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Home My WebLink AboutZ-9702FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. ...?9702October 2 79 ........ Date ..... ............................19... THIS CERTIFIES that the building ................................................ Location of Property. , 1645 Ruth Road Mattituck House No. Street Ham/et. County Tax Map No. 1000 Section ... 106 ..Block .... 7..........Lot .... 10 Capt. Kidd Estates 1672 197 Subdivision . , ......................Filed Map No. ........Lot No. ............. Requirements for a one family dwelling built prior to conforms substantially to the Certificate of Occupancy Z9702 ... April _23........ , 19 .57pursuant to which BYiif l> N0. ..................... dated ... October. 2 . 19 79, 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 ............................... . The certificate is issued to Edward Siebert .................... (owner, l�t�i�k� of the aforesaid building. Suffolk County Department of Health ApprovalN�R .......................................... UNDERWRITERS CERTIFICATE NO ......................... N/R i i ...................................... uilding Inspector Rev 4/79 BUILDING DEPARTMENT TOZ9N OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 1645 Ruth Road Mattituck number & street Municipality Subdivision Capt. Kidd Estates Map No. 1672 Lot(s) 197 Name of Owner(s) Edward Siebert Occupancy R - 1 Owner type oim er-tenant Admitted by: Mr. Siebert Accompanied by: Mr. Siebert Kcy available Suffolk Co. Tax No. 106-7-10 Source of request Gary Flanner Olsen Date Sept. 11, 1979 -._Attorney-at-Law DWELLING: Type of construction Wood framed #stories One Foundation Cement block Cellar partialCrawl space Total rooms, lst. Fl Five 2nd. Fl 3rd. F1 Bathroom(s) One Toilet rooms) Porch, type_ Breezeway Type Heat Oil fired Fireplace(s) Domestic hotwater Other Deck, type Patio, _Garage Utility room_ "olarm Air X Hotwater type No. Exits Airconditioning Yes Type heater Gas J,CCESSORY STRUCTURES: Garage, type const. Swimming pool Other 1 car Storage, type const. Guest, type const._ VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. Kitchen Gas stove - no shut off V 52-92-B- Cellar Steps too far apart TT 52-27-A Remarks: Inspected by: L_ Date of Insp. Oct. 1, 1979 Curtis Horton Time start 3=30 end 4:00 I BUILDING DEPARTMENT TOWN OF SOUTHOLD) N.Y.' /�� HOUSING CODE INSPECTION REPORT I Location' / 15' q (number 6c s-treez kriu111.L:.Lya1..L Ly 1 Subdivision.,,, sly i�� Map No ._] � Lot (s) l Name of Owner(s)_ Occupancy 4type owner -tenant Admitted by: -Accompanied by: -7)1, Key available Suffolk Co. Tax No. / a� Source of request _X�AJ,3.4 r DWMLING • Type of construction #stories Foundation ��„-�,p�►.�,"�-��i ellarCrawl space :Total rooms, lst. Fl 5- 2nd. Fl 3rd. Fl Bathroom(s) Toilet room(s) Porch, type beck, type Patio, type Breezeway Garage Utility room Type Heat "Warm Air Hotwater Fireplace(s) No. Exits Airconditioning Domestic hotwater Type heater Other ACCESSORY STRUCTURES: Garage, type const. eri,Q 'r,� Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Remarks: Inspected by: Date of Insp. 42 Time start end 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 $1.00 171 Date . / ,1 .......... New Building .............Oldr Pre-existing BB ilding �/� .... /..Vacant Land ............. Location of Property .........'.`1�Lt...�!..................... House No. > Street Hamlet Owner or Owners of Property ...�(.... .. ��1. County Tax Map No. 1000 Section ............... Block ............... 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 ................... Fee Submitted $ ..— .................... Construction on above described building and Applicant ... Rev. 10-10-78 Certificate ..:'Ir ................ a li le co an regulations. l M AV owe.. LOT MI. TrowN Oi` SuFVOLK ifir 'N x650 MA BLOC K li XJSTAT ES a INLET abOUTNOL23 GO., N.Y —ROAD 80.0 34.4' 'Ye. 0, ', lyty Y 'Ye. 0, ', lyty /o a OWN O'F SOUTHOLD PROPERTY RECORD CARD OWNER FORME R STREET VILLAGE DISTRICT S kv OWNER N E ACREAGE S W TYPE OF BUIL UB. - LOT 10? 7 — DING 1 SEAS-- L. FARM COMM. IND. CB. MISC. LAND IMP. TOTAL DATE REMARKS >7a 07e h,nOutd/ 7 d G) 700 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE - pp 0tjf) r � dv �RO/v�NjG dN ! �J Value Per Acre Value , Form Acre j Hv, PerT-1// /20 Tillable 1 j Tillable 2 Tillable 3 Wcodland Swampland Brushland House Plot UB. - LOT 10? 7 — DING 1 SEAS-- L. FARM COMM. IND. CB. MISC. LAND IMP. TOTAL DATE REMARKS >7a 07e h,nOutd/ 7 d G) 700 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE - pp 0tjf) r � dv �RO/v�NjG dN ! �J Value Per Acre Value , Form Acre j Hv, PerT-1// /20 Tillable 1 j Tillable 2 Tillable 3 Wcodland Swampland Brushland House Plot Tillable 1 j Tillable 2 Tillable 3 Wcodland Swampland Brushland House Plot COz--)� " —1M76Q /Ext,nsjon Extension E,<tunsion Breezeway Guruge O. B. 11 2-3 x /6 3 00 1410 L Foundation Basement Ext. Walls Fire Place Porch Porch Patio Driveway V/ Both Floors C Interior Finish Heat Attic Rooms 1st Floor Rooms 2nd Floor T 121 COz--)� " —1M76Q /Ext,nsjon Extension E,<tunsion Breezeway Guruge O. B. 11 2-3 x /6 3 00 1410 L Foundation Basement Ext. Walls Fire Place Porch Porch Patio Driveway V/ Both Floors C Interior Finish Heat Attic Rooms 1st Floor Rooms 2nd Floor