JT/e' e f�,gLL LliC!% ACCESSORY STRUCTURES: Garage, type const. Storage, type cons t.Z3cy-7 t5VX22 Swimming pool --- Guest, type const. Other,, Zerzd VIOLATIONS: Housing Code, Chapter 52 ff 6"M Description Art. Sec.— OR W'. PPM -13, Remarks: Inspected by: Date of Insp. Time start :moo .A(end !/:oSA•i�'t FORM NO. 6 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 March 27, 1981 Date.......................... New Building ............. Old or Pre-existing Building .... XX..... Vacant Land ............. Location of Property ..1470 Hobart Road Southold New York House No. Street Hamlet Owner or Owners of Property ....Frederic P. Rich ...................................................... County Tax Map No. 1ection . , , 0.6.4 ........ Block ..... 03........ Lot .. , , , 002 ! /!A t Subdivision d7z7fp"'45. . t7lIE:v, .... .Filed Map No. ..........Lot No. -=#.z ........ Permit No. .......... Date of Permit ..........Applicant .................................. Health Dept. Approval ........................Labor Dept. Approval ........................ Underwriters Approval ........................Planning Board Approval ...................... Request for Temporary Certificate .....................Final Certificate . , , . XX Fee Submitted $ . 5.00 Construction on above described building and permit meets all appl' I o and regulations. (�,�� Applicant ...... ............... 1�j�`k� WI I H. PRICE, „ ESQ. Attorney/Agen% ids Rev. 10-10-78 for Frederic P. Rich ll FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL FileNo................................................................. Date .......... 195. To 1.//.�7�-f..�l.I'/?����...c%/L.............. cH T............................................... S-yllL€�R1�l7cll<.-/r..y................. / PLEASE TAKE NOTICE that your applicatiorCUated for permit to censtract ........ /ZU/ +c r. T.17 .... at tl e 1.!�!�....�.�......, 19-1. premises located at� /v7.(.7 CZ7t,.V .�/...... l (�.......... cr%1�ilciGP... Street--- Map6..�c/da_/,,0.�}�.. Block.........Q..r3.................../...`. Lot ....... .QQ..Zl .......... I............. is returned herewith and disapproved on the following grounds + wLl`(.QK%..d. P..(c... ... ` .. �.... bo09.... �,z�,V.L... T.S ,..,.. o.../.... � � <e...� .............. a.T�yz / r ..LLL l�G �, ✓C,N�%%U�� ... . ........................................... Building Inspector 4 � V ; 1 s 1 r "� A�, v en •• � •! M'�V{Vv F� d t M1 .. �„ ` .........+w ,l � , 3( �`V . , rN tL t, ZT1 it Ira _.-- �- • .. a; O ED MYCiATION CD ADUIIOf -;'{ • - rt SEC Tis SgRVEY IS A VIOLATION p r �2TI9 OF TETE NEWVURR STAT W. - - OF MS SURVEY MAF NOT REARENL,MAP"� �n - -,. MND 3URVEYOR'S 1NI:ED SEAL OR 1 �. F .. AREMDSSED SEAL SHALL NOT IF " "F"� ..} - i0 RE A VALID TRUE CORY. � O ES INDICATED HEREON SMALL RUN _......... 1T}E PERSON FOR WhiUM Mf SURVEY' RS EE PRPLE COMP, AND OIC HIS RFHALF G YEEE 4 " ggON _ _ To UMINGINSTITUTION LRSTLLI Hct A +s t.ENCY ANF � TO THE ASSIGNEE$ AM .. . _:. �_�...5`-.....�.. w: Cr �r •� 4 O OM-ADDGUARANI OF RE LENDING EVSTi- TUTION. GUARANTEES ARE NOT TRM1Sfy:A� OWNERS, WSTITUTIOW6 OR SIIRSEOIrr' ♦ gYi r.s err. +r•T e' . �1 /l/E PMw. �_ r.