HomeMy WebLinkAboutZ-19465FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hail
Southold, N.Y.
UPDATED
PRE-EXISTING
CERTIFICATE OF OCCUPANCY
No Z 19465
Date OCTOBER 22~ 1990
THIS CERTIFIES that the buildings
Location of Property 775
House No.
County Tax Map No. 1000 Section 63
Subdivision
(3)
Block
Filed Map No.
Street
2
SOUTHOLD
Hamlet
Lot 22
LOt No.
conforms substantially to the Requirements for a private two-family
dwelling built prior to APRIL 9~ 1957 pursuant to which
Certificate of Occupancy No. Z 19465 dated OCTOBER 22, 1990
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 PRIVATE TWO FAMILY DW~T~.ING WITH ACCESSORY TWO CAR GARAGE.
The certificate is issued to
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HF_2%LTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
(owner)
N/A
This Certificate of Occupancy updates C.O. Z 11058 dated July 2, 1982.
' ' Buildin~ ~n~pe~t6r' '
Rev. 1/81
FORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Occupancy
Date ..... ~..u.l.y..2. ..................... 19.8.2.
THIS CERTIFIES that the building .s... ! .3) .........................................
Location of Property .. 8.1..5. ........... / ..... H.u..mla. e.1...Ry.e.n..u.e ........... .S.o. q t..h.o.l..d. ....
House ~vo. Street Hamlet
County Tax Map No. I000 Section 0.6..3 ......... Block ,. ,0.2 ........... Lot...0.2.2. .... : ......
Subdivision.,..Z ........................... Filed Map No. X. ....... ~ot No...X. ..........
Requirements for a private two-family dwelling built pp~or to
conforms substantially to the
Cert~f:Lcate of Occupancy
· Ri~.r. 5,$. 2.21 ........... 19.5.~[pursuant to whicht~fitding'Ferrafl-No...g.l.l. 0..5.8 .............
dated .... ~.u..1..y..~. ................. 19.87., 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 .........
The certificate is issued to Frank ~,. h Mary M. Lekich
(owner,~eor'l~l~)
of the aforesaid building.
Suffolk County Department of Health Approval n/r
UNDERWRITERS CERTIFICATE NO. n ! r
Building Inspector
Rev. 1/81
LocatiDn
Subdivision
815
BUILDING DEPARTmeNT .
TO%'~ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Hummel Avenue
(number & street)
X Map No.
Southold
(Municipality)
Lot(s)
Name of Owner(s)
Frank A. & Mary M. Lekich
Occupancy R-2
(type)
Admitted by: Mrs. K. Stumper
Key available
tenants
(owner-tenant)
Accompanied by: same
Suffolk Co. Tax No. 063-02-022
Date 5/28/82
Source of request
R. G. Terry, J~.', Esq.
D¥~LLING: THIS IS A
Type of construction
Foundation
Total rooms, 1st. Fi
Bathroom(s)
Porch, type
Breezewa~
Type Heat
Fireplace(s).
Domestic hotwater
Other
TWO-FAMILY DWELLING.
#stories 2
Cellar Crawl space
2nd. Fi 3rd. Fi
Toilet room(s)
Deck, type Patio, typq__
Garagq Utility room
Warm Air Hotwater
No. Exits Airconditionin~
Type heater
ACCESSORY STRUCTURES:
Garage, type const. 2-car wood Storage, type const.
Swimming pool with covered patio~C, type const.
Other
wood
VIOLATIONS: Housing Code, Chapter 52
Location Descriotion Art. I Sec.
~ storage I needs repairs III! 52-30-C
~arage needs new roof III 52-30-C
house needs roof repaiDs III 52-30-C
Remarks:
Inspected by, ~~z..~ _~
Curtis w. Hort~n
Date of Insp. July 1, 1982
Time start 2:15 end 3:00
BUILDING DEPARTmeNT
TOV~N OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 815
Subdivision
Name of Owner(s)
Occupancy R-2
(type)
Admitted by: Mrs. K.
Key available
Source of request
Hummel Avenue
(number & street)
X Map No.
Frank & Mary M. Lekich
Southold
(Municipality)
Lot(s)
Stumper
2 tenants
(owner-tenant)
Accompanied by: same
Suffolk Co. Tax No.063-02-022
R.G. Terry, Jr., .Esq.
Date
5/28/82
DI'~LLING: RIGHT RE~RTMENT
Type of construction cement block & wood #stories 2
Foundation cement Cellar Crawl space.
Total rooms, 1st. F1 3 2nd. F1 3 3rd. F1
Bathroom(s) 2 Toilet room(s).
Porch, type roof over Deck, type. Patio, type.__
Breezeway Garag~ Utility room x
Type Heat oil fired Warm Air Hotwater x
Fireplace(s) No. Exits 2 Airconditioning.
Domestic hotwater yes Type heater gas
Other
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
_Location Descriotion Art. Sec.
cellar no rail cellar steps & no rail around II ~2-27-A &
inside open cellarway
as stove no shut off V 52-52-B,
Remarks:
Curtis W. Hort6n
Date of Insp. July 1, 1982.
Time start 2:15 end 3:00
B
BUILDING DEPARTmeNT
T0~'~ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
Subdivision
Name of Owner(s)
Occupancy
(type)
Admitted by:
Key available
Source of request
(number & street)
Map No.
(Mumicipality)
Lot(s)
(owner-tenant)
Accompanied by:..
Suffolk Co. Tax No.
Date
DI~LLING:
Type of construction
Foundation cement
Total rooms, 1st. FI
Bathroom(s) 2
Porch, type roof over
Breezewaz
Type Heat oil fired
Fireplace(s)
Domestic hotwater yes
Other
LEFT APARTMENT
cement block
block
Deck,
Garage.
& wood #stories 2
Cellar partialCrawl space
2nd. F1 3 3rd. F1
Toilet room(s)
type Patio, type.__
Utility room
Warm Air E~ steam
No. Exits 2 Airconditioning
Type heater sas
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
~IOLATIONS Housing Code, Chapter 52
Location Description Art. Sec.
kitchen ~as stove--no shut off V 52-52-B~
cellar some floor joists cut through, III it-30-A
no rail, steps steep II 52-27-A &
Remarks:
Curtis W. Hort6n ·Time start 2:15 end 3:00
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
$outhold, 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 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 . ~". ....... Vacant Land .............
Location of Property..?. ! .~. .... ~ ..... ~ .............
~-~ ' ~ Street .~. ~ Ham/et
H°' . . . . . . ,
Owner or Owners of Property
County Tax Map No. 1~00 Section O ~:~ Block Q) ~- '~'~:) Lot
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 $. ~ ~t ~/
Construction on above described building and permit meets all applicable codes and regulations.
~!7!( ~:! O"ii Applicant..~.~. ~.,..~ ...... · ...................