HomeMy WebLinkAboutZ-10879FORM 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 .9.8.5. Orchard Street New Suffolk
House I~o: Street ................ Hamle~
County Tax Map No. 1000 Section . 1. .1.7 ........ Block ...0.5 ........... Lot 041
Subdivision..X ............................ Filed Map No...X ...... Lot No. X
Requirements for a private one-family dwelling built prior to
conforms substantially to the ~pl~eien,fee'~;dt~l~l~:t~e~R>T~=ffi~-~t:~~=
c., Certificate of Occupancy ~
.... ~. lp.P.~.l.. ~ ........ , 19 ~./pursuant to which Bttii~in~'Perrllit No ...... Z. ]. 9.8.1.9. .....
dated ..... ~.' .e .b.r.u.a..~.y.. 1. 6. .......... 19.8..2, 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, and two accessory' seasonal buildings,*and
a two car wooden garage.
The certificate is issued to Thelma Do0d
..................... ......................
of the aforesaid building.
Suf~Ik County Department of Health Approval n/r
UNDERWRITERS CERTIFICATE NO. n/r
*Each accessory rental building is a seasonal rental cottage, non-
conforming dwelling.
Building Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Orchard Street New Suffolk
(nu~nber & street) (Mu_uicipality)
X Map No. X Lot(s) x
Thelma Dodd
Thelma Dodd
Location 885
Subdivision
Name of Ovnaer(s)
Occupancy R-1
(type)
Admitted by: Mrs. Dodd
Key available
Source of request
owner
(owner-tenant)
Accompanied by: same
Suffolk Co. Tax No. 117-05-041
Date 10/20/81
DWELLING:
Type of construction
Foundation hollow tile
Total rooms, let. F1 6
Bathroom(s) 1
Porch, typ~ Deck,
wood framed #stories
Cellar partial Crawl space
2nd. F1 3 3rd. F1
Toilet room(e)
typ~ Patio, type
Breezeway. Garage Utility room x
kerosene
Type Heat soace heater Warm Air x Hotwater
Fireplace(s) NO. Exits 2 Airconditioning
Domestic hotwater yes ~ype heater ~as
Other
2
rest
ACCESSORY STRUCTURES:
Garage, type const. 2 car wood
Swimming pool
Other 2 seasonal non-conforming
Storage, type consto
Guest, type const.
dwellings--see attached
sheets
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
cellar no cellar doors III 52-30-C
kitchen kitchen floor & walls need repairing
badly III 52-32-C
stair up no rail & steps too high II 52-27-A,
roof leaks in several places III 52-31-C
ceilings holes in ceilings in various places thru-
out dwelling III 52-32-C
garage completely rotten III 52-30-A,
Remarks:
B
C
Curtis W. Horton Time start 9:15 end 10:15
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
Subdivision
Name of Owner(s)
Occupancy
(type)
Admitted by:
Key available
Source of request
(number & street)
Map No.
(Municipality)
Lot(s)
(owner-tenant)
Accompanied by:
Suffolk Co. Tax No.
Date
DWELLING: WEST RENTAL COTTAGE
Type of construction wood framed
Foundation piers~ cement block Cellar
Total rooms, 1st.
Bathroom(s) 1
Porch, type x
Breezeway.
Type Heat none
Fireplace(s)
Domestic hotwater
Other
F1
#sTories one
Crawl space
2 2nd. F1 3rd. F1
Toilet room(s)
Deck, typ~ Patio, type
Garage Utility room
Warm Air Hotwater
No. Exits 1 Airconditioning
Type heater
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
outside some of the sills are bad III 52-30-A
as stove no shut off V 52-52-E,
6
Remarks:
Inspected by:~ ~ .~ ~ .~-Date of. . J Insp. Oct. 30, 1981
Curtis W. Norton Time start 9:15 end 10:15
BUILDING DEPARTMENT
TO~ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
Subdivision
Name of Owner(s)
Occupancy
(type)
Admitted by:
Key available
Source of request
(number & street)
.Map No.
(Municipality)
Lot(s)
(owner-tenant)
Accompanied by:
Suffolk Co. Tax No.
Date
D~gLLING: EAST RENTAL COTTAGE
Type of construction wood framed
Foundation piers, cement block Cellar
Total rooms, let. F1 2 2nd. Fi
#stories one
Crawl space
5rd. F1
Bathroom(s) 1
Porch, type Deck, type
Breezeway. Garage
Type Heat none War~R Air
Fireplace(s) No. F~its
Domestic hotwater
Other
Toilet room(s)
Patio, type
Utility room
Hotwater
Airconditioning
Type heater
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type consto
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
no violations
Remarks:
Inspeoted
Curtis W.
Horton Time start 9:15 end 10:15
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.
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.
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.../'..~./..~...~./.~. ~. .....
New Building ............. O Id or P re-exist~ ~u i~{~^g~. ~/~j~.~. ~acant Land .............
Location of Property ...... ~.~.~. ...... ~ ~ .~....~--~./..~~
Owner or Owners of pHr°oU~l t~/O'' .... ~.~~ ....................
C ou nty Tax M ap N o. 1000 Section .... /. ! .~. ....... B lock ...... .~. ...... 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 meets all applicable codes and regulations.
Applicant. ~... ~ .......................
Rev. 10-10-78