HomeMy WebLinkAboutZ-9455NO. ·
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificete Of Occupancy
~p No ............. BI~ No ........... ~t No.. ~ ...............................
co~o~ subs~U~y to ~e, E 0 F ~,Y ! .~. ~PR!0R TO
da~ ...}la.ah.. 6 ........... , 19 ~9 , was ~su~, ~d confo~ ~ ~ of ~e r~
men~ of ~e applicable pro.iota of ~e law. The occup~ for w~ ~ ce~ifica~ ~
(owner, ~~
of ~e ~o~s~d b~d~g.
S~o~ Cowry Deponent of He~ Approv~ ....... ~-~.lstin~ ..............
HOUSE E~.. ~aO ........ S~t ............ Oak. at~e~ .................
Cu~cho,T~ ,~,v York
Co, tory Tax Number
1000-1 ~6-01-046
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
Subdivision
450 Oak Street
(number & street)
Map No.
Cutchogue
(Municipality)
Lot(s)
Name of Owner(s)
Mrs. Gertrude Combs.
Occupancy
Admitted by:
R-1
(type)
Evelyn Combs
(owner,tenant)
Accompanied by: Evelyn Combs
Key available
Suffolk Co. Tax No.1000-136-01-046
Source of request Evelyn Combs
Date February 28, 1979
DWELLING:
Type of construction
Foundation
Total rooms,
Bathroom(s)
Porch, type
Breezeway.
Type Heat none
Fireplace(s) none
Domestic hotwater
Other
wood framed, stucco finish #stories
cement slab Cellar Crawl space
1st. F1 one 2nd. F1 3rd. F1
Toilet room(s) nne
Deck, type
Garage
Warm Air
No. Exits
none
one
Patio, type
Utility room
Hotwater
Airconditioning
.Type heater
ACCESSORY STRUCTURW-9:
Garage, type const.
Swimming pool
Other
NONE
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
i.himney Has large crack III ~2.M2 B
lath No hot or co%d runnin~ water V 62.51. '
[it~hen ,, ,, ,, ,, ,, V ~2,51.
,D1
Remarks: Pre-Existing building,non,-habitable
Inspected by: Curtis Horton
Date of Insp. February 28,
Time start 3:20 end 3:~5
1979
FORM NO. 6
TOWN OF SOUTHOLD
Building Depl~ t,,~nt
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 In~pac-
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 disposel-(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 end installa-
tions, a certificate of Code compliance from the Architect or Engineer re~on$ible 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 "pra-existing"
land uses:
1. Accurate survey of paoperty 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 in~oection 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-existingdwelling or lend use $5.00
3. Copy of certificate of occupancy $1.00 -
ate. ?. 7.
New Building ............. Old or Pre-existing Building ..~. ...... . Vacant Land ........... . .
L°cation of Property ~u'~' ' ' '~' ' '~' ' ' ' '~'"~ ' ' ' ~~'~'~' '~' ...... ~/~/'e~'
Owner or Owners of Property . . .~..~.~ ................................
County Tax Map No. 1000 Section .. ,/. ~.~. ....... Block ...O./. ......... Lot ..... O..~.~ .....
Subdivision ................................. Map ,o.. ~ .Q~.~ ....... Lot No..~. ~'.~. ~.../...
PermitNo ......... DateofPermit Applicant ~ ~-~~.~
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $...~.'. .......................
Construction on above described building and permit meets all applicable codes and regulations.
R~. 10-10-78