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Home My WebLink AboutZ-11084FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office_ of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy I' No. -Z1.1-0.84 ......... Date .... Ju1y.. 15 ..............:. ..11982 - THIS 1982THIS CERTIFIES that the building .s ...(2) ......................................... 50 4 Oakla4n Avenue Location of Property 5.2450 .......... Liain .Road .................... Sautho.7.c1 ..... /-louse o. Street Hamlet County Tax Map No. 1000 Section . p 6.3 .......Block :. 0.6 ..........Lot ....0.19 .......... Subdivision .....Y. .......................Filed Map No. .. K ....Lot No. ... X........ . Requirements for a private one -family dwelling built prior to conforms substantially to the Appliratinn.Xdz`Bui"ag.l?em-bit.heretofore -filed-4n-this-e€we-deted- Certificate of Occupancy •A p r i•1 .2 19 . 5.7pursuant to which BW4di*g-Pem4t-No. ..Z 110 5A .. ....... . dated .... JuZy..16................ 19 . $?, 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 ......... a. pr.iva.t.a .one -family_ dw.( II�ng .4nd..aCPe.ga4ry...ga.r zq ................ The certificate is issued to.. ................. (owner, leswe ox teaantl- of the aforesaid building. Suffolk County Department of Health Approval ... A/.4 ......... . . . . . .... , , , , , . . , . , . , ; UNDERWRITERS CERTIFICATE NO ............ 4/. r .................................... s .......................... ............ 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. .'::i.1.434......... Date .... July . If............... :...... 19 6;Z THIS CERTIFIES that the building .s . • .(.2) ....................... • .......... 50 Oakla4n Avenue Location of Property ..5.L'450 .......... Yia1.n . it oad .................... 5autiit�_L i .... . House No. Street Hamlet County Tax Map No. 1000 Section . 0.0.3 .......Block .. c...........Lot .... Q 1.0......... . Subdivision .....:. ........................Filed Map No. ..: ....Lot No. ... Y......... Requirements for a private one -family dwelling built prior to conforms substantially to the Application-for-Btii"ag-8aranit- heretofore -fledrskr"s.e€fke4&ted- Certificate of Occupancy .......... , 19 . 57pursuant to which Bt►i"mg-P"R-No. ..ZI 10 3.4 ............ . dated .... J ul,Y. .16 ................ 19 .4`?, 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 ......... Q.YJ.r:1V t.L..'J1!/.:.'��.::L13..1Y.4+i'/.4�111�U.ajilY..�:S'Y:�.':YY�^�•..J`'.�::j.�r }................ The certificate is issued to ...`.i.ou L.i.o.l4 . Fre , . 1"i iCary ............................... . (owner, leswe.aa sena4— of the aforesaid building. Suffolk County Department of Health Approval ... A/ UNDERWRITERS CERTIFICATE NO ............ 1;/ .................................... . .. Building Inspector Rev. 1/81 JUA H BUILDING DEPARTNCENT VIC �cVrTOVM OF SOUTHOLD, N. Y. lY �y ?11111 k Location HOUSING CODE INSPECTION REPORT Subdivision Map No. Name of Owner(s) AAW �/ue Occupancy (type) Admitted by: Accompanied Key available cl Z: SFO ' Suffolk Co. Source of request Lot(s) owner - by: 7P -e (__�_ Tax No.,9'3— 6-14 M ELLING: Type of construction y� #stories_ Foundation Cellar Crawl space -�>--r-- Total rooms, 1st. Fl 2nd. Fl 3rd. Flc Bathroom(s) f Toilet room(s) Porch, type Deck, type a Patio, type' Breezeway G Garage Utility room _ Type Heat �/:,{ Warm Air Hotwater : t'AT -� Fireplace(s) No. Ex•ts 3 Airconditioning >u'r---- Domestic hotwater ype heater Other ACCESSORY STRUCTURES: Garage, type const. �/O0Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Remarks: Inspected by: Date of Insp. Time start �; /5- /TP' 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" 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 ff qQ ,5 Y Date�...,1. /.u..l� New Building ............. Old or/Pre-existing Building .f,., ......... Vacant Land ............. Location of Property .......... `j(. .. Cer��. r�°"� � �� ...... .... . House No. Street Hamlet Owner or Owners of Property County Tax Map No. 1.000 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..........I..._.I.......Final nCertificate ...... Y .............. Fee Submitted $ Construction on above described building and rmit eats all applicable codes and regulations. 7/i �?aApplicant Rev. 10.10-78 "�f TOWN OF SOUTHOLD 14OPERTY RECORD CARD I OWNER rSTREET VILLAGE DISTRICT SUB. LOT FORMER OWNER i N E ACREAGE r j 5� g TYPE OF BUILDING 1 RES. ysSEAS. VL. FARM COMM. I IND. ( CB. I MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS oZ U O S D D 0b2 O t>_ 0 �. tea^ . f�--• —`�- "—`--- AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD f iZ Tillable 1 BULKHEAD Tillable 2-- — DOCK Tillable 3 Woodland Swampland Brushlonds -- — -- - House Plot Ow i 71 , M. Bldg.p�- Foundation G v N C Both / Extension t , M. Bldg.p�- Foundation G v N C Both / Extension - -17 16— Basement Z- Floors Dp ----- -- - - - - _ Extension Ext. WallsJntenor I. Finish ------ _i.WDpp--SH1N Extension Fire Place C S Heat S Porch . Roof Type _ Porch 'Rooms 1st Floor -- Breezeway - - — - --}------ I ---- ---- Patio -- I Rooms 2nd Floor _ -+----- - - ----- - Garager� y i0 _ /D 1.1 o U�- Driveway ;Dormer O. B. ' � I