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Home My WebLink AboutZ-17055FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. .......... Date „July..511988 ................ THIS CERTIFIES that the building .Qne, ,family dwe,l l in,g�.... . ........ . . ....... . . Location of Property... ,3275, , , South Harbor Road Southold ........................................ House No. Street Hamle[ County Tax Map No. 1000 Section . 7A ........ Block .. 3............Lot .. !.............. Subdivision ...............................Filed Map No. ........Lot No. ............ . REQUIREMENTS FOR A PRIVATE ONE -FAMILY DWELLING BUILT PRIOR conforms substantially to the �C�d�}I&3iX�y1IIXtX�g,XX��7�3� CERTIFICATE OF OCCUPANCY TO .ApF.0.ZL.A957,.,, pursuant to which MXKl1 } X ..... 217055 dated July 5 , 1988 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 ......... One family dwelling with attached garage. ................................................................................ The certificate is issued to MARY F . SCOTT .................................................. (owner, /Jl`��'&gllf.'>fa�1�4 of the aforesaid building. Suffolk County Department of Health Approval ........ N,/A... .............................. UNDERWRITERS CERTIFICATE NO ................ N /A ....................... . . PLUMBERS CERTIFICATION DATED: SEE ATTACHED INSPECTION REPORT Rev. 1181 N/A Building Inspector BUILDI::G DEP, T:-�iT T0;9I%I OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 3275 South Harbor Road, Southold number & szreez i,iunicipaiizy) Subdivision Map No. Lot(s) Name of Owner(s)_ MARY F. SCOTT Occupancy (type) (owner-zenanz) Admitted by: MARY F. SCOTT Accompanied by: SAME Key available _ ' Suffolk Co. Tax No. 78-3-7 Source of request DWELLING: Same Date 7/5/88 Type of construction wood frame rstories 1 Foundation Cement block Cellar Crawl space z Total rooms, 1st. Fl 7 2nd. F1 3rd. F1 Bathroom(s) 1 Toilet rooms) Porch, type Deck, type Patio, type_ Breezeway Garage 1 attached Utility room Type Heat oil Warm Air Hotwater xx Fireplace(s) No. Exits 3 Airconditioning Domestic hotwater Type heater oil furnace Other ACCESSORY STRUCTURES: Garage, type const._ Swimming pool Other Storage, type const. Guest, type const._ VIOLATIC S: Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention _ & Buildina Code Location Descrirtion IArt.1 Sec. Garage 3/4 hour separation from attached 1 garage.. corrected 7/5/88 Smoke detector outside bedroom. correcte 7/5/88 1 1 "all okay now" f 1 _ 1 1 Remarks• House in general good con(fition. Inspected by: Gary Fish Date of Insp. 6/24/88 ` Time start 2:oo end 2:25 n.m. FE.) l�� r� FORM NO. 6 — �'- TOWN OF SOUTHOLD Building Department JUN 2 U U l Town Hall Southold, N.Y. 11971 765 — 1802 BLDG. DEPT. APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD Instructions A. This application must be filled in typewriter OR ink, and submitted w w� 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 property showing all property lines, streets, buildings and unusual natural or topograph eaiures. 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: Additions $25 1. Certificate of occupancy New Dwelling $25. 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $ 5.00 , 4.Vacant Land C.O. $ 20.00 5.Undated C.O. $ 50.00 00 POOLS $25.00 ALTERATION $25.00 00, Accessory $10.00 Business $50.00 $ 50.00 over 5 years $10.00 Date.......................... NewConstruction,,,_„Old JorPre-ex istingBuilding ............. Vacant Land ............... .. yJ Location ofPr pety .�G.1./. House No. Street Ham/et Owner or Owners of Property ....! 4,:y.. County Tax Map No. 1000 Section ...../'.�.�...... Block .... 3........ Lot ...... Subdivision .................................Filed 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 $ ............................. Construction on above described building and permit meets all %applic, •lecodes and regulations. Applicant .. k!.:!! ......................... . Rev. 10-10-78 L�`%'/� P_a,3r��2 P,� c �., z t 7e S Quire ae /��8� O -- �� Ace,& G Jul L U 1988 CONSENT TO ( BLCG,rNtsto INSPECTION Cp-77-� , the undersigned, Owner(s) /Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at eC--> /V d g 74 which is shown and designated on the Suffolk County tax map as District 1000, Section Z � , Block J , Lot � That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: U (sig lure) r_ (print name) (signature) r �� CSI-&e-11-71- (pri t name) r ' OWNER Aqiftl —FORMER OWNER r t RESa2/0 SEAS. LAND IMP. �I TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET VILLAGE DIST. SUB. N E ACR. . S- Y S W, TYPE OF BUILDING VL. FARM COMM. CB. MISC. Mkt. Value TOTAL DATE REMARKS 2 LOT SOD 3Y 0 ADD 3 OD 3 &> AGE AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Ac re Tillable 1 Tillable 2 Tillable 3 Woodland FRONTAGE ON WATER Swampland FRONTAGE ON ROAD Brushland DEPTH House Plot BULKHEAD DOCK Total 2 LOT - - `I--- - - %4 J 'J'* -nK MEN 0 0 E■■■■■■EE■Ei■.■■■EEE 0 MEN No mom M 0 0 0 0■M■NNE 0 mom mom IN MEMMM M■M■EMOM MON IN 111111511 min■M■1111MOMMEM■■ ip MMMMM31M sommolim MENNEN■M■ NOMMOVE MEMEMISIMMMEM NEON sommommomemmso■M■No NONE ommoommmosamoomm■ON MEMO■ mommommimmoommom■No momommo MM-MMMMMMMM NONE■ Foundation C. Extension ment Extension - MIN Ext. Walls Interior Finish Fire Place Type Roof Rooms 2nd Floor Porch Dormer Breezeway -�arcge Driveway Patio 0. B. - - `I--- - - %4 J 'J'* BUILDING DEPARTI"LE T TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTON REPORT Location % Au .I (number & street Subdivision Map Name of Owner(s) "MOAA4 LA Municipality No. j Lot(s)_� u Occupancy type owner -tenant) Admitted by: _ Accompanied by: _... 7 J`- 3 -'7 Key available i Suffolk Co. Tax No. Source of request Date MITELLING : Type of construction ,,,, #s-tories Foundation Cella� o e. r pzk_ Crawl space__A Total rooms, 1st. Fl 2nd. F1 3rd. F1 Bathroom(s) f Toilet room(s) Porch, type Deck, type Patio, type Breezeway Garage Utility room Type Heat_ Yarm Air Hotwater k____ .' Fireplace(s) No. Exits `j Airconditioning Domestic hotwater EI& Type heater Other / ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other VIOLATIONS: Location i Remarks: Storage, type const. Guest, type const. sing Code, Chapter 4.5•N.Y. State. Uniform -Fire Prevention Description r Art.I S Inspected by: Date of Insp. Time startv2.,Oy Arend oi:.2 r A