HomeMy WebLinkAboutZ-10817 FORM N0.4
T01VN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
"Certificate. 'Of Occupancy
No.~79$.1T.......... :Date December.l~,,,,,,,,,,,,,19$~.
THIS CERTIFIES that the, buildings
:Locatlomo.f*Property ..6.9Y00... _ Main Road . . . . . . . Greenport
House No. Street Hamlet
County'Tax'Map'No: 1.000 Section . 0.4.5 .......Block A.~ .........Lot ...002. , , . , , _ .
Subdivision X ....................:.......Filed Map No. X..:..Lot No. X............ .
Requirements for a private one-family dwelling built
conforms substantially to the A}~~I+eeHarr€cx~Bnikline-Pemal-}tei~etvfore~rieti"irt•thiS~fftt'C't23it'd~
Certificate of Occupancy
.priox.. to. Apr, il..23 , 19 . 5.7pursuant to which BttiitTi'i7o'PCTmit No. 210817 , , . , , ,
dated A.e.CQ~per , 15.......... 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 .
.........a..Rr.lvr~t,e.9pe,f~mily,dwelling,with.two storage structures,
The certificate is issued to Nicholas Drossos
(owner, k~sec or tcnanT)
of the aforesaid building.
Suffolk County Department of Health Approval .
UNDERNRITERS CERTIFICATE NO . N /.R
Building Inspector
Rev. 1/81
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-
torwith 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, acertificate 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 $5.00
3. Copy of certificate of occupancy $1.00 c~
n Date .U J .
New Building .............Old or Pre-existing Bui'l~d/ifn~/g Vacant Land .
Location of Property ...G~7Od ~ Q~
House No. ~ / /n Street Hamlet
Owner or Owners of Property ~ ~ A:l~
.....f.............................
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 .
Request for Temporary Certificate .Final Certificate .
D
Fee Submitted $
Construction on above described building and rpti't-wfee all applicabl odes and regulations.
Applicant ~
JJ E^A P A ~ .a.. A 1 ~J, ~ E ~~0. ~ ~~g~~
r /2~r5 /~1, ~P~ ~
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BUZLDII•:G DE_pARTi?EIdT
TOti~JI7 OF SOUTHOLD, Z1. Y.
HOUSING CODE II7SPECTION REPORT
Location 69700 Main Road Greenport
(nuWber & street) Aiunicipality)
Subdivision X Map No•x Lo+.(s} x
Name Of 0~.'rier(s) Nicholas Drossos
OccupariCy R-1 unoccupied
typ e ( own er- t en ai,t
Admitted by: self Accompanied by: self
Key available Suffolk Co. Tax No. 045-05-002
Source of request Gary Planner Olsen Date 9/23/81
DYTEL.LITdG
Type of construction wood Framed rstories one
Foundation cement block Cellar Crawl space x
Total rooms, 1st. F1 4 2nd. F1 3rd. F1_
Bathrocm(s)_ 1 Toilet room(s)
Porch, type Deck, type Patio, type
Breezeway Garage Utility room
T)~pe Heat oil fired +Jarm Air X Hotwater
Fireplace(s) No. Faits 2 Airconditioning
Domestic hotwater yes Type heater electric
Other
ACCESSO?2Y STRUCTURES:
Garage, type const._ Storage, type const. 2__wood
Swimming pool Guest, type const.
Other
VIOLATIOPdS: Housing Code, Chapter 52
Loca~ion Description Art. Sec.
re of Ouse ste s need re airin III 52-31-1
bat r o ile walls need re airin III 52-32-D
missin and br kern III 2-31-B
Oil b r r no out ide vent too close to walls V G-1 & 2, F
stora e bld needs re airin badly III 52-30-A & C
Remarks:
Inspected by:~w~/!1/Date of Insp. 12/14/81
Curtis W. Horton Time Start .3:00 end 3