HomeMy WebLinkAboutZ-10334FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate O[ Occupancy
No ..... .Z .'19. ~. ~ ./4 ...... Date Januar2¢ 6, , 19 81
THIS CERTIFIES that the building ................................................
Location of Property .... .2.7.0..~...B.r..~.d~e.. ,Ir,.a~..e' ~. ............ .C.u?;.c.h..o.g~..e. ~.. ~...Y... .......
House No. Street Hamlet
County Tax Map No. 1000 Section [~5 ..... Block 2 .Lot
S klJ. rlor Sub F.Zanow~kt Farm ........ Lot No ..............
uoa~wslon ............................... Filed Map No. 210 1
· Reoulre~erkt~ .for_ a One Famtll[. Dwel.l~niL.Bullt Prior to
conforms substantially to the
, Ce. rtl~lcate_ o_f Occupancy_
·. Ala~ll. 2~, ........ ,19..5'i~ursuant to wh/ch-.l~Ndi~-l~m~/e~ .............. /~.
at ;~,k-~'~"~' anu ary 6 81
d ~, ............................ 19..., 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 .........
......... .17~..l.v.a.t.e.. ,O.n.~. F..a~%.l.y...~..e.l.l.l.n.g .....................................
The certificate is issued to .... [~Lke. ZlallO'~$kJ. ................................. ~ .....
(owner, ~
of the aforesaid building.
Suffolk County Department of Health Approval .... ~/~ ..................................
UNDERWRITERS CERTIFICATE NO....N./.8 ...........................................
Building Inspector
Rev 4/79
BUILDING DEPARTMENT
' T0%~ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
Subdivision
2705 Bridge Lane,
(number & street)
Minor Sub.
Map No.
Cutchogue
(~4unicipality)
21o Lot(s).
Name of Owner(s) Mike Zanowski
Occupancy 'R- 1
(type)
Admitted by: Self
Unoccupied
(owner-tenant)
Accompanied bY: Self
Key available Wickham's Office
Suffolk Co. Tax No. 85-2-1
Source of re~uest ' Wickham, Wickham &' Bressl.er,P.~ate Dec. 17,
198O
~%4~ELLING:
Type 'of construction ~ Wood #stories
Foundati°~. Poured Cement' ~ellar. Full Crawl space
· Total rooms, 1st. F1 '4 2nd. Fi 3rd. Fi
One
Bathroom(s) 1
Porch, type
Breezeway
Type Heat 0il Fired
Fireplace(s).
Domestic hotwater Yes
Othe~
Toilet room(s)
Deck, type Patio, type
Garage Utility room
'Warm Air Central Hotw, ater
No. Exits 2 Airconditionin~
Type heater Oil Fired
ACCESSORY STRUCTURES:
Garage, type const..
Swimming poo~
Othe~
None
Storage, type co,st..
Guest, type'const.
· VIOLATIONS Housing Code, Chapter 52
Location , Description Art. Sec.
Kitchen Gas Stove No Shut Off V 52~52-E6
Front Porch Steps'not e6ual distances ap~rt II 52-27~A
front Por~ h Porch and steps need repairing III 52-30r$
Remarks: A strong gas odor was de~ected, I shut g~s off.
Inspected by:~]ate of Insp.
1/5/81
Curtis Horton Time Mtar~ 3:00 end
3:15
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
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 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, 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 $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
New Building ............. Old or Pre-existing Building . ...x. ....... Vacant Land .............
Location of Property ........... .~.~.~F.e..L.~.~.e.,..C.~.c.h.o9.u.e.,..~.e~. 7.o.~.~ ........................
House No. Street Hamlet
Owner or Owners of Property Frank Zanowski
County Tax Map No. 1000 Section ....0.8.5;.0.0 ...... Block ...0.2...0.0 ........ Lot ~/.o..0,O.l...0.0.0 .....
Subdivision ................................. Map No ............... Lot No ...............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .... .~... ..............
Fee Submitted $..5:.09 ................. .~...
Construction on above described building apd/../e~~a~li/~o~nnd regulations.
, P.C.
Applicant,/.~_~~z~_. ~~.~. :..~ .............
*Built in 1930's