HomeMy WebLinkAboutZ-9543FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
Date ...... .~.~..e. .... ~. ................. 19.. 79
THIS CERTIFIES that the building ................................................
. ...............
Location of Property $t3~,~ hi'o:?'~'''~'6'~ .......... ~ Street
County Tax Map No. 1000 Section .... .0.~ .... Block .... 02. ........ Lot ..... ~102 ........
Subdivision ...... .~OglOOgl~ ............... Filed Map No .... lOlaclgLot
No. · --mmamtx--
~bstanti~ly to ~e
.. ~ ..... ~D. ..... ,19 .~Tpursuant to w~oh~o ..... ZgD~D ..........
dated .... ~9 .... ~ .............. ]9 ~, was issued, and conforms to a~ of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
~uslneas Building (S~rvioe S~ation) & Aoces~ovy S'cvuc~ru~e (Repair 8hop)
Fred Cataldo & ors.
The certificate is issued to ..................... /o'~n~ ................................
of the aforesaid building.
Suffolk County Department of Health Approval ..........................................
UNDERWRITERS'CERTIFICATE NO. ~0-1~.8~.I~
......
Building Inspector
Rev 4/79
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTIONREPORT
Location 7Jo2~- /¢,,.q/x., ,,,~/~ c"~.e'z-,~,,./;:~/e? - ~
(number & street) ' (Municipality)
Subdivision ~ ~ap No. · , Lot(s)
Key available
Source request
Suffolk Co. Tax No./~
DWELLING: -- .5'~/CU/c,Z ...%'-/-.-~7-,,'o,,./
Type of construction
Foundation ~6~z~- ~ZO~/~ Cellar~c~F2
Fi~)
~ ~ 2nd. F1 --
Toilet room(s)
Deck, type.
Garage
Warm Air
No. Exits
~ .Type heater
Total rooms, 1st.
Bathroom(s) ~/~
Porch, typ~
Breezeway --
Type Heat 6~.~,,-.,,'~/~Z....
Fireplace(s)
Domestic hotwater
Other -~,~7/~
#stories
Crawl space/~
3rd. F1
-"~ Patio, typ~__
Utility room
Hotwater ~/~
lirconditioning --
ACCESSORY STRUCTURES: ~,cY ~,"oc~-
Garage, type const.~_~Storage, type const. ~-~¢~
Swimming pool ~ Guest, type const. ·
Other
~ /
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
Remarks:
Inspected by:
Date of Insp.
Time s~ar~
TOWN OF SOUTHOLD
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.
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.
C. 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-existino, Buildin ............ cant La d .............
Location of Property .~. ...................... : ...... ~..E~..~z..~.! .....................
Owner or Owners of Property . .~ ............ o'. ..................................
County Tax Map No. lO00Section ~..~. ~.~ff.~B~ock ... ,(~. ........ Lot..~ .... ~ ....
Subdivision ................................. Map No ............. -.Lot ~~ ~
........... Date of Permit .......... Applicant ~.~~~
Permit No
Reque~ for Temporary Certificate ..................... Final Ce~ificate ~ ...........
Construction on above de~ribed bu ,lding and ::W~~:~~:ions. Appl~ant ~~~ .............
/ /
NOZZO
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