HomeMy WebLinkAboutZ-9373FORM NO. 4
TOWN OF SOUTROLD
BUILDING DEP~T~NT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 9373
Date: 12/05/78
THIS c~KTIFIES that the building DWELLING
Location of Property 1455 NEW SUFFOLK RD
(HOUSE NO.)
County Tax Map NO. 473889 Section 109
Subdivision
CUTCHOGUE
(STREET) (HAMLET)
Block 0007 Lot 010.004
Filed Map No. Lot No.
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 purs,,mmt to which CERTIFICATE OF
f~u~ANC~f ~]~ Z- 9373 dat~ DECE~ER 5, 1978
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 PRIVATE ONE FAMILY DWELLING. CORRECTED 9/30/11 FOR LOT NUMBER ONLY.
The certificate is issued to WILLIAM M BEEBE
(OWNER)
of the aforesaid building.
SuffOLK COUNTY DEPART}~T OF }~ALTH APPROVAL
~.RC~RICAL C~TIFICATE NO.
PLIghtERS ~TIFICATION DA'£F~
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Authorized Signature
Rev. 1/81
BUILDING DEPkRTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
~AP NO.: ~OT (S)
12/05/78
DWELLING:
ACCESSORY STRUCTURES:
GARAGE, ~%q~E OF CG~ST.:
VIOLATIONS: CF~PTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
TOWN OF $OUTHOLD
BUU,DI~G DEPARTM~,NT
Town Clerk', Office
Southold, N. Y.
Certificate Of Occupancy
No..Z?~.7.~ ...... Date ....~.~a~...../~ .......... , 19
THIS CEETIFIES that ~e b~g l~at~ at.
Map No ............. Bl~k No ........... ~t No ..................................
~OUI~S FOR O~ F~ILY ~.~.~ ~T ~IOR TO
co~o~ subst~fi~y ~ ~e ~ ~ .........
C~TIFICA~ 0F
da~ ...4~r~A..~ ......... , ~9~7.. ~u~ ~
da~ ...~9~ .... ~ ....... , 19 7~., was ~u~, ~d co~o~
men~ of ~e spp~csble p~io~ of ~e law. ~e o~up~ for
~u~ ~ .......... ~i~te..~. ~1~ ~ll~g ..............................
~e c~ica~ ~ ~ ~ ..... Wtl~. ~,. ~be ................................
of ~e ~e~s~d b~d~.
S~o~ Co~ty Dep~ent of He~ Approv~ ........ ~r~ .............
~WR~ C~T~ICA~ No
HOUSE ~ .. ~ ....... S~
Cutc~9~e~ New York
Count-% Tax Number
1000-109-7-9.2
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
Location
Subdivision
HOUSING CODE INSPECTION REPORT
1445 New Suffolk Lane Cutchogue
(number & street) (Municipality)
Map No. Lot(s)
Name of Owner(s)
William M. Beebe
Occupancy
Admitted by:
(type)
Mrs. Beebe
owner
(owner-tenant)
Accompanied by: Mrs. Beebe
Key available
Suffolk Co. Tax No. 1000-109-7-9.2
Source of request
Mr. Beebe pate 12/5/78
DWELLING:
Type of construction Wood framed #stories
Foundation cement block Cellar full Crawl space
Total rooms, 1st. F1 7 2nd. F1 3rd. F1
Bathroom(s) 2 Toilet room(s)
Porch, typ~ Deck, typ~ Patio, type
Breezeway~Garag~ One Car
Type Heat 0il fired
Fireplace(s). One
Domestic hotwater
Other
Utility room
Warm Air X Hotwater
No. Exits 3 Airconditionin~
Yes ~ype heater Oil fired
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
No Violations
Remarks:
Inspected by: ~ur~s norton
Date of Insp. December 12. 1978
Time start 9:00 A~nd 9:30 AM
FORM NO. 6
TOWN OF SOUTHOLD
Building Depaf~,,,ent
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.
Co
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 ...~....~.~. ........ .~.. · .~..
New Building ............. Old or.Pre-existin[LBuilding . .~ ...... Vecant[.and .............. , z
Locat°nofProperty /~..~..,~'..~.~.~/1/ J~/4, ~// /~-- .L~_~._/_,~.'__.~__~ .~ ¢
..... . ......... ,'.''' ',' ' ' ' ' ..................... ¢' '
Owner or Owners of Property .... ~Z,~ ,..,iL ..~..~'./~ ............................
County Tax Map No. 1000 Section ............... Block ............... Lot ................
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 $ ...... .~ .,..8~.. ...............
~U TCH< ; I.,I£
NA $~ ~ U
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