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Home My WebLink AboutZ-12604FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z126.a4 ......... Date ........ PAY. 16 ................ 1984. THIS CERTIFIES that the building s .. (2.)........... I ............................. Location of Property. 4445 Main Road Greenport House No. Street Hamlet County Tax Map No. 1000 Section .. 0.3.5 ......Block ...?..........Lot ...007 Subdivision ...... ........................Filed Map No. .. X.....Lot No. X .......... Requirements for a private one -family dwelling built prior to conforms substantially to the -AppHmtioa%rBuif-cling-PmmTirhentvfom-fdetirrtMg*,offirezlatud Certificate of Occupancy Apr i 1 2 3 f 19.5 pursuant to which Ruikliag-P4n*k No. ...... Z ..6 0 4 dated .....July..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 ......... �,pxiv�te,one-family dwelling and accessory storage building. . ........ ................ The certificate is issued to ... JOHN, CHESTER STEVENSON & HIS WIFE, RUTH K. (owner, aeswee-or-renent) of the aforesaid building. Suffolk County Department of Health Approval .... , no, record .......................... UNDERWRITERS CERTIFICATE NO..............49. record Please see attached Housing Code Inspection Report. .....V. ......... 0_4k Building Inspector Rev. 1/81 BUILDIi',G DEPARTI E iT TO, -IN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 4445 Main Road, State Road 25 Greenport (number & street) (Municipality) Subdivision x MaD No. x Lot(s) x Name of Owner(s) Ruth K. Stevenson Occupancy R-1 owner type owner -tenant Admitted by: Mrs. Stevenson Accompanied by: same Key available ` Suffolk Co. Tax No. 035-02-007 Source of request George C. Stank6vich Date DWE, LLI`\tG : 6/14/84 VA Type of construction wood framed #¢stories 2 Foundation stone Cellar partial Crawl space x Total rooms, 1st. F1 5 2nd. F1 4 3rd. Fl Bathroom(s) 1 Toilet room(s) Porch, type Deck, type Patio, type sun orch Rix x Garage Utility room Type Heat gas 'alarm Air x Hotwater Fireplace(s) No. Exits Airconditioning Domestic hotwater yes Type heater gas Other stairs to attic ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. wood Guest, type const._ VIOLATIONS: Housing Code, Chapter 52 Location DescriDticn Art.1 Sec. outside holes in cornice, needs painting badlv III 52-31-B storage needs repairing badly III 52-30-A & cellar steps need fixing (III 52-30-A Remarks: Inspected by:(i� /f4,gtjf_Date of Insp. 7/6/84 Time start 3:15 end 3:30 Curtis W. Horton C 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 land use / /$5.00 3. Copy of certificate of occupancy $1.00 Date.......................... New Building ............. Old or Pre-existing Building -'P .......... Vacant Land ............. Location of Property):.North bad, Greenport, New York .. . .. .... . . . .. ............................ House No. Street Hamlet Owner or Owners of Property .... R?t?.K:.Steyenson.......... . ..... . ........ . . .... . .. . .. . . County Tax Map No. 1000 Section .... QW5....... Block ...QQQ?........ Lot ... QQQ7......... Subdivision .................................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant .................................. Health Dept.Approval ........................Labor Dept. Approval ........................ UnderwritersApproval ........................Planning Board Approval ...................... Request for Temporary Certificate .....................Final Certificate .XX................... . Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. ` Applicant .:` �:�-:� 2:':4 ` r"..r..��v.,...� . ..... .............. �� GEORGE STANKEVICH, ESQ. - Rev. 10-10-78 4 11 ^ , _ C_.Vao��, i_�..�c+_ '/'�+ PA.9-, ` I �G DEPARTH BUILDENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location (number & street ciptiity Subdivision Map No. Lot(s) Name of Owner(s) Occupancy L — (type) owner -tenant Admitted by:j Accompanied by:_�� Key available - ` Suffolk Co. Tax No. ,3S -eve D Source of request Date DWELLING: Type of construction �( #stories Foundation Cellar ` Crawl space Total rooms, 1st/. Fl 2nd. F1_q 3rd. Fl Bathroom(s) l Toilet room(s) Porch t• e Deck, type Patio, type_ �� X� Garage -Utility room Type Heat 'alarm Air X Hotwater Fireplaces No. Exits Airconditioning Domestic hotwater -161-C Type heater 179a Other a ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location D- �Lnp - - .,., -1 ,A ,, ..� l Remarks: Inspected by: Date of Insp. ,h l �� Time start end' -6 °14