HomeMy WebLinkAboutZ-11296FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y,
Certificate Of Occupancy
Date ..... ~ .o.vg.m.b.e. r' .1.5. ............... 198..2.
THIS CERTIFIES that the building ................................................
Location of Property 22f~ Oak Street Cuthhogue
County Tax Map No. 1000 Section .1..3.b ........ Block ... 9J .......... Lot 051
Subdivision .... .~.u.ffe. n..e..H.e. ~.~.h.~ ........ ._.Filed Map Nou,. ~ ~x._..~.c~[~o856 , . ,. 9,10, 11
Requirements for a private one family dw,~,~'$~,,'pb'£6/"'t'6
conforms substantially to the A~ts~p~ic-a~i~nff~r~tffd-inff-~/ffi~-.hef~tfl~fe-f~d.~ff-d~%?ffCe-Wa~Fd
Certificate of Occupancy
~' Zl1296
.... .~.p .r.i.1..2..3 ........ , 19 ?. 7pursuant to which ~Bxlttd'illffl~etflttt No ......................
82
dated ............................ November 15 19..., 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 .........
a private one-family dwelling.
The certificateisissuedto J. EDWIN DINNER & MU}IIEL LOUISE SMITH
..................... ?o¥.'e;, ',~i.4~ '~ifft/ ......................
of the aforesaid building.
Suffolk County Department of Health Approval n/a
UNDERWRITERS CERTIFICATE NO .... n/a
Bt~ilding Inspector
Rev. 1/81
BUILDING DEPART~.~ENT
T0'~'~,[ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
~amOer
~ & s~r. eev)
Subdivision Map No.
0ccu~ancy ~ ~r~
- [type) U ~
Ad,,~ tt~cl '07' ~ ~
(Municipality
(owner-tenant)
Key available ~ ~ Suffolk Co.
Source of reques~ ~ ~ ~6/a%~k
D?~LLING:
Type of construction ~Oo~
Foundation ~~ Cellar ~
Total rooms, let. F1 ~ 2nd. F1 ~
Bathroom(s) ~ Toilet room(s)
Porch, type -.- Deck, type Patio, type
Breezeway ~-- Garage .... Utility room ~
~ype Heat o~ Warm Air Hotwater ~
Fireplace(s) ~ No. Exits ~ Airconditioning
Domestic hotwater ~ ~ype heater
Other
#stories
Crawl space.,
3rd. F1
ACCESSORY STRUCTURES:
Garage, type const.
Swim, ming pool
Other
Storage, type const. ~--
Guest, type const. ~
ViOLATiONS: Housing Code, Chapter 52
_Location
Description
Art. Sec.
Remarks:
Inspected by: .
Date of Insp.
-Time start
end
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 a6d 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 featu res.
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
New Building ............. Old or Pre-existing Building ....~. ....... Vacant Land .............
Location of Property . ~AO ................... p.a~..S.~'.e~,t. ............... .Cg..tz~?..o. 9-u..e' .....
House No. Street Hamlet
Owner or Owners of Property . .~.~ .2;c~4J¢...DL. qqe~...~D,d, ~q;r,~¢,t. ~p~,~F¢. Sf~Cp. ....................
County Tax Map No. 1000 Section ..... ],:~6...~q0. .... Block .... p,t, pp ...... Lot.. 0~:~, QQQ .......
Subdivision .~ j .%E.?¢. (~'4.0////~ ~
........ ~ ............ Filed Map No...8,5.6 ...... Lot No.. ~)¢.Z.0..&..Z.Z...
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,.0.0..y~. ..................... ~:)
Construction on above described building and p~/~~.,~bf?~es and ragu lations. ~.~.c..
A hc n " ""' ' "'' J'/OqR
,,~ 10,078 .pp'a t..~~~..~. .......................
Our best estimate is that the house was erected in the years betwe~,
_7--
1951 and 1953. Key .may be obtained at this office. ~ ~' ,_, ~ ~..-