HomeMy WebLinkAboutZ-10855FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No..Z t 085.5 ......... Date ..... .J.a.n?.~..e.y..!4. ............... ,19 .8.2.
THIS CERTIFIES that the~building ................................................
Location of Property ...1.600 .............. .Hq~lr~.t..!19¢J..~13. tty.~r;tpO ...... .S. qu..g.h.o.l.d....
House No. Street Hamlet
County Tax Map No. 1000 Section . 05.1 ........ Block . .. 9.3. ......... Lot .... .2.:9. .........
Subdivision..ktO.u.rtl;..B.o.q], .al3..fi.c..~9.~ ........ Filed Map No...69.8.tt...Lot No..6. ......... !..
Requirements for a private one-family dwelling built prior to
conforms substantially to the ¢~P~m~ie~-fe~-~kt4~emm/~e~et~o~e-fi{e~-im-~h/~,hzm~-dmt~d
Certificate of Occupancy
· . ./[P~ll .23 .......... 19 .STpursuant to which t~ui~d-in'g'Perm'i't No... Zl0855. ...........
dated .... Janu~.~.7..1.4. ............ 191~2., 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 .........
..... .a..p.~. ~.y.a.t;.e.. p.n.e.-..f.a.m.:[.1, y..d.w.e..1.1.t.n.~: .......................................
The certificate is issued to ..... E.~..'9.a.~.e..9?..C. 1..e.m.e.n.~..W....B. 9.o.~.h' .......................
(owner, 4~w.w.~:F.~rltt'W]
of the aforesaid building.
Suffolk County Department of Health Approval ...... lt/.g .................................
UNDERWRITERS CERTIFICATE NO .............. ~/..R .................................
Bmld~ng Inspector
Rev. 1/81
BUILDING DEPART;-!ENT
TOl,.q,~ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 1600 Mount Beulah Avenue
(number & s~ree~)
Subdivision x Map No.
Southold, NY
(Municipality)
x Lot(s)x
Name Of
Clement W. Booth (Estate of)
Occupancy R-1
(type)
Admitted by: self
unoccupied
( owner-tenant
Accompanied by: self
Key available Burt Lewis
Suffolk Co. Tax No. 051-03-002.009
Source of.request Rudolph H. Bruer
Date 12/15/81
DWELLING:
Type of construction wood framed~ brick veneer
Fou~dationpoured cement & brick Cellar. full
To~al rooms,
Bathroom (s)
Porch, typ~
Breezeway
#stories 2
Crawl space
1st. F1 3 2nd. F1 4 3rd. F1
1 Toilet room(s) 1
Deck, type
Garage
Patio, type__
Utility room
~ype Heat oil fired
Fireplace(s).
Domestic hotwater
Warm Air ~ag~ steam
No. Exits ~_ Airconditioning
yes ~ype }]eater tankless
Other shower in cellar
ACCESSORY STRUCTURES:
,Garage, type const.
Swimming pool
NONE
StOrage, type const.
Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
itchen gas stove--no shut off V 52-52-B...2
outside needs painting III 52-31-B
outside rear steps need repairing III 52-30-A
~allway water leaking around window III 52-31-B
bedroom w~ter leaking--side walls_gf bedroom,
second floor front III 52-31-B
Remarks:
Curtis W. Horton T~me start 3:00
1/8/82
end 3:20
FORM NO. 6
TOWN OF $OUTHOLD
Building Depa, ~,.ent
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
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 Amhitact 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.
Fe6~:
1. Certificata of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land usa
3. Copy of certificate of occupancy $1.00
$5.00
.D. ec..e.m~..er. 15,..19.8.%
Date ............
New Building ............. Old or Pre-existing Building ...... X. .... Vacant Land .............
/~. o¢
Location of Property . ~QU~-.~ .B~p,~,a,-~. ~,.v.(~u~,..SO~Q[~..~e~..~o~ ...................
H~ No. ~tmt H~let
Owner or Owners of Pmpe~ ...~. ~ · ~P~..(~ · ~ .........................
C~nW Tax Map No. 10~ S.ction .... ~1 .... Block 3 Lot .. ~ ...
Subdivision.. ~ ~. ~.~. ~. ........... Filed ~ap No..~. .... Lot No .... ~ .........
Permit No ........... Date of Permit .......... Applicant .. ~Wa.;~. ~c~Q~-~ .................
Health Dept Approval Labor Dept Approval . . · ·
Underwriters Approval Planning Board Approval ..........
Request for Temporary Certificate Final Certificate ~ ..........
Fee Submitted $.. $, .0.q ......................
Const~cti~on on'above described building an nd regulations.
~ ~ ~" Applicant . . ~ ~: ~ · ~.~..~ ............
~O~ ~;~ ~ R~ph H. B~uer, Attorney for Estate of
Rw. I0-I~78 ~ ~ ~ Clement W. Booth