HomeMy WebLinkAboutZ-10837FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. ~1.0833 ..........
Date ...... Doc.e.r0bor..30 .............. 198. l.
THIS CERTIFIES that the, building ~ ...............................................
Location of Property .?0.0 ...... Leeton Drive Soul;hold
House No. ' ................... '~'tle~i ....................... h~iei
County Tax Map No. 1000 Section .059 ........ Block . .. 0.1 .......... Lot .... 9.0.6. .........
Subdivision ........ X. ............... ~ ....... Filed Map No..X....:..Lot No...X. ..........
Requirements for a private one-family dwelling buiit prior
conforms substantially to the
Certificate of Occupancy
...t.o .Apr.:L1.23. ..... , 19.5?pursuant to which'l~altOtill~ ?c'lltf/t'No ............ Z.~..0.8.a. 7....
dated ..... DO C.o~ll~ q .~..3.0. .......... 19.8.1., 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 .........
· ~ .prl..v.ato..o~o .-t~.~iSy..c[.w. 9;I.)..i.n.g.y.~..h. 9.m.a..1.1..~o. 9.d' ?.~. ??.a.g.e...~.~r.u..c.t.u.v.e. :..
The certificate is issued to .... .S.'qe..v.e.n..B..a.u.n.a.n...~. ?.l.f.~ ...............................
(owner, ll,~~)
of the aforesaid building.
Suffolk County Department of Health Approval ........ ~I/Jt ...............................
UNDERWRITERS CERTIFICATE NO ................ ~I/.R ...............................
Building Inspector
Rev. 1/81
BUILDII~:G DEPARTHENT
TOY,%: OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 700
Subdivision
Leeton Drive
(number & street)
X Map
Southold
No.
(Mumicipality)
X Lot(s) X
Name of Ovmer(s)
2teven Bauman & wife
Occupancy R-1
(type)
Admitted by: Mr. Stewart
unoccupied
{ own er-t enact )
Accompanied by: Mr. Stewart
Key available__
Suffolk Co. Tax No. 059-01-006
Source of request Steven Bauman
Date. 12/16/81
D%'fFt,LING:
Type of construction
Foundation
Total rooms,
Bathroom(s) 2
Porch, type.
Breezeway.
?fpe Heat electric
Fireplace(s). 1
Domestic hotwater
wood framed
cement slab
1st. F1 6
Deck,
Garage
Warm Air
No. Exits
#stories one
yes
Cellar
Crawl space
3rd. F1
2nd. F1
Toilet room(s)
type Patio, type2--cement
Utility room x
Hotwater x
Airconditionin~
Type heater electric
Other
ACCESSORY STRUCTURES:
Carage, type const.
Swimming pool
Other
Storage, type const, small wood
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Loca'lion Description Art. Sec.
oorch cement broken in places III 52-31-A
door rotten III 52-31-B
~u~hout at least six broken windows III 52-30-C
lroughout some sash broken, hardware cannot _ III 52-3~-B
operate. -.
po
e
throu
Remarks:
Curtis w. Horton T~me start 3:15 end 3:45
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 featu res.
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. ' ~ -~ ~,~L ~_~ ~ ~
2. Sworn statement of owner o~ previous owner,s to use, occupancy and condition of buildings. !
3. Date of any housing code or safety inspection of b~ildings 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
Date .........................
/ .
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
Location of Property.../7{~. ~. .... .~..~. ~-~.'~'~'3..~.C.,'.v'..~. .... i.....~..0. (J.~.jO.~J
House No. Street Ham/et
Owner or Owners of Property .. t, ;~..l.~.... (~L,~. ¢~ ~,. ? ....... /~.~ : .................
County Tax Map No. ~000 Section ... (~ .~'.~ ...... Block ... (~ J ......... Lot... ~).O.(,~ ......
....... /~ ........................ Filed Map No.. ~)~ ....... Lot No. ~. ..........
Subdivision
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 $ ...... ; ......................
Construction on above described building and permit meets all applicable codes and regulations.
Rev. 10-10-78
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.
B. 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.
C. 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
Date..//.~..~..~..C~'..;..~...~..~ ....
New Building ............. Old or Pre-existing Building / Vacant Land
Location of Property ~.~0, ~-~-~0/~ ~/~:)/b/E .. ~,~¢~7-/Iz~/-~~-~
House No. Street Ham/er
Owner or Owners of Property ..~.'.~..~.~'?.....O~...~....~.~.'.~.~.''~/' /~' ~/z~}~'~ /,~ /
County Tax Map No. 1000Section . .~)..~.~-..~. ....... Block ...... / ......... LoI...~..C~....~...
Subdivision ................................. Filed 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 $ .............................
Construction on above described building and ~errq, it D~eets all applic~i~,~es and regulations.
App mant .. ~ ......... ./. _ ... ...................
Rev. lO-10-?a Sworn and subscribed, to me this 29th day of 0c~ober 1982
' ...~OC.F~HOL. D-ON ZTbt~.
,-?OWN oF ~,~;~-,'THOL.~,