HomeMy WebLinkAboutZ-10948FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. 2k 109.q.8. ......... Date ....... .~p.r.~..1..2.1 ................. 198..2.
THIS CERTIFIES that the. buildingS..{.2. } ............................................
Location of Property ~5 ..... .S.ch.@9.1.h, ouae Road Cutchogue
House No.' ....... ...................
County Tax Map No. 1000 Section . 1..0.2 ........ Block . .0..1 ........... Lot . .0..2.9 ............
Subdivision..X ............................ Filed Map No.. X. ...... Lot No...X. ........ :..
Requirementa for a private one-family dwelling built prior to
conforms substantially to the
Certificate of Occupancy .
.... 6 p .p ~.l. . 2. .3 ......... 19~.7. . pursuant to wlfich ~Bttffding'Petllxtt-No .... Z 10948 -
dated ..... ~. p.r.~.l...2.1 .............. 19.8. 2., was issued, and conforms to alt of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is ...at. .....
private one-family dwelling and accessory two-car garage.
The certificate is issued to Elwood M. Bunce and wife (Mercedes)
· towner,~4~/~m'y ..........
of the aforesaid building.
Suffolk County Department of Health Approval n/r
UNDERWRITERS CERTIFICATE NO .... n/r
Building Inspector
Rev. 1/81
BUILDING DEPARTMENT
TO%'~ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 455 Schoolhouse Road Cutchogue
(number & street) (Municipality)
Subdivision x Map No. x Lot(s) x
Name of Owner(s) Elwood M. Bunce & wife
Occupancy R-1
(type}
Admitted by: Mrs. Bunce
Key available
owner
(owner-tenant)
Accompanied by: Mrs. Bunce
Suffolk Co. Tax No.102-01-029
Sou~rce of request Frederick J. Tedeschi Date April 13, 1982
DWELLING:
Type of construction wood framed ~stories 2
Foundation cement block Cellarpartial Crawl space rest
Total rooms, let. Fi 5 2nd. Fi 3 3rd. FI attic
Bathroom(s) 1 Toilet room(s)
Porch, type glassed in Deck, typ~ Patio, type
Breezeway. Garage Utility room
Type Heat oil fired Warm Air Hotwater x
Fireplace(s) 1 No. Exits 2 Airconditioning
Domestic hotwater yes Type heater oil fired
Other
ACCESSORY STRUCTURES:
Garage, type const. 2 car wood
Swimming pool
Other
Storage, type const.
Guest, type const.
~IOLATIONS Housing Code, Chapter 52 ....
Location Description Art.! Sec.
~itchen sas stove no shut off V 52-52-B
cellar no rail cellar steps II 52-27-B
Remarks:
Curtis W. Hort~n
Date of Insp. 4/1~/82
Time start 11:00 end 11:30
FORM NO. 6
TOWN OF SOUTHOLD
Bu ilding Department
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.
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-existing Building(X) . - = tVacant Land ............
Location of Property ~ ~'~' ~'~ ~'~"-//d d~f~
House No. Street Hamlet
Owner or Owners of Propert
County Tax Map No. 1000 Section ............. Block '/~ 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 ubmitted $
Construction on above described building and permit~meets all appt~ca~le~:~, e~ and re~]plations.~
k
k