HomeMy WebLinkAboutZ-9517TOWN OF SOUTHOLD
BUII~ING DEPARTMENT
Town Clerk's Ol~ice
$outhold, N. Y.
Certificate Of Occupnncy
No...Z.9.5. ~. 7 ..... Date ..Ma?, . . .8 ................... , 19.7..9.
THIS CERTIFIES that the building located at ...28.0....w.°.°.d..L..a~.e. ......... ~
Map No ............. Block No ........... Lot No ..................................
RE~U~S FOR ONE FAMILY DWELLING BUILT PRIOR
conforms substantially to the ......
TO CERTIFICATE OF OCCUPANCY
xdz~/ ...ApV.~.I.... 2.3 ....... , 19..5.7. pursuant to which:~l/~~No..Z95~7.
dated ...M.ay..8. .............. , 19..7.9., 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~.iva.t.e..One..Femily.. Dwelling ..................................
The certificate is issued to ........ ~r.,.A.:..C.a.v..a~..a.u.g..h ...............................
(owner, ~lt~:~:~lm~):x
of the aforesaid building.
Suffolk County Department of Health Approval ........... Pre.-Exis.ttng ...........
UNDERWRITERS CERTIFICATE No .................... PF.e.-.]~lL~.tl~g ..........
HOUSE NUMBER .... 2~0 ...... Street ........... ~o.o.d .L~e ....................
................................................. Gr.~enpor~,. New. York ........
.... ......
Building Inspector
County Tax Map Number
1000-043-0~-031
Location
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
280 Wood Lane
(number & street)
Subdivision
Name of Owner(s)
Occupancy
Admitted by:
R-1
(type)
Ellen Morgan
Map No.
J. A. Cavanaugh
Greenport, New York
(Municipality)
Lot(s)
Key available
Source of request Morgan & Fullan Ltd.
unoccupied
(owner-tenant)
Accompanied by: Ellen Morgan
Suffolk Co. Tax No. 1000-043-04-031
Date May 4, 1979
DWELLING:
Type of construction Wood framed
Foundation cement block Cellar
Total rooms, 1st. Fi 6 2nd. Fi
#stories one
Crawl space X
3rd. Fi
Bathroom(s) one
Porch, type
Breezeway
Type Heat cji
Toilet room(s)
Deck, type Patio, typq__
Garage~Utility room
Warm Air Hotwater X
Fireplace(s) No. Exits Airconditioning.
Domestic hotwater yes Type heater tankless
Other outside shower and attached tool shed.
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
NONE
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
Outside needs painting and caulking badly II 52-30 C
bedroom holes in the walls and floors
Kitchen ~a$ stove~ no shut off V 52-52 B-
Inside tile floors throughout house broken
and half out III 52-D2 A.
Front
Remarks:
Inspected by: ~vl~ ,~,~_Date of Insp. May 7. 1979
Curtis Horton Time start 2:10 end 2:30
FORM NO. 6
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 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.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty showing all properW 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 safeW 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 /-'iL / d ~ Y /~C~
New Building ............. Old_or P_reci[xisting Building ...~/.. ....... Vacant Land .............
, , I ~21 ~ -.~
Location of Property .... .V~J ~. C~' {~...~.~.~.~ j.. ~.~ I..,. ~..~ ..............
Owner or Owners of Pro~~ ~,~,5.~.S~et ~ Hamle,
ou. .x,a,,o.,00os.t,on .....
Subdivision ................................. Ma~ ~o ............... kot ~o ...............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate ....~. ·... .............
Fee Submitted $ ...... ~'~. , P..(-~. ..............
Construction on above described building and permit meets all applicable codes and regulations.
Applicant .... .'.'~.'.~.~..~. ,~"~"., .~..~ .'~.."~. ~..(~C! ("~...,1~..,~-~'~_ .........
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