HomeMy WebLinkAboutZ-10727FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Buildin§ Inspector
Town Hall
Sou(hold, N.Y.
Certificate Of Occupancy
No. 7-10727 Date October 13 .,]9.8.1.
TH[SCERT[FIES that the, building .......................... · ......................
flouse No. Street Hamle~
County'Tax 'Map No. ] 000 Section . ) P.~ ....... ~lock .... 1.1 .......... lot .. ~ .............
SubdMsion .... ~F~..~F~.~ ........... Filed Map No.. ~.1.. :..Lot No .... ~ .........
Re~ui, remen%s ~or a ~ne Famtl~ D~l~n~.Bu~lt ~ri,or to
conforms substantially to t
..................... ee~ f e f 0 upancy Z .......
gpe~l 23 , 19~f. pursuant ~o wln~ ~m~ ....... J.q~?7.
dated ..... 9~.~?~..~¢ ........... 19.. ~,lwas issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
The certificate is issued to ...... ~.~. P.'.. ~¢F.EX. ~. ~.~t ............................
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval ...... ~ ~ ~ .................................
UNDERWRITERS CERTIFICATE NO .... 1~/.~ ..........................................
Buildin*/rt~pecto~' ' .......
Rev. 1/81
BUILDING DF-°ARTr'~ENT
T0%;T,~ OF SOUTHOLD, N. Y.
Location
Subdivision
HOUSING CODE INSPECTION REPORT
405 South Drive Mattituck, New York
{number & street) (Municipality)
Shore Acres ~ap No. 41 Lot(s)..
Name of Ov~er(s) Joseph O. Curry & Wf.
Occupancy R-1
(type)
Admitted by:
(owner-ten~'~t)
Accompanied by:,
Key available celic Agency
Suffolk Co. Tax No. 1.06-11'20
Source of request Daniel J. 0'Connell
Date Sept. 9/81
DVfELLING:
Type of construction
Foundation
Total rooms,
Bathroom(s)
Porch, type
Breezeway.
Type Heat Oil Fired
Fireplace(s). 2
Domestic hotwater
Other
Wood Framed
Cement Block
let. F1 6
Deck,
Garage
Warm Air
No. Exits
Cellar Pa.rtial Crawl
2nd. F1 1 3rd.
Toilet room(s)
type
3
#stories 2
space Rest
F1
Patio, type
Utility room
nu~er- Steam
Airconditionin~
Yes Type heater
ACCESSORY STRUCTURES:
Darage, type const. 0ne Car & Stg.storage, ~type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
..Location Description Art. Sec.
Kitchen Gas Stove no sh,~t Off. V ~2-~2-E6
Outside Cellar Door Needs
Storage DOOrs need raoairin~ ~n~ ~ ~ills
need
replacing III 152-31-B
Remarks:
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. Finat approval of Heatth 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 line~, 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.
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..~..~...~.... ?l../. ?...~./..
N B ildi Old g B ildi
ew u ng ............. or Pre-existinu ng ............ acan an .............
House No. Street Hamlet
Owner or Owners of Property , .~. ~-~/~C ~ ~- h-
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ............................. , ....
Health Dept. Approval ........................ Labor Dept. Approval ..................... ~.~
Underwriters Approval ........................ Planning Board Approval Cl"~ '
........ .......
Request for Temporary,,~,,_ ~'-~/~Certificate ..................... Final Certificate ..... . .~j'~....
Fee Submitted $ .............................
Construction on above described building and~Tit Tits all a~cable codes and regulations'
MAP