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HomeMy WebLinkAboutZ-9526TOWN OF SOUTHOLD BUII.I~ING DEPARTMENT Town Clerk's Office Southold, N. Y. Cerlificnte Of Occupnncy No.. Z9,526 ..... Date ...... Ney../I.5 ............. ,1g.79. THIS CERTIFIES that the building located at .! 625...I~r.%b..S.e.a..D.r., ..... Map No ............. Block No ........... Lot No .................................. conforms substantially to me ,-',~,-m,~ - CERTIFICATE OF OCCUPANCY ~x~.'' .A~)mil.. 2.5. ...... , 19.57. pursuant to which~Alo .... Z9~2~ dated ..... ~IeF... 15 .......... , 19.. 72 was issued, and conforms to oL] of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .............. P~.ivate..One. Family .Dwalling .......................... The certificate is issued to ............ Mignor~ .T,. Ryan. ........................... (owner, of the aforesaid building. Suffolk County Department of Health Approval ........... Pre,-~xi.~tir~g ........... UNDERWRITERS CERTIFICATE No .................... Pr.e.-.~l~.t~.r~g ........... HOUSE NUMBER ..... .~625 .... Street ............. ~Ior~;k/~ev. Dr., ............. ' Building Inspector County Tax Map Numbe. r 1000-5~-~-18 Location Subdivision BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT (number & street) (Municipality) Map No. ~ Lot(s) Name of Owner(s) Occupancy /C (type) Admitted by: ~,J Key available Source of request~/~/c~-~--~ (owner- t~t) Accompanied by: /~o~/ /~.~'~ Suffolk Co. Tax DW~J.LING: Type of construction Foundation ~/~z~v- ~Ko~,_ Cellar Total rooms, 1st. F1 #stOries Crawl space 3rd. F1 Bathroom(s) /- /---~& Toilet room(s) Porch, type · Deck, type~o~-~zm~ Patio, type.__ Breezeway ~ - Garage Utility room Type Heat ~ ~-~/g~oWarm Air~~/~o~Hotwater - Fireplace(s) No. Exits /---~O Airconditioning Domestic hotwater/~// ~ ~_~pe heater ~ ~¢P-/g Other ACCESSORY STRUCTURES: Garage, type const. Swimming pool Storage, type const. Guest, type const. Other VIOLATIONS: Location Housing Code, Chapter 52 Description Art. Sec. Inspected by:..~~a~ Date of Insp. 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 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, Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1,00 $5.00 New Building ............. Old or Pre-existing Building .. ~ ........ Vacant Land ............. Location of Property ... ~[~,~1;~..~ee. ~.i¥~..LSc ~;~_r~L~l ,..[~oY,..~.~,972L .................... House No. Street Ham/et Owner or Owners of Property .... ~,i ~-~;~q:9. ~....~7~, ...................................... County Tax Map No. 1000 Section .... .5.~. ........ Block ...... ~. ....... Lot .... .~.8. ......... Subdivision ................................. 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 $. ~5.o.0.'~ ....................... Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10-78