HomeMy WebLinkAboutZ-17493FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-17493 Date NOVEMBER 4~ 1988
THIS CERTIFIES that the buildin~
Location of Property 2600 YOUNGS AVENUE
House No. Street
County Tax Map No. 1000 Section 63 Block 2
Subdivision Filed Map No.
ONE FAMILY DWELLING
SOUTHOLD t NEW YORK
Lot
Hamlet
2
Lot No.
conforms substantially to the Requirements for a private-one family
dwelling built prior to: APRIL 7, ]957 pursuant to which
Cert. of Occupancy #Z-17493 dated NOVEMBER 4~ 1988
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 ONE FAMILY D~.LLING (NON-HABITABLE SEE INSPECTION REPORT)- AND
The certificate is issued to LYDIA 8. WILSON
(owner, ~)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. (SEE HOUSING CODE & INSPECTION REPORT)
PLUMBERS CERTIFICATION DATED N/A
Building I~pector
Rev. 1/81
SHED.
BUILDI~[G DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 2600 YOUNGS AVENUE
(nuunDer & street)
Subdivision
SOUTHOLD, NEW YORK
(Municipality)
Map No. Lot(s)
Name of Owner(s) LYDIA WILSON
Occupancy
A~mitted by:
ONE FAMILY DWELLING
(type)
SELF
(owner-tenant)
Accompanied by: ---
Key available
Suffolk Co. Tax No. ]000-63-2-2
Source of request
Date
D~LLING:
Type of construction WOOD FRAME #stories
Foundation BLOCK Cellar FULL Crawl space --
Total rooms, 1st. F1 4 2nd. F1 ... 3rd. F1
Bathroom(s) ~ Toilet room(s) 0
Porch, typq wood Deck, type -- ~atio, type. --
Breezeway -- Garage -- . Utility room
Type Heat NATURAL CAS Warm Air x Hotwater --
Fireplace(s) -- No. ~its 2 Airconditioning --
Domestic hotwater SEPARATE Type heater GAS
Other
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS:
Location
EXTERIOR
EXTERIOR
EXTERIOR
IstFLOOR
1st FLOOR
1st FLOOR
1st FLOOR
1st FLOOR
1st FLOOR
Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention
& Buildina Code
Description
No exterior light
Windows and exterior doors have broken glass.
Painting needed on exterior
Ceilings, walls and toilet room in poor conditio
Obvious rodent harborage
and fh
~8~o~nd refrigeration equipment in poor
Sanitary & Plumbing facilities in poor condition
Electrical outlets and wiring exposed
HOUSE IS RON-~ABITABLE
Sec.
~242.4
1242.5b
]242.5C
]242.7
~242.9
1243.;
]243.5d
~243.7
1243.8
NO SMOKE DETECTOR
Remarks: ~NDERWRITERS CERTIFICATE NEEDED
· 1 . of
Vincent Wieczorek 0 -Time start lI:25amend ll:45am
L Tow~ or --
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
Bo
This application must be filled in typewriter OR ink, and submitted mm 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 p=operty 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 $25.00 -- BUSINESS $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5 .Updated C.O. $ 50.00 Date . .S.ep.t.e.m.b.e.r..9.,..].9.8.8 ........
New C OhS t r uc t ion Old or Pre-existing Building X Vacant Land
Location of Property ..... 2J5~.0..YDLu~. }~v.eJ~Le',. 5D~LthD.]~I.,. ~.Y ......................... .... .
House No. Street Ham/et
Owner or Owners of Property .. J_~v~.i.~. ~... ~/.i.J.s.0~L ....................................... ...
County Tax Map No. 1000 Section . .6.3 ............ Block .. ~, ........... Lot.. ~- .............
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No Date of Permit Applicant ..
Health Dept Approval Labor Dept Approval .. .
Underwriters Approval ........................ Planning J~ard Approval .... ,~ ...... ; .........
.
Construction on above described building and p~~~d regulations,
Applicant ,~ ~% ,-,, ~ ...............................
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