HomeMy WebLinkAboutZ-9357NO. 4
TOWN OF $OUTHOLD
BUIIJ~ING DEPARTMENT
Town Clerk'8 Office
Southold, N. Y.
Certificate Of Occupancy
No. Z9357 Date Deces~ber 26 lg. 78
Blvd.
THIS CERTIFIES that the building located at 2650 .Grsat. Paconia .Bay. Saz~t~x
Map No ............. Block No ........... Lot No ..................................
RF-~~S FOR ONE FAMILY DW'~.T.IN~ BUILT PRIOR TO
conforms substantially to the ................
CERTIFICATE OF OCCUPANCY
dated ..... Apr,.l,... 2.~ .... , 19..57 pursuant to which ~ No.. Z9~..~7-
dated ..... .D.e..c.em.b.e..r...26...., 19..7.8, was issued, and conforms to aU of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is .......... Pri~.t.e. 0n.e..F~.Y .Dwelling .............................
The certificate is issued to ...... J.,A,..C. ardinale .................................
(owner, ~
of the aforesaid building.
Suffolk County Department of Health Approval ......... P..r.e.-..Ex..~.a.~.t.?.g .............
UNDERWRITERS CERTIFICATE No. Pre-Ex~st~ng
HOUSE NUMBER 2650 Street Gleat Peconic Bay Blvd.
Laurel, New York
Building Inspector
County Tm; Number
1000-128-6-13
Location 2650
BUILDING DEPARTI~ENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Great Peconic Bay Blvd.
Laurel
(numbeR & ~tre~t)
~ ?4IN0~ rJoseph Caraina±e ~
~UDGIVlSlOB AdP1 i~ ~i~n~e Map No.
Name of Owner(s) J.A. Cardinale
(Municipality)
74-819~ Lot(s)
2
R-1
Occupancy
(type)
Admitted by: Self
(owner-tenant)
Accompanied by: Self
Key available on site
Suffolk Co. Tax No. 1000-128-6-1~
Source of request Victor E. Catalano
Date December 12, 1978
DWELLING:
Type of construction
Foundation cement block
Total rooms, 1st. Fi 7
Bathroom(s) 1
Porch, type glassed-in
Breezeway.
Type Heat Gas
Fireplace(s)
Domestic hotwater
Other
Wood Framed
#stories
CellarPartial Crawl space rest
Deck,
Garage.
Warm Air X
No. Exits 3
2nd. FI
Toilet room(s)
type.
3rd. F1
Patio, type
Utility room
Hotwater
Airconditionin~
X Type heater
free standing fireplace
Electric
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
NONE
Storage, type const.
Guest, type const.
VIOLATIONS Housing Code, Chapter 52
Location Description Art. Sec.
__]~ _ no shut off-~as stove too & Seoarate
oven 52 52-B 2
This inspection~ also a update on the 'ollo~ing Build
Permits issued on this dwelling:
1. 1960- 746B.P. enclosed porch - Z338 C.O.
2. 1961-1553B.P. addition Z150~ C.0.
3. 1962-1951B.P. addition Z174~ C.O.
Remarks:
CURTIS HORTON
Date of Insp. December 15, 1978
Time start 10:30 end 11:1~ AM
FORM NO. 6
TOWN OF $OUTHOLD
Building 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 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 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 ....//.'?/,/~Z~.~. ...........
,/
New Building ............. Old or Pre-existing Buildinq ............ Vacant Land .............
Location of Property ~
;v;,.' .......................
Owner or Owners of Property
County Tax Map No. 1000 Section . .~. ~¢,..~ ....... Block .... .~. ........ Lot../'3 ..........
Subdivision .,,~-. ~-¢~. ~ap No. 7..~..'T..~./..¢. Lot No... ~ ........
Permit No.°'.~__ ~__.. Date of Permit .......... Applicant .K~/~..~Q~....~.~.,.. ~..T~'~ .~Z~/~...
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $.....~'.. ¢.~.~. ...................
Construction on above described building anK;~_~,/mee~all~es and regulations.
Applicant M.2% .~.~..~.: ~ .........
.... .... .... .....
TEST HOLE
,i
GROUND
SEWAGE DISPOSAL SYSTEM