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Home My WebLink AboutZ-11063FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..g. 1. 1. 9.6.3. ......... Date ...... 4.u.l.y...6 ............ /: ...... 198..2. THIS CERTIFIES that the building .s... l ~.)., ....................................... Location of Property . .16.1.5. .............. ~.a.s. 9.n..D.r. ~. y.e ..................... .C.u.1;.c.h. 9g.ue House No. Street Ham/et County Tax Map No. 1000 Section . 1. .0 .~ ........Block .. 0..6 ...........t,ot....0.1.8. .......... Subdivision....g ........................... Filed Map No..g. ...... Lot No..X ............ Requirements for a private one-family dwelling built prior to conforms substantially to the A'l~a~n-for B~tiiding- -P~rrrrit' -her~t-ofor~--f~d-hr-tlri~r't~trce-datc~ Certificate of Occupancy · .A~.r.i..1..2.3. .........., 19.5. 7pursuant to which'Bmi~d/n~Pc-rmft-No... Z. 1. 1 0~3. ........... dated ....J.u. 1. y..6. ................. 19 .B. 2., was issued, and conforms to all of the requirements of the appl/cable provisions of the law. The occupancy for which this certificate is issued is ......... .a. 9.r. $.v.a.%e., .o.n.o.~ .~.a.m.~%L .d.-.e. % 33.n.~, .~.n.d., 9.c.e.o.~..~ ??y., .~?.o.-.c..a?..~.a.F.a.g.~.: ......... The certificate is issued to ......... ~.d.~.a.F.d' .C.:..T.h.o.m..~.e.n. ~.. ~.~.. ........................ (owner,4ewsee. er4ene~)- of the aforesaid building. Suffolk County Department of Health Approval .... .n./?. .................................. UNDERWRITERS CERTIFICATE NO ............ n/.~ .................................. Building Inspector Rev. 1/81 Location Subdivision BUILDING DEPARTmeNT TOV~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 1615 Mason Drive (number & street) X Map No. Cutch~gue (Municipality Lot(s) Name of Owner(s) Edward C. Thomsen; Jr. Occupancy R-1 (type) Admitted by: unoccupied (owner-tenant) Accompanied by: Key available Suffolk Co. Tax No. 104-06-018 Source of request William J. Breen' Date 6/1/82 D~,'~LLIMG: Type of construction Foundation cement block Total rooms, let. F1 Bathroom(s) 2 Porch, type roof over BreezewaL Type Heat oil fired Fireplace(s) 1 wood framed #stories 1 Cellar partial~lX~ slab 2nd. Fi 3rd. Fi Toilet room(s) Deck, type Garage 'Warm Air X No. Exits 2 Patio, type. cement Utility room Hotwater Airconditioning Domestic hotwater yes Type hear'er Other laundr~ room in cellar ACCESSORY STRUCTURES: Garage, type const. 2-car wood Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 ~ocat~on Descriotion Art Sec .~ell~r ~e~lar steps, narrow & steep II 52-27-A ~ara~e some of the sills have termite damage II! 52-~1-.A ~ Remarks: Curtis W. Hort~'n ~Time start end '-:'~.',i:!i:-' ". '"" ~., .. ~ . 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, s~reets, 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. Co Fees: 1, Certificate of occupancy $5.00 2. Certificate of occupancv on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 New Building ............. Old or Pre-existing Building(Z). _¢~"'_ _ =/Vacant Land Location of Property ............................. !..¥~... ~.~/~, V~/~ ~-v~r~ ~'E ~¢~' House No, Street Ham/et Owner or Owners of Property .~.j'~.l,"l°r~ ~J'"'. __~T ~--~'/-t,-'-~--~ ~/~-~-,~J County Tax Map No. 1000 Section ..... ~_.0..~.. .... Block ...... .~.. Lot ..... ~?. ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .... ~. f'.C~..Q..~.. ......... .~. ~..~.... Health Dept. Approval ........................ Labor Dept. Approval ......................... Underwriters Approval ........................ Planning Board Approval .................. ~ .. ~ Request for Temporary Certificate ..................... Final Certificate' . ....... - ......... Fee Submitted $ ..... ~ .~-.~.. Construction on above described building and permit' r, neeCs all app~c,~ble_,co,cl~ and regulations. '~(~'~ ~i (' ( '}~' ~ ~/' [::' Applicant..._.~~?.:'_. ~~~ ............... Preu~Lses: Nason Drive Cutchogue, Ne~fork ~1000-104-6-18 To ~om Itl i ay Concern Please be advised that the above-mentioned building is occupied as a one-family d~elling for residential use only and is in excellent condition. Subscribed and s~orn to before me,^ this ~ day of /~ , 19 F~ MARGOT GEYER NOTARY PUBLIC, State of New Yor. No. 52-45~4119 Sufffolk Count}, ¢omm ission Expires i',larch 30, I Signature o~ ~mer