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Home My WebLink About4790-zFORM' NO. 4 TOWN OF $OUTHOLD BU~,DINC, DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 2,1~.~7 ..... Date ............ .Nov~ .... 1.2 ...., 19.71. THIS CERTIFIES that the building located at . .NFS..F1Lut .St. Ext ....... Street Map No. Gr. pt ,. D.r.. ?]$1ock No ........... Lot No..78- & .80 ..... Greenpo.r.t · · N.~ .. conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... J~.e... ~ .... , 19. ?~ pursuant to which Building Permit No. l~.79~.... dated ........... June...~...., 19..7.0, 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 . P~tvat~ .on~ .~am&ly. d~elZ~ng ....................................... The certificate is issued to . Joseph. C~ensha~ ...... 0b;.n6~ ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .NoV~ · ~0~..~ 9.~% .. ~? .R,..V. ll.la ... House ~ ~05 Flint St Ext. // ~ ~' ding InSPector I~ORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PEILMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 790 Z Permission is hereby granted to: ................... I~-l.....l~._.J~..,~t. ............................... at premises located at .................. .~O~i~.~.~l~..~)....(~,e~ll~,.tl~l~,~,~l~l~ .................. ........................................ ~..~-t..~t..~latmmtea ............ ~ ....... i~,~.~ ................ pursuant to application dated .............................. i~111~1~' ......... ~ ....... , 19..~1~, and approved by the Building Insl:~:tor. Buildin~ Inspect1 SCHD SUFFOLK COUNTY DEPARTHENT OF HEALTH Oate NOV 1 0 197~ Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at ~' / (Give deed loca~ion/~/ / have been inspected by this department and found to be satisfactory. Chief of General Engineering Servlc~ SUFFOLK COUNTY' DEPARTMENT OF SOCIAL HOUSING UNIT Rental Housin~ Inspection Report SERVICES #147 SOURCE ADDRESS Flint 3treet, Greemort (see remarks) TYPE DWELLING. wood frame NO. OF ROOMS d½ NO. OF BEDROOMS 2 OWNER OR AGENt. eooeph 'Jrenshaw ADDRESS 310 7th ~t., Greenport PHONE 477 1312 S COR r : NO (% RENT INCLUDES. water 7, 8. 9. 10. 12, 13, 14. 16, l?o~ 18. 19, 20, 21, I~"fAVAILABLEAT landlord or bro. :~olunan new house never previously occupied. The only building on the SPECIAL DIRECTIONS ~orth side of Flint 5t~ ne~t to the ¥,~ilroad t~k~- HI,,~ ~+.h h~ ~ ~o++~ siding, YES NO ~. Water: City ( ) Well & Pump ( ) Supply Satisfactory? 2. Si~k w~=h H & C running Water? .Satisfactory Operation? ..... 3. Levatory Basin with H & C running water? Satisfac~ory oper?.. 4. Tub or Shower with H & C running water? Sa~isfactory oper?. 5. Hot water heater? Satisfactory Operation? .............. .... Flush Toilets? Satisfactory Operation?... ........ ...... Plumbing installation and opera~ion satisfactory? ............... Disposal: Cesspool ( ) Septic Tank ( ) Other Satisfactory? Heating= Oil ( ) LILCO Gas ( ) Other Satisfactory?.. ....... Garbage and Refuse Handling: Public ( ) Private ( ) Satisfac~ory~ Rodents and Vermin: Free of infestation? ............ . .......... Sani~ation of Dwelling: Satisfactory? .... ... ........ . ...... Sanitation of Yard: Satisfactory? ...... ..... ................... Painting and Minimum Decoration: Satisfactory?................. Artificial Lighting and No. of Windows: Sufficient?.... ........ Walls, ceilings, floors: Condition Satisfactory? ............ Basement: Yes ( ) No ( ) If one. condition satisfactory? ....... Physical StrUcture of House: Appears Sound? ............ . ....... Neighborhood: Urban ( ) Rural ( ) Suitable for Family? ......... Shopping facilities: Distance from dwelling Transportation Facili~ies: Distance from dwelling EVALUATION: ACCEPTABLE: EXCELLENT ( ) GOOD ( ) FAIR ( ) POOR ( ) NON ACCEP?~LE( cc: Southold- Mr. Terry 201 TO: James E. Kirby, Commissioner Suffolk County Dept. of Social Services Att: Mrs. Alice H. Shaw FROH: RE: Town of Southold, Building Department Premises ]~ Flint 8t Extention~ ,Ore®npo~t Tenant ~ Owner XTm~ ~m~,.,mkmw ~ A r~resentative of this Department mnde an inspection of the above premises on ;';~D~e) ~7~ ' The report of this inspection indicates the following: a. Violations as listed: ~O Suwmons issued - return date No apparent building violations exist at this time Premises vacated Work completed ' J Signature .~- . ~ BUILDING DEPARTMENT I~/~,/~ ~'~ ~ ~ ' ~ P ~. A~ TOWN CLERK'S OFFICE ,/~//,/ ,~*~ , ~ ~m~ ..... ~ ............ , 19~. ..... ~ + A__' ~ ' A~li~tion No ........ ~. .................. ~ Disapproveda/c ............ ~ ............ ~ .......... ~ ............................ (~e,,w-~,~/ u.~,~,-~- (~.~f~.~ ~ ................ : .............................. . ..................... .......... ........ (Buildin~n~tor) ./~~ 5: ~ ~ ~'~ ~te .............. ~..~.~ ................... , 19 ............ I NSTRU~IONS a. ~is application must be c~plete~ fill~ in by ~ewriter or in ink and s~mitted in ~plicate to the Building InCr. b. PI~ plan showing I~ation of lot a~ of buildings on premiss, relation~ip to adjoini~ premiss or Public st~ts or a~, a~;givi~ a d~ail~ ~ri~i~ of I~ of pm~ must ~ drawn on the diagram ~ich is ~ of th~ ~plicati~. c. ~e ~ c~er~ bY this applicati~ may not be commenced before issu~e of Building Permit. d. U~ ~r~al of this applicati~, the Building Ins~ctor will i~e a Building Pe~it to the applicant. Such ~rmit ~all ~ k~t on ~e premiss a~ilable for ins~ction throughout the p~r~s of the wO~: e. No building s~ll ~ ~cupied or u~d in whole or in part for any pu~ose wha~ver unti a Ce~ificate of ~c~ancy shall h~ ~en gmnt~ by the Buildi~ Ink,tar. APPLICATION IS HEREBy MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations. (Signature cf applicant, or name, if a corporation) .Tea. Oren.haW eentr&et buye~ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, eleCtrician, plumber or builder. Name of owner of premises ................~),~,~..l~e3~.~.l~ ..................................................................................................... ~ If applicant is a corporate, signature of duly authorized officer. (Name and title 'of corporate officer) '~ ~ - 5 1. ~ati~ of land on Which proposed wo~ will ~ done. Map No.: ~t ~tTin~ ~ ~le ~ ........... . ....................... Lot No.: ....:....; ............. St~ and Number ~ ~ZI ~ ~7~ ........ Munici~li~ .. 2. S~te exi~ing u~ and ~cu~n~ of Premiss and intended use and occupancy of pr~ cons~ction: a. ~isti~ u~ a~ ~cupan~ . .~ ................................. b. Inte~ed use and ~cupancy .................................................... ~..~ ........................... 3. Nature of work (check which applicable): New Building.................][ Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (D~scribe) ........................................ 4. Estimated Cost ............................................................ Fee .......................................................................................... (to be paid on fi!ing this application) §. If dwelling, number of dwelling units ...A..~OO~..~u~f dwelling units on each flor ............................ If g~rage, number of ca~ . . 6. If business, commercial or mixed ~cupancy, speci~ nature and extent of each ~e of u~ ............................ 7. Dimensions of existing s~ructures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stori~ ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................R~r ............................ Depth ................................ Height .................... ~..~r of Stories ................................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ D~th ........................ Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Frant' ~ ~O~ ~ ~r6~ ~ .. &~O~ ~00 ................................................................ ~epT~ ................................ 10. Date uf Purchase ........................................................ Name of Former ~ner ........................................................ ~ 1. Zone or use district in ~hich premises are situated 12. D~s proposed construction violate any zoning law, ordinance or regulation~ f 13. Name of ~ner o premise~e~...~[~ ............. Address ................. ~e.~O~ ..... Phone No ..................... Name of Architect ...................................................... A~ress ............................................ P~ne No ..................... Nome of Contractor .......... ~aB...~e~a~ ............. A~ress e P~ne No ..................... PLOT DIAGRAM Locate clearly Ond distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from property lines~ Give street and block number or description according to deed, and show street names and indicate whether interior or corner Jot. STATE OF NEW YORK, tee COUNTY OF ~'Glk. ............... Ol{IOa~'i~e].lJ:in 3'{~EI 0Z. ITiB~m.W k'-" duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to rn~ke and file this application; that all statements contained ih this application are true to the beet of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........ ............. d of ....... :/'"'"'/"-', 9..te. _ ' ....... / ~1~ , [ ' lC.. -- A ''O~aee'~'~''~l~e~ei~{~ ..... ~~[ ................. motor'/ ~'uo,,c, .~.....L~..h~...<.~~..~nty ~ . le~ in Suffolk Cen.~ .