HomeMy WebLinkAboutZ-11286FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
Date ....... 99.~.o.b. Or..2.7 .............. 198.'.2.
THIS CERTIFIES that the building .~... ( .2)... .......................................
Location of Property . 1. ¢ .~.0 ............... 0/a.k.. D. l~.J.y.q .............. ~q.qu. 0bp.i.d. ........
House No. Street Hamlet
County Tax Map No. 1000 Section . . 0..8.0 ....... Block . .q 2. ........... Lot .. 0. .0 .1. . &. . .0 .0 ~ .....
Subdivision...R..ey.d. qn...S.h.q~..e.s ............. Filed Map No. 6.3. ] ..... Lot No. ,~.,.6., 7..~..8...
Requirements for a private one-family dwelling built prior to
conforms substantially to the
Certificate of Occppancy
·.. ~.p. ~..5.1..2. 3. ........ , 19.5. 7. pursuant to which B'tritdi'nl~'l~rrrrfit No.. ~ .1.1.2.~ ~ .............
dated ...... 0. c..~ .o.b.e?...2.7 ........... 19 .8.2. , 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 .......... .R.e.g.~.n..a..C.....~.o.o.~. h..a.k.e?. ..........................
(owner, levee ~te~an~
of the aforesaid building.
Suffolk County Department of Health Approval .. ?./.9 ....................................
UNDERWRITERS CERTIFICATE NO ........... q ./.a ....................................
:...
Building Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
(number & street)
Subdivision
~)~/~ObC.~ Map No.
Name of Owner(s)
Occupancy
Admitted by:
(type)
Key available /~/~ ~ ~,,&~ ,/
Source of request .~.~/. y/-u~-~
.bo //-holc/.
(Municipality) Lot(s)
(owner-tenant
Accompanied by:
Suffolk Co. Tax No
DWELLING:
Type of construction ~/~Yo~ ~/~2~ #stories
Foundation ~-y~4-~ ~/~d~ Cellar~-~// Crawl space
Total rooms, let. FI ~ 2nd. Fl~~rd. F1
Bathroom(s) ~6 Toilet room(s)
Porch, typ~ ~c/ Deck, type
Breezeway.~ -- Garage
Type Heat~~/ Warm Air
Fireplace(s) /_//~_. No. Exits
Domestic hotwater
Other
Patio, type~-_~-~c .
Utility room -----
Hotwater
Airconditionin~
Type heater
ACCESSORY STRUCTURES: ~U~o¢/ ,.~.~
Garage, type constq-./R~ ~-' Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
Remarks: ~ ///~
Inspected by: ~~x~z~-~D~ate of Insp.
Time start ~: ! 0 end ~-'~0
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Oak Drive, Southo!d, Ne~ York
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Estate of Regina Toothaker ...
l,,,, ..... ..1...&..4 .....
631 J ~,, Nu 5~"6, 7 & 8
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