HomeMy WebLinkAboutZ-10753FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
Z10753
Date ........ O.c..tg.b.e..r' .2.9. ............. 19 81
THIS CERTIFIES that the building ................................................
Location of Property 2100 Youngs Avenu, C~ient, New York
hJJs~ hal ....................... 's'~,¢~i .......................
County Tax Map No. 1000 Section .... 1.8. ......Block .... 2. .......... Lot 1
Subdivision ............................... Filed Map No ......... Lot No ..............
Requirements for a One Family Dwelling Built Prior to
conforms substantially to the Appli~et. ie~-~a~e-Buiklieg-Pen~t-heteeefo~e.f'fled-i~.h~is, off-~e.d~t~l-
April 23 57 ............. ~:_~ ~.O.l%t_3._f,;L_¢at~e~, of Occupancy Z10753
..................... , 19... ~,u**ua.[ t~,~,~.~am~r.e,~m~.~x~, .....................
dated .............. October ..29 ............. 19 .8.1, 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 .........
Private One Family Dwelltn~
The certificate is issued to Nancy R. Douglass & Elizabeth Block
..................... io¥,i~&~f,i~i~ .....................
of the aforesaid building.
Suffolk County Department of Health Approval N/I~
........ y~.~:.~.../../...~./c~: .~:.~.. 2..
Building Inspector
Rev. 1/81
BUILDING DEPART[{ENT
TO¥,~,~ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
Subdivision
2100 Youn~s Avenue
(number & street)
Map No.
Orient, New York
(Municipality)
Lot(s)
Name of O'~.mer(s) Nancy R.
0ccu~ancy R-1
(type)
Admitted by: Mr. Douglass
Douglass & Elizabeth Block
Unoccupied
( owner- tenant
'Accompanied by: Same
Key available
Suffolk Co. Tax No..18-2-1
Source of request Nancy R. Douglass.
Date 9/22/81
DYFELLING:
Type of construction
Foundation Poured Concrete
Total rooms, 1st. Fi 4
Bathroom(s) 2
Porch, typ~ Lge. Open por~ck,
Breezeway Garage
Woodd Framed #stories
Cellar~Crawl space
2nd. Fi 6 3rd. FI
Toilet room(s) 1
type Patio, typ~__
Utility room 1
2
Remt
?ype Heat Gas Warm Air x Hotwater
Fireplace(s) 1 No' Exits 3 Airconditioning
Domestic hotwater Yes Type heater G~s
Other Gas Wall Heater
ACCESSORY STRUCTURES:
Garage, type cons%.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIOL'S: Housing Code, Chapte. r 52
Location Description Art. Sec.
Bathroom Bath Floor III !~2-~2-D,.
Cellar C~llar steps have no rail and steps
to far apart II
Remarks:
Inspected by: ~ ~ ~-~.~. Date of Insp. September 23/81
Curtis W. Horton Time start2:~O end B:BO
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 $5.00
3. Copy of certificate of occupancy $1.00
............. r./. ....
New Building ............. 0 or Pre existing Building ...~.. Vacant Land
House ~o. Street Hamlet
Owner or Owners of Property ~.~. ~.. ~.. ~. ~.~..~. ~.Z ~Z~.. ~.~
Co~nt~*ax Ma~ ~o. ~000 Section .... /~ ...... Block ...... ~ ...... Cot..~. ~~
Subdivisio~, ¢~.~ .&, ~*~Filed Map No ........... Lot No.~ .~ef ~
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporar. y,~-,ate ..................... Final Certificate ~.~.:~. ~.-~..~"/..~-...
Fee Submitted $ .............................
Construction on above described building and per~it meets all ap~cab~ codes and regulations,
Applicant...
Rev, 10-10-78