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Home My WebLink AboutZ-9725FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. Z9725 Date October 2~ ................................. 19 79 THIS CERTIFIES that the building ................................................ 665 Bayview Drive ' East Marion Location of Property//j~ Ho: ....................... ~i ....................... h~ii County Tax Map No. 1000 Section 037 .Block 0q .Lot 020 aardiners Bay Estates ~a.a uo. ~ 275 ~, ~ 91 Subdivision ............... ; ..................... ~ ......................... I~-' ~" Requirements for a one family dwelling built orio t conforms substantially to the Cer~ificat of Occu~ncy Z9725 A~ril 2~ 19.57. pursuant to which ~ ..................... dated October ~ 197..q. , was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... One F~mily Dwelling The certificate is issued to George Cordes .... of the aforesaid building. Suffolk County Department of Health Approval ................ ~/.R. ....................... UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Re~ BUILDING DEPARTmeNT TO%'~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Locatio~ 665 Bayview Drive (number & street) Subdivisioq Gardiners Bay~Estates Map No. East Marion (Municipality) 2?9 Lot(s). 91 Name of O~ner(s) George Cordes Occupancy R - 1 (type) Admitted by: Self Mike Key available Constantopoulos (owner-tenant) Accompanied bY: Self · Suffolk Co. Tax No. 037-01-0~0. Source of request~Rud°lph H. Bruer Attorney-at-Law Date Oct. 22, 1979 D%,~ELLING: Type of construction Wood framed ~sTories FoundatiOn. Cement block ' Cellar partia%Orawl spac~ rest · Total rooms, let. F1 '4 2nd. F1 .3rd. F1 Toilet room(s) Bathroom(s) .. Porchl type Enclosed Deck, type ..~atio, type. Breezeway Garage Utility room TyPe Heat Oil fired 'Warm Air Hot~;ater X Fireplace(s) I No. Exits 2 AirconditioninK Domestic hotwater Yes Type heater Tankless Othe~ ACCESSORY STRUCTURES: NONE Garage, type const. Swimming poo~ Othe~ Storage, type const.. ..~uest, type"const. VIOLATIONS: Housing Code, Chapter 52 .Location · Description Art. Sec. Outside /Sidewall shingles broken III 52-30'C Outside Needs painting badly III 52-31-B Kitchen Gas stove - no shut off V 52,52B-E Outside Frame& door located sto~age room III 52-~I-B rear of house needs repairing Remarks: Inspected by: ~"~,...~.,~'-~ . ~..~ Date of Insp. Oetober 23, 1979 ~- Curtis ~r~on Time startI0:15 end 11:00 APPLiCAT~Ot~ FOR CE[~TIFICATE OF OCCUPANCY A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector 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 installations, 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" lend uses: 1. Accurate survey of property 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 in- formation required to prepare a certificate. C. Fees: 1. CerLificate of occupancy $6.00 2. Cer[ificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5,00 Dote ....0. ....... New Building .................... Old or Pre-existing Building ....... ~' .................. Vacant Land ............................ Location Of Property ........ [~9..~'~.9~.~.~.]~Q~.~.~.~.~..~.~$~.e.~r..~y~.~.~.~.~.~ ............................ Owner Or Owners Of Property ....~..~..Sgern T.o~g Ts].~m.d ~os~±t.~.Z....~..s..s..o..q~A.'g..i...o.~.~...~..n.g..: ...... Subdivision ..G.~'.~i~.~.~...~A~..~.~..f~.'¢...e.D ......... Lot No ...... ~.,1,... Block No ............. House No ............. Permit No .......... : .......... Date Of Permit .................... Applicant ...~.t.~.:..~..'.....~..°..~J~..i-.~..~...]:.!....~..~..a..: ............. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ....... ~ ............................... Fee Submitted $ ...~.~.O.Q ........................ Construdtion on. above described building~~/m~~/~/x~/~, rzlations. Applicant .~....~,t~z.,~~..':.._..~...~,.-~:.......'-,,m ................. ~-~t~~sland Hospital, Inc., by Sworn to before me this Rutlolph H. Bruer, Attosney MAR~ DIANA FOSTER NOTARY PUBLIC, State of New Yo~ NO. 52 q,6.%~242, Suffolk County Commission ~xpires March 30, 1~ (stamp or seal)