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Home My WebLink AboutZ-10477FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building ................................................ Location of Property .... .3.5.5.. ~.~.a.m. ~..A.v. 9 .n.u.o' ~ ...... P...og.qrt~.9.,..~,~gt..~c~rk ............ House No. Street Hamlet County Tax Map No. 1000 Section .... 0~,7. ....Block ...... Q7 ...... Lot ... 00.1 ........... Subdivision ............................... Filed Map No ......... Lot No .............. re ~rem n s f r ne ~ t o conforms substantially to°~e ...R.p.r.~.i...2.3. ......... ,1~.7.. pursuant to whi~c~rg'~fm~t~t'~. 0. c..c.u.p.a.n..c.7..~.! .0.4.7.7... dated . .I~. 9Y..5. .................... 19 .8.1. , 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 ......... The certificate is issued to ......... g..d?.a.r.d...~.o.a.e..p.h..~.m..~ .t;.h. ........................... (owner~/eem~ e~.te~d - - of the aforesaid building. Suffolk County Department of Health Approval .... q ./~ ................................... UNDERWRITERS CERTIFICATE NO....N./.R. ........................................... Rev. 1/81 BUILDING DEPARTr.!ENT TOt;T; OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location Subdivision 355 Miami Avenue, (number & street) ?econic, New York (Municipality) Map No. Lot(s).. Name of O%~er(s) Edward Joseph Smith Occupancy, Admitted by: Key available Source of request R-1 Unoccupied ( typ e) (own er- tenant Mrs. Smith Accompanied by: Mrs. Smith Suffolk Co. Tax No3~7-07-001 Kenneth Grindstein Dat~pril 24, 1981 DYf~LING: Type of construction Wood Foundation Cement Block Total rooms, 1st. Fi 4 Bathroom(s) 1 Porch, type Breezeway Type Heat Oil Fired Fireplace(s) Domestic hotwater Yes #s%ories CellarPartial Crawl space 2nd. F1 5rd. F1 Toilet room(S), Deck, type Patio, type Garag~ Utility room ~ Warm Air Hotwater x No. Exits 2 Airconditioning Type heater Tankless Other Storage shed attached to rear of dwelling ACCESSORY STRUCTURES: Carage, type const. Swimming pool ·Other One ... Rest Storage, type const. Guest, type Const. "Woo~ VIOLATIONS: Housing Code, Chapter 52 Loca'kion Descriotion Art. Sec. Kitchen Gas Stove no shut off w' 52-52-E6 Storage ro~m attached to dwellinK-Needs ~n~ring ~adly III 52-31-B Storage Sh~d Needs reoairin~ b~d].y , III 52-30-A Remarks: Curtis W. Horton Time start 10:30 end 11:00 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. Bo For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperly showing all property lines, streets, buildings and unusua~ natural or topograph ic featu res. 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 ............. 355 Miami Avenue, Peconic, Long Island, New York 11598 Location of Properly ................................................................... House No. Street Ham/et Florence Smith Owner or Owners of Properly ............................................................ 67 7 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 ..................... Final Certificate ....... .x.~. ............ Fee Submitted $...5...00 ...................... :onstruction on above described building and permit meets all applicable codes and regulations. Applicant .......... ~'~:, .......... KENNETH GRUNDSTEIN ESQ. ~'10-78 Schwartz & Sachs, P.C. One Old Country Road Carle Place, New York 11514 (516) 742-9192