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Home My WebLink AboutZ-10405FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.... Y.1.0405....... Date .......F:ebrua.r.y. 2.7 .............. 19 B.1. THIS CERTIFIES that the building ................................................ Location of Property 2fl.7.5 . 1/1a -sora • D -rive. and . 2.00 . Hi.ckory..Drive, Cu.tcbo ue , N . Y . /louse No. Street Hamlet County Tax Map No. 1000 Section .... 104 ..... Block .....a .........Lot .....1 ........... Subdivision ...............................Filed Map No. ........Lot No. ............. requirements for a one -family dwelling built prior conforms substantially to the A.>ZWwAtivxL -dated--- .to. A.p.r.il. 2.3 ....... 119 . 5:7pursuant to ctl>?i!'R@rtg"it*o upancy. Z1 0.4..85 ....... dated ..... F.e.hr: u.ar.y.. 27.......... 19 . 3.1, 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 ......... ........... O.n e . F -air i l f..r w e ll i 137 .............................................. The certificate is issued to ....Susa.rin?• S•i,ngez-%wner-l n -o.... tenant) .... ......:........ . of the aforesaid building. Suffolk County Department of Health Approval ....... N/.li ............................... UNDERWRITERS CERTIFICATE NO..... . r; / R ......................................... Building Inspector Rev. 1/81 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.... ;1.0405....... Date .......r.ebruar.y. 27 .............. 19 BA THIS CERTIFIES that the building ................................................ Location of Property �iU:7.5.ina.%o- •G.r.ive.and.2.00.Hickor.y..Driv.e,Cu.tchoFue,N.Y. House o. Street Hamlet County Tax Map No. 1000 Section .... 1.04 ..... Block .....E .........Lot .....1 ........... Subdivision ...............................Filed Map No. ........Lot No. ............. requirements for a one -family dwelling built prior conforms substantially to the Alxplicahori fnr_$uiltling_EeruuLheretofnre 211ed_ixLthis_nlice dated _ _ .t.o..'1p.r.i1.2.3........ 19.5apursuantto did t�icata e it oupancy.Z1C.4.R5...... dated ..... ?.e.:,ruar.y.. 27.......... 19 . ;3.1, 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 ......... ........... D.ne. Faxil;/............................................... The certificate is issued to .... su aa•F-jrj a • 3-inger.."I . Au.o............................... (owner-,lemeeor tename)- of the aforesaid building. Suffolk County Department of Health Approval ....... N1111 ............................... UNDERWRITERS CERTIFICATE NO ....... I.' l l ........................................ ........................................ Building Inspector Rev. 1/81 P BUILDING DE_IDARTiIENT TOV,71 OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 2075 Mason Drive, 200 Hickory Drive Cutcho u number & street Municipalit Subdivision Map No. Lot(s) Name of Owner(s) Susanne Singer & Ano. Occupancy R-1 Unoccupied! type owner -tenant Admitted, by: Mrs. D'Emo Accompanied by Mrs. D'Emo Key available Suffolk Co. Tax No. .104-8-1 Source of request Nancy Graham DPIF�I" .LING: Date 2/25/81 Type of construction Wood #storiessplit level Foundation Cement Block CellarPartial Crawl space Total rooms, 1st. F1 4 2nd. F1 2 3rd. Fl Bathrocm(s) 2 Toilet room(s) 1 Porch, type Deck, type Wood Patio, typesunken Breezeway Garage Carport Utility room x Type Heat oil Fired 'alarm Air Hotwater x Fireplace(s) 2 No. Exits 4 Airconditioning Domestic hotwater Yea Type heaterElectric Other ACCESSORY STRUCTURES: Garage, type const._ Swimming pool Other NONE _Storage, type const. Guest, type const._ VIOLATIODiS: Housing Code, Chapter 52 Location Description Art.1 Sec. . Kitchen are Wires Kitchen V 52-56 A. Remarks: Inspected by: (�, Z.,4,dzxnn Date of Insp. 2/26/81 Curtis Horton Time startg-.-30_end_n.n4:M _2 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" VVV 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 ...49 ............. New Building ............. Old or Pre-existing Building ...... 1✓.. Vacant Land ............. ........................ Location of Property ...... /!! �/ 4l. ..:`. A. .f .... `�'. C `Y"11e1q" House No. n _ / Street Ham/et Owner or Owners of Property .l ! •..�!^ �'�'�^�.. ...? .. � .P!L . County Tax Map No. 1000 Section ./O.q.-.�. Block ....... g...... 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 $ ................. I .... Construction on above described building and permit meets all applicable codes and regulations. Applicant.. .. ................ Rev. 10-10-78 �/ 1l~• a TOWN OF SOUTHOLD PROPERTY RECORD CARD 9 v v V/ 4 v - VILLAGE D�IjST. SUB. LOT OWNER STREET .J S/Y� ey AKu J6o� b}�,ve- (�fc-e /1 FORMER ra �. ER s.••n. //++ V- I- X/f, N 13o s- �e�tr,aN S p� Md ran ��re EA /•lroadwofe*--,T�Qve W }��cko�-�rickle CR. ,2 p I TYPE OF BUILDING RES.O?/p - SEAS VL. FARM COMM. CB. MISC. Mkt. Value �i �`yUsrd. LAND ` IMP. TOTAL DATE REMARKS f3.fe �L roLw -f d a �S' 6 a / l�,f O U !/ Q , t ,-F/r .Z /�a lT e YA 6 N- d za,% 1� k SIJ/,' 7 e.,4S-tA /Q0 D// — / DV / Y D V / 4 0 V 'r C -/+4H t �rC'a. C''✓R 1,'� 4. AI .ni >+ Fr �G v/ �'! y't r ` �6 f r.. �/a IPI j �L/L �/ %J c, AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value / d Tillable 1 A. ti, Tillable 2 / Tillable 3 Woodland Swampland FRONTAGE ON WATER f!Q 1;N/ _ Brushland FRONTAGE ON ROAD 120 *° .ro A 36d�aeA,ory r. ✓C wive House Plot DEPTH 3516 �� ire► -a 9 e - BULKHEAD v ro � Total DOCK — -- .,r 4 ►��EQ�t�E'•