HomeMy WebLinkAboutZ-9684FORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y..
Certificate Of Occupancy
No ..... Z968~ ....... Date .... Sep.~e~'~er..17 ................ 19.79
THIS CERTIFIES that the building ................................................
Location of Property .. }7.a.~..L.~.t.~;! ~. }l~k..aq~O/.7.0. $~hson ..~o~ .......
/~ou~e No.
County Tax Map No. 1000 Section ....1.0.} ..... Block ..... .1.0 ....... Lot .... ,1~ ..........
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the ' ~ -
Cez~ftoa~:e o~ 0ocupanoy
.. Ap~'~Z .2~ ......... ,19~7. Pursuant to which:~lJJlJJllll~lll~No ........ Z96~36, ........
dated ..... ~ ep.~.e~ber..'~? ......... 19.7.9, 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 .........
.................. 0~e .~'e_m~]~. D~.ell~Ln~ .......................................
The certificate is issued to .... SamueZ. DeSar~:o. i~..v/~', ...............................
(owner,
of the aforesaid buildins.
Suffolk County Department of Health Approval .............. .N/R ........................
UNDERWRITERS CI~RTIFICATI~ NO ...................... .~/R ........................
Re~ 4/'/g
Building-Inspector
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Cutchom~e
Location 3785 Little Neck Rd./70 Strohson Rd. (Municipality)
(number & street)
Subdivision Map No. Lot(s)
Name of Owner(s). Samuel DeSanto & wf.
Occupancy R - 1 Unoccupied
(type) (owner-tenant)
Admitted by: Mr. Sharp Accomp~uied by: Mr. Sharp
Key available Suffolk Co. Tax No.103-10-16
Source of request ~+~,,, .T ~? Date Sept. 15, 1979
D%fELLING:
Type of construction Wood framed #stories One
Foundation Cement b]oak Cellar Crawl space X
Total rooms, 1st. FI 5 2nd. Fi 3rd. Fi
Bathroom(s) Toilet room(s)
Porch, type Deck, typq Patio, type
Breezeway. Garage X Utility room X
Type Heat Oil-fired 'Warm Air Hotwater X
Fireplace(s). One No. Exits two Airconditioning
Domestic hotwater Yes Type heater Tankless
Other Small playhouse
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
.Location Description Art. Sec.
Kitchen Gas' stove no shut-off V 52-52 BT
Outside Door to crawl space rotten TTT 52-30 C
Outside Front step too high II ~2-27 A
Remarks:
¢ ~ ~/~ Date of Insp. Sept. 17, 1979
Inspected by: ~
Curtis ~orton ~ Time start 11:30 end 12:00
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.
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 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 informa-
tion 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 $1.00
$5.00
Date _~/~r ~, r' /--% / ~' ...~. ....
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
Locatio of P W ~--o~N~- ~/r;-/-~ /~/~,'/~ ~b~ ~'~o/~o~J ~b- (~-¢~'~d-~-¢
n roper , ,
House No.~'_ , ~ ~ StreetT- Ham/et
Owner or Owners of Property _j,~ ,, , c; ~ ~- ~- -~,~ -~ ,~
County Tax Map No. 1000 Section /o _~ Block /c~ Lot. ? ~:
Subdivision ................................. Filed Map No ........... Lot 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 $
/
Construction on above described building and permit,0:me,ts all~pi~able codes and regulations.
Applicant
Rev. 10-10-78