HomeMy WebLinkAboutZ-10422FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Date ..... HX~.CI~..1.8 .................. 19 Rt
THIS CERTIFIES that the building ................................................
Locafion of Property ' . 18.9.0.0 ~lain Road .H.a.t..t./tU.c.k~ .N.:.~: .........
.............. ' ...... i,i i ....... a,,m
County Tax Map No. 1000 Section ..... ~. ? .5 .... Block ...... 6. ........ Lot ...... .6 ..........
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to t~-q~t'K~-~9~"a °ne'"£aall~'dv~']~n~'~Ul'l"t' ~r to
.5.7p .C~=~£~l-n£-gccupancy Z10422
April 23, ...... ,19. ursuant to wh~h-B~'l~R-bT6 ............
dated ...~.a.r..c.h..1.8. ................ 19~. 1.., was ~sued, and conforms to a~ ofth~ roqu~mants
of the applicable provisions of the law. The occupancy for which this certificate is issued is .....
Private One-Family Dwelling with Ac.c.e.s. sory Stru~tur®(Garage)
The certificate is ~sued to Brookhaven BUR Llnea & · ino.
of the afores~d building.
SuffoLk County Department of Health Approval
UNDERWRITERS CERTIFICATE NO.. lg/R
BUILDING DF-mA/{Tr'~I'IT
TO%',~! OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
Subdivision
18900 Main Road
(number & street)
,,,Map
No.
(Municipality)
.Lo t ( s ).
Name of Ovmer(s)_ Brookhaven Bus Lines and Ano.
Occupancy R-1
(type)
Admitted by: Mr. Lewis
Unoccupied
(owner-tent',t)
..Accompanied by:Mr. Lewis
KeV available
Suffolk Co. TaX No..115-6-6
Source of request William H. Price', Jr.
Date_ March 13, 1981
DVf~LING:
Type of construction
Foundation
Total rooms, 1st.
Bathroom(s) 1
Porch, type
Breezeway
Type Heat Oil Fired
Fireplace(s)_ 1
Domestic hotwater
Cement Block
Wood
F1 5
Deck,
.Garage
Yes
Cellar Fu%l
2nd. F1 2
Toilet room(s)_
type
Warm Air
No. F~xits 3
.Ty~e heater
#stories
Crawl space
3rd. F1
?
Patio, type .
~tility room
Hotwater
Airconditionin~__
Tankless
Qem.ent
Other
ACCESSORY STRUCTURES '._
Carage, type const. Wood-one
Swimming pool
car storage, type const.
Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
Cellar No Rail on one side of open stairs II 52-27-B.
Kitchen No Shut Off Gas Stove V 52 52
Remarks:
Curtis W. Horton T~me start~ll:30' ,end_klz_gJi___.
FORM NO. 6
TOWN OF SOUTHOLD
Building Depa, [,,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:
I. 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 featu res.
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
Date . .N.a?.c.h...~.37...[.9.8.[. ........
X×
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
Main Road Mattituck
Location of Property ...................................................................
House No. Street Hamlet
Owner or Owners of Property .B.r.o.o..k.h.a.v.e..n..B.u.s...L.i.n.e..s..C.o.r..p.,..&....A~h...e..r.s.t..B..u.s..C.o.., .,..I.n..c.,
County Tax Map No. 1000 Section 115 Block 06 Lot. 006
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Plannin¢LBoard Approval ......................
Request for Temporary Certificate ..................... Final Certit~cate ....................... \~ \
Fee Submitted $ .5....0.0 ........................
Construction on above described building and ~lations.
Applicant. ~~ ,~, .~
~ooAAave~ ~us ~es Co~p.
Rev. 10-10-78
Co., Inc.