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Home My WebLink AboutZ-10538FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Ncg 105~.6 ........... Date .... d ur~e. 25 ..................... 19.1~ 1 THIS CERTIFIES that the building ................................................ Location of Property ~&Js~ hPo.6'5 .~reaman. Road ~..35 $. Conkl&n. Ro~d ~ · M~t ~ck.. ~. Y. Street Hgmlet County Tax Map No. 1000 Section ..... 130 .... Block .. 3 ............ Lot .. 3-9 ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substanti~ly to ~~~[~~~!~~~~ ~o .... ~p~l- E.~ ....... ,1957. pursuant to w~~~.q~.~g I 0.538 .... dated ...duno. 2 5 ................. 198 ~., was issued, and conforms to aR of the requkements of the apphcable provisions of the law. ~e occupancy for whch t~s certificate is issued is ......... .............. Evt~&~a. Oao,Famii~. ~ell.~ng .................................. ~e ce~ificate is issued to ..... gar1..g, · B.[vo~&~g · an~ .Ova.. ......................... to~ner, ~[ ~e?~_ of the aforesaid building. Suffolk County Depa~ment of Health Approval .... ~jR .................................. UNDERWRITERS CERTIFICATE NO ..... ~Z~ ......................................... Building Inspector Rev. 1/81 BUILDING DEPART~'~NT TOV,~,~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location Subdivision 465 Freeman Road~ 355 Conklin Road, M~ttit.rk ~ ¥ (number & street) (Municipality)' Map No. Lot(s) N~me o£ O~mer(s) Earl J. Stresing and Ors. Occupancy R-1 (type) A~mitted by: Self UnOccupied ( own er- t en~t) Accompanied by: Self Key available Joan Yetta Suffolk Co. Tax No..13q-3-3~ Source of request Gary Flanner Olseh,Esq. Date 6/17/81 DVfEI,LING: . Tyloe of construction Wood Framed Foumdation Tile and Cement Bloc~ellar Total rooms, 1st. F1 ~ 2nd. F1 #stories p~t~rawl space Re~t 5rd. F1 Bathroom(s) 1 Porch, typeGlassed in Breezeway ~fpe Heat Gas Fireplace(s) Domestic hotwater Other Toilet room(s) Deck, type Garage Warm Air No. Exits Yes Patio, type__ Utility room Hotwater Airconditioning TYPe heater Electric X ACCESSORY STRUCTURES: .Garage, type const. One Car Swimming pool storage, type const. Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. Rear porch No rail around cellarwav II g2 27 B Remarks: Curtis W. Horton Date of Insp. 6/24/81 T~me start_ 3i3~ [end4:00 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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. 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. 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 . New Building ............. Old or Pre-existing Bu~,~ing ..~.. ........ Vacant Land ............. Location of Property . .~. ~..)~...~, .~....'-~...~.~..~.~.~-1. ~~..~t~.Cl.~. · · House No. ~ ~ t~ . · Street . I~ Hah/et Owner or Owners of Property ...... ~..~-..~./~.~.\.~....~......~. .................... County Tax MapNo. 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 pe/efn[ Applican~.~ Rev. 10-10-78 ~inal Certificate...,(~ .................. eels a I~plicable co~s and regulations.