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Home My WebLink AboutZ-9341FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No... Z9341.... Date ... April..1.9► ..............1 1979.. THIS CERTIFIES that the building located at .N/S..Surinysid* .Drive .... Street Southold„ N. Y. Map No. ...XX....... Block No... XX ..... Lot No.... XX ........................... R wsents l r a riva a on3 d conforms substantially to the built �rior to Certili a of Oocupancy a e .......... April. 33 , . , 1957 . pursuant to which 11111000330M No. Z9341.. dated .......... April. 19 , .. , 19 .?.9 . , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . Private. One. Fftily. Dwelling ...................................... The certificate is issued to .. A ux' .Cf. T3rx ell.&.. zmabel I".,. his. Mile..... . (owner, j---L—Mj2Uq—Wt) of the aforesaid building. Suffolk County Department of Health Approval ...... N .......................... UNDERWRITERS CERTIFICATE No . .............. N/.R .......................... HOUSE NUMBER ..214 ........ Street ...Slamyside .Drives . ........................................ Sou�old. N�. Y�.................. Inspector r BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location QYt 0 -number & streetl Subdivision Map No. Name of Owner(s) Occupancy /C-- / (type L4 �GT�yo�y--ti-y. cipality) Lots) ---=- Admitted by: /` has C1,fly7.EI/J Accompanied by: Key available Suffolk Co. Tax No./ UOC>- O 63- o�-6i7 Source of request CiOpLIJ ,-// Z/e&'F/c Date ,Z DWELLING: UJCOD Type of construction -� #stories Otic Foundation ellar fuzz. Crawl space Total rooms, 1st. Fl fZ3i25 2nd. F1L4�sG 3rd. Fl — Bathroom(s) Toilet room(s) — Porch, type, �/ 4 Deck, type Patio, type BreezewayGarage — Utility room Type Heat CZ,.�� Warm Air,gsFCca Hotwater Fireplace(s) tio.uE' No. Exits Tina Airconditioning — Domestic hotwater l/�L/,��ype heater,asj��Q - ,�� c o�Ln,tlS Other ' J ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. Z A,17 rT 0o'(2 30 Remarks: Inspected by: 4 - Date of Insp. 6!- fIS- %!j Time start,�i 'o6 �k.end o--. WO Pk • FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office 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 Inspector 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 installations, 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 property 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 in- formation 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 Date ........ AREA.1. 13 , 1979 New Building ................ Addition ................ Old or Pre-existing Building ... X.......... Vacant Land .............. Location Of Property ....PIIS... .............................................. Owner Or Owners Of Property....Arthur... 0,,,,,Tyrr;e;k1... &..Ami4b.4pI... ..w.if.9................. Subdivision................................................................Lot No............. Block No............. House No............. Permit No. Date Of Permit Applicant Arthur C„i�, Annabel„.,,,,.yrrell .................... .................... .... Health Dept. Approval ............................................Labor Dept. Approval ......................................... Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .....X............. Fee Submitted Construction on above described buildi7 46-nd, r it is I p'c odes and regulations. Applican..... . ... ... ............................. p rue "JiF ur C. & Annabe5. Y. Sworn to before me this Tyrrell 13th,.... day of .... Aprilr....h9.7.g............. (stamp or seal). Notary Public .... J5.U1ffP.].)3;............. County ELIZAEETF; A. rji;,;E Cil L%ti'71Q� NOTARY Fu_,_ .an York No a' 4 '; Juu dy Jerm Lnlares Mar n 30 1981 �/ a 1�. G"rar'tan wi ii0r�nn._ 3 a } � � � h t✓se Zo� s. 66°sit as"w (see 7.2.96 -a "�S v NNY s i DE �G�A.D � (private) i M.q � o,� ,aiec�ieTY fi�z�'}NUR Ct..l r-!- �O Y2RELl.. 0uAiriar7 tee A Nip �a( Incur -OMC Com�a.,y.su��r�ycd' .A 've�n1�W-�- SD (.dTHo�..p NE'w yo,e.K --- .C, i c cn.rcd Lan -� Si.r�vevr rs Cof ce",oC, t/V, Y BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE'INSPECTION REPORT Location Of / ® .5 1 sL,51 'D/2 `number tsc s -tree -c ) Subdivision Map No. Name of Owner(s) / Uh Occupancy :�ffL 4 _,loc�T"1VO4f>-- V Zunicipality Lot(s) -� A-1 .(type) Few red -t enant ) Admitted by: /cii�s C✓'c',g!!.�/J Accompanied by: 1 Key available Suffolk . Co. Tax No. /000 _ o G3 - 0/-017. r Source of request oot. 2=/�' D ate DWELLING: LUa a D F- 4 A-eC :. Type of construction r� . __ - #stories (9A1447 Foundation Cellar.t- / Crawl space Total rooms, 1st. F141 zf3les 2nd. Fl,G 3rd. Fl Bathroom(a) ® lu,C - Toilet room(s) Porch, type, fix✓ _ �,ti�i2 Deck, type Patio, type —' Breezeway Garage = Utility room Type Heat L�/ ,l Warm Air�,as fi!c' U Hotwater —' Fireplace(s) No. Exits 7u,c Airconditioning -- Domestic hotwater��/ _ZC ` ��k�C� e heater �,�s f�=i/�r-o - .�O C�o�LatiS Other ACCESSORY STRUCTURES: Gara a orist Stora e` type const 1 gee tYP c g � • Swimming pool Guest, type const. Other . VIOLATIONS: Housing Code, Chapter 52 Location 'Description Art.1 Sec. / G i1V, T --5W-021 9E .�ao5SZ-7 .rcZ Remarks: Inspected by:�f 0-9JI'---Date of Insp. 7� Time starto!'G,o �k.end GY•' 0�0 P�j•