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Home My WebLink AboutZ-6626FORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Ol~ice $outhold, N. Y. Certificate Of Occupancy No..Z662(~ ..... Date ............... Au~..13 ..... ,19. THIS CERTIFIES that the building located at . .~./~. Go,nd..ilaad. ......... Street Map No. ~ ........ Block No...~ .... Lot No .... ~L~ .... ~.r?,9~p.o.l~t...N,~/... conforms substantially to the re~en $ .on ~ wll ' ' ' X dbuilt before Apr 2~ ~ -.--~er. tifi~ate .of. occupancy ated ................ :~ ...., 19..~ ?. pursuant to wm~o. z6626. dated ........... Lug ..... .~ .$., 19. ?..~, was issued, and conforms to all of the require~ ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .P~.~.v.~.t.e..o.~. f.~..~.~...d~.~:~.l]. ~j~g ....................................... The certificate is issued to .¥ic.tor. ~.ow~ ...... of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant) .p~e~.oxis~lng ................. UNDERWRITERS CERTIFICATE No..pre.--..cxi~t2n~ ........................... HOUSE NUMBER ..... 172~ .... Street.. Sonnc. ~acl ....... fi~eenport .......... ............ .... /'~(B" ;~g ~p~r BUILDING DEPAP, Ti'hENT TOY,%~ OF SOUTHOLD, N. Y. Location (number & street) Subdivision Ns_me of O~mer(s) Peter Brountzas & Wf. HOUSING CODE INSPECTION REPORT 1250 Sound Road Greenport, New York Map No. (Municipality) Lot(s) & William Tsigakos Occupancy R-1 (type) Admitted by: Self ? (owner-tenm~t) Accompanied by:. Self Key available Debbie Sharp Suffolk Co. Tax No. Source of request Rudolph H. Bruer. Date 33-4-84 June 10, & Wf. 1981 DWW~.LING: Type of construction Foundation Cement Block Total rooms, 1st. Fi Bathroom(s) 1 Porch, type Screened Breezeway Type Heat Oil Fired Fireplace(s). Domestic hotwater Yes Wood #stories Crawl space 3 2nd. F1 3rd. F1 Toilet room(s) in Deck, type. Patio, typ~ Garage Utility room Warm Air Central Hotwater No. Exits 2 Airconditioning T~rpe }]eater Gas CellarPartial One Rest Other ACCESSORY STRUCTURES: Darage, type const. Wood - 2Car Swimming pool Other storage, .type const. G%~est, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. ..Outside Needs painting'badly III 52-31B Outside Front porch bad shape III 2-30-A... Kitchen Gas stove no Shut off V :52-52-E6 Outside Chimmney cracked III i52-32-C Thru out Loose ceiling tile , III 152-32-C 'Rear Porc Screens need repairing III 52-30-C G~ra~e Need various repairS' III 52-30-A + Remarks: Date of Insp. Sept. 24/81 Time stJrt 11':3'0end_ 12:15- FORM NO. 6 TOWN OF SOUTHOLD , Building Depmtment Town Clerks Office 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 Inspector 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 installations, 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 property 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 in- formation required to prepare a certificate. C, Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date August 5, 1975 New Building ................ Addition ................ Old or Pre-existing Building ..... .x. ......... Vacant Land .............. Location Of Property Sound Ave~. Green~ort~ N.Y. North-Co.u.p. ho~ -Eas~-~imes South-Straus sner Structure Owner Or Owners Of Property Victor A. Brown West- Bound ~¥e. Subdivision N one ................................................................ Lot No ............. Block No ............. House No../. ,~,,~ Permit No .......... ~... Date Of Permit ...~.. ......... Applicant ............~...e.g...~..u...~..a..o..~....~....~.g..en..~. ............ Health Dept. Approval ...... .~.../~..........~...~ ........... Labor Dept. Approval ~'/ Underwriters Approval .............................................. Planning Board Approval Request For Temporary Certificate ........................................ Fined Certificate .....~ ............................... Fee Subm tted $ ....~.. .............................. Construction on above described building and permlt~all~tions' Sworn to before me this Applicant ............... ~..........~...~' ~th Au ust 19 ................ dav33f ....... g ........ I. ....... .~.~. ............. Notary P . un~ qo.9~ ,,//:/ ~ :, SCA! E) ~:~"'" X '/ ' ' ~ / / /