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HomeMy WebLinkAboutZ-10522FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building ................................................ Location of Property ... 2/~0. Pa~.ad la.e. Shox:.e$. Rt~ad ~ ........ ~o~t ~,~c~ld~..1~, ~, ..... House No. Street Ham/et County Tax Map No. 1000 Section .... 80. ..... Block ......... 1 ..... Lot . .7.. ] ............ Subdivision ............................... Filed Map bio ......... Lot No .............. r i~eme ~ f. r' on -fa i 11 il lot ~o conforms substantially to the ~E/twa-~ ~u:~ ~m~ J~r~ i(~e~. ~.~.in ~.~..J~__ fi ate Occupanc.y. .......... ..... Apr~..L .23 ....... , 195.7.. pursuant to whici~tm.$e--t-~e.. ........ Z10522 dated ......... d.u~e. ~ ............ 19..8.~ 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 ......... Private One-family Dwelling The certificate is issued to ...... Alexander..~oud.ext ................................. (ownerJ~g or. tsIl~ot~__ of the aforesaid building. Suffolk County Department of Health Approval .... II/P. .................................. UNDERWRITERS CERTIFICATE NO ..... ~ / ~ .......................................... Building Inspector Rev. 1/81 BUILDING TO~',%' OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 2460 Paradise Shores Road, (number & street) Subdivision Map Ns_me of O%mer(s) Alexander Couden Southold, New York No. (Municipality) .Lot(s) Occupancy R-1 (type) Admitted by: Self Owner ( owner-ten~',t ) Accompanied by: Self Key available Key at site Suffolk Co. Tax No.8Q-1-7'1 Source of request Anthony B. Tohill Date May 15, 1981 DVP~[LING: Type of construction Wood Foundation Cement Block Total rooms, 1st. F1 Bathroom(s) 1 Porch, type Wood Breezeway ~,pe Heat Fireplace(s) Domestic hotwater Yes framed #stories One Cellar Partial Crawl space Rest 2nd. F1 3rd. F1 Toilet room(s) Deck, typ~ Patio, typ~__ Garage Utility room ~arm Air Central Hotwater No. Exits 2 Airconditioning Type heater Electric Other ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other NONE Sto~age, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. Outside Wood Gutters rear Of house and leaders pipe bad III . .5. 2-30C Kitchen Gas Stove no shut off V 52-52E6 ~Outside House needs painting , III 52-30C Remarks: Curtis W. Horton T~me start3:30 'end3:45 Q 0 :I: , o' TOOL.~2 Scale: 30'= t" FORM NO. 6 TOWN OF SOUTHOLD Buildi~ Depo~mu~. Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, in triplicate to the Building 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. Approva~ 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" land 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. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1o00 May 15, 1981 New Building .................... C~lcJsorZ~'e-exi~ting. BuiLding....Y~, ........... .~._. ...... Vacant Land ............................ ~,~'~; / Przva:e l{oa(~ wzth E/~ Locaton Of PFope'rty ......... ~.a~.diae..~k~r~,s..~qoad.,...~o~th~l~.~..~¥ .......................................... Owner Or Owners Of Property Alexander L. Couden Subdivision ................................................................ Lot No ............. Block No ............. House No ............. 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 $ ...5..:.9..0. ........................ Construction on above described building and permit meets all applicable codes and regulations. Applicant ................................... ~..'~.. ......................................................... Sworn to before me this Anthony B. Tohill, as agent · day of ......H...a...y. ....................... (stamp or seal) Notary Public ......... ..S..u...~.~.o..~ ~ .......... County