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HomeMy WebLinkAboutZ-11400FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. �J.1.400.......... Date ... Dece�nb�r .� �. , 19 'THIS CERTIFIES that the building ............................................... . Location of Property 1 160 dill Dane ?econic 'House No. Street Hamlet County Tax Map No. 1000 Section ...Q6' .7 ...... Block . 0.'' ...........Lot .............. Subdivision .... ;i %E y. Y a�.I.... . ..........Filed Map No. .1.0 `� 7...Lot No. 3 �.. . Requirements for a private one -family dwelling; built prior to conforms substantially to the Afpp}itAian-for -131rill-ding Permit leretofore- fAu-d-in-thtruf fme' �atied Certificate of Occupancy; 11 n r i .. 2 3 ...... , 19 �.. pursuant to which Bu4ding-Permit-No. .Z,1.1/4.00 ... . dated .... A.e. q sp ;;ib.(ar . 2.7. . 19 3 � , 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 ......... i .p��aST.%j.tea. one Y. %T,7Qli;inf........................................... The certificate is issued to ......... 1 ri R.Q i_; D . ; C U D D 1;' R (owner, lessee ©r-tenartO of the aforesaid building. Suffolk County Department of Health Approval ..n o f a p� 1 i c_? b 1 e UNDERWRITERS CERTIFICATE NO ........ ..n o a p p l i c a b l e Building Inspector Rev. 1/81 BUILDING DEPARTMENT TO;,TI OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 1960 Mill Lane Peconic (number & street) (Municipality Subdivision Bailey Park Map No. 1097 Lot(s) 35 Name of Own er(s) Harold W. Scudder & wife Occupancy R-1 unoccupied type owner -tenant Admitted by: Mr. Scudder Accompanied by: same Key available Suffolk Co. Tax No. 067-07-011 Source of request Gary Flanner Olsen Date 11/29/82 DWELLING: Type of construction wood framed #¢stories one Foundation cement block Cellar Crawl space X Total rooms, 1st. F1 5 2nd. F1 3rd. Fl Bathroom(s) 1 Toilet room(s) Porch, type Deck, type Patio, type cement Breezeway Garage Utility room Type Heat oil fired Warm Air Hotwater X Fireplace(s) No. Exits. 2 Airconditioning Domestic hotwater yes Type heater Other ACCESSORY STRUCTURES: Garage, type const Swimming pool Other NONE —Storage, type const. Guest, type const._ VIOLATIONS: Housing Code, Chapter 52 Lccation Description Art.1 Sec. kitchen as stove --no shut off V 52-52-E front step only has rail on one side II 52-27-B Remarks: Inspected by: Curtis W. Horton _Date of Insp. 12/23/82 -Time start 3:00 end 3:30 IN 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 surrey 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 Date New Building ............. OldorPre-existing Bui'ng(X) . _ _ s Vacant Land ............ Location of Property � ..�. ` `\ , . � �,ii�i�,G . , n/� . ............ ... . House No. et Hamlet Owner or Owners of Property -- .... .................. County Tax Map No. 1000 Sect' ........ Block Lot .. \\.......... Subdivision .. ........Filed Map No. vl ..Lot No. .. 3.. . Permit No. .......... Date of Permit ..........Applicant ............................. Health Dept. Approval ........................Labor Dept. Approval ......................,. . Underwriters Approval ........................Planning Board Approval ..................,, Request for Temporary Certificate ................. Fee Submitted $ .. ................ Construction on above described building and per me Applicant,, _ :. Rev. 10-10-78 R ` e ` 0 + , I 1 j g9cl 1 Final Certificate .. 1`11\............ - all pJ{cable �and Jregulations. OLSEN ESQ. P, O. Box 38 Main Road mattituck, L. 1., N.Y. 11952,