HomeMy WebLinkAboutZ-9557FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No. 29557.......... Date ....... !Tub@..8.................19.79
THIS CERTIFIES that the building ................................................
Location of Property ... 3.05.. F'ase) order..Ave ......................Pecanice. N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section..06..7...... Block ... 06. ......... Lot .... 06 ..........
Bailey Park .............Filed Map No. .1097 ..Lot No. ....9. & 10
Subdivision .................. .......
REQUIREMENTS FOR ONE FAMILY DWELLIM BUILT PRIOR TO
conforms substantially to the
CERTIFICATE OF OCCUPANCY
19 . ursuant to whit ........ .
... pri1...g3....... , 57P �Homct No. 29557..... .
dated ..... JLII78 ... S ............. 19 79 , 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 .........
............. Pr VOLA .Ola*. F.4MUY..DW8a.1Ing .With .AOCe918ory..$tZUQtkw.e ....
The certificate is issued to ..... Robert .F.. & Maisy.L p; j or ............... .
(owner r�AR
of the aforesaid building.
Suffolk County Department of Health Approval ..........PT-EXiet#g.................
UNDERWRITERS CERTIFICATE NO... ...............Px�-�il3.tr g................. .
Building Inspector
Rev ane
Fro:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 305 Fasbender Ave Peconic, New York
number & street Municipality
Subdivision Bailey Park Map No. 1097 Lot(s) 9 & 10
Name of Owner(s) Robert F. & Daisy A. Windmuller
Occupancy R-1 owner
type owner
Admitted by: self Accompanied by: self
Key available Rudolph Bruer Suffolk Co. Tax No. 1000-067-06-06
Source of request Rudolph Bruer Date May 21, 1979
D T'E'LLING :
Type of construction wood framed r#,stories one
Foundation cement block Cellar Crawl space X
Total rooms, lst. Fl 5 2nd. Fl 3rd. F1
Bathroom(s) 1 Toilet room(s)
Porch, type Deck, type Patio, type
Breezeway Garage Utility room
Type Heat oil, pipelessWarm Air Hotwater
Fireplace(s) 1 No. Exits 3 Airconditioning
Domestic hotwater yes Type heater electric
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const. wood
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location
Description
Art.
Sec.
It step
step too high
111
52-27
Remarks:
Inspected by: L144,4 Date of Insp. June 8, 1979
CURTIS HORTON Time start 9:30 end 10:00 AM
Contact Rudolph H. Bruer, Esq. for
FOEM NO.6 txess to premises.
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 ar 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 .MaY.. 4.t...1979
!:K:� .................
New Building ................ Addition ................ Old or Pre-existing Building .... X ......... Vacant Land ..............
n�� Fassbender Ave., peconic N
Location Of Propefty...........................................................t.......r....Y
s...........................................................
Owner Or Owners Of Property ..... obert„ F ;,_,and„ Dai syA;Windmuller
"Map of Bailey Park, Peconic, Long
Subdivision lSlP1)dx. New York" Map No. 1097 Lot No. 9..§..19 Block No ............. House No.............
filed 9 br32.............
Permit No ..................... Date Of Permit ....................Applicant Robert F. & Daisy A. Windmuller
.............. ......
Health Dept. Approval ............................................Labor Dept. Approval .............................
Underwriters Approval ..............................................Planning Board Approval .........................
Request For Temporary Certificate ...........
Fee Submitted $ .. 5.00 ........................
Construction on above described building and
Applicant
Sworn to before me this
21st.... day of ..Mai'x....1979....................
............ Final Certificate .....X......
If meets
H.
Notary Public ...,.5.9f folk .............. County
qq 0 13ESS1C. tNe - 107ARY. PUBLIC. Staatee of of New York
[Ia'"�'",^`','4,1'`"-'i (• �p,
N0.3203050
Qualified in Suffolk COu*
COMMA= Expires Yank 1%1lSll
�5%.r
regulations.
............I........
o App -ants
(stomp or seal) COZ �/S3
/79
-BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location .3 G J—
gf�1_4�� 4_�
number & street Munic- alit
Subdivision Map No. _ / p 9� Lot(s) o� 42
Name of Owners)
Occupancy _
e owner -tenant
tYP .
Admitted by: Accompanied by:_
Key available Suffolk Co. Tax No.J4�7 06 - 06
Source of request Date /
9.
DITELLING :
.Type of construction d.o-�%s tories �1de
Foundation Cellar Crawl space
Total rooms, lst. Fl 2nd.. Fl 3rd. F1
Bathroom(s). / Toilet room(s)
'Porch, type ^ Deck, type Patio, type
Breezeway Garage Utility room
Type Heat 'alarm Air Hotwater
Fireplace s) / No. Exits ,3 Airconditioning
Domestic hotwater Type heater
f' Other
ACCESSORY STRUCTURES:
Garage, type const._
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Remarks:
Inspected by: Date of Insp.
Time start 30 end a Pa e9 '