Loading...
HomeMy WebLinkAboutZ-10614FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy [10614 ~o .................. Date August 3 19 81 THIS CERTIFIES that the building ................................................ Location of Property .... 7..5. .0. ~.~. 1..1.o.w..T..e .r.r.a.e..e..L.a.n. ?: ........ 0. r..t.e.n.~. ~...lq.~.w...Y.o.r.k. .... House No. Street Ham/et County Tax Map No. 1000 Section 026 .Block 02 ..... Lot 19 & 20 Described Property and Subdivision... }/£11ow..Terr&ce ........... Filed Map No ......... Lot No .............. re u re ants for a one family dwelling built vrior to conforms substantially to ~t~e~ [~lS~c~Vil~iI'TGt' BOffdlffg' ?~rTn'tt' 7i~r~t'oTGr~'ffl~d' Tff't~F Brffc~'d~t'ex~"- April 23 5? Certificate of OccupancYZl0614 ..................... , 19... pursuant to which B~T~ffg'ge~hR-~-. .................... August 3 81 dated ............................ 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 ......... Private One-Family Dwelling with Accessory (2 Car Garage, Storgge Shed · '&fi~t' 'S~I'I: 'B~a~'cfl~' Hb'~l~e ~ '. ................................................... 'Robert J. Douglass The certificate is issued .to ........................................................... (ownee, s~m,e~,.taea,w)-- - of the aforesaid building. N/R Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO. N/R Building Inspector Rev. 1/81 TO .... OF SOUTHOLD~ N. Y. Lo~on Desc.~bed Subdivision 750 Wi~]ow Terr~c~ ~number & s~ree~) Property and Willow Terr~a~ Map No. Orient, New York (Municipality) Lot(s) ' Name of O;.mer(s) Robert J. Douglass OccuDancy Adm. itted by: Key available Source of request R-1 Owner ( type ) ( owner-ten~,t ) Robert Douglas Accompanied by: Suffolk Co. Tax No. ©26-02-]9 & 20 Richard F. La'~k Date 6/23/81 D'.'~.LING: Type of construction Wood #stories 2 Foundation Poured Cement Cellar Full Crawl space Total rooms, 1st. Fi ~ 2nd. FI 3 3rd. FI Bathrocm(s) 2 Toilet room(s) Porch, type 2-Glassed in Deck, type Patio, type Breezeway Garage _~t~_~-o~_z~ Pantry Ro~m ~ype Heat 0il Fired Warm Air _~_T~.za~__ Steam Fireplace(s) x No. Exits Airconditioning Domestic hotwater Yes Type heater Tankless Other 3 Finished rooms cellar ACCESSORY ..... m · with/attached storage shed Garage, type const.2 Car Storage, type const. Swirl-ming pool Guest, type const. Other Small Beach House leading to dock. VIOLATIC, L~S: Housing Code, Chapter 52 Location Description Art Sec. Outside Needs Painting Badly III 52-31,B Porch Floor needs repairing III 52X32-A Storage ~ ~ed Floor bad III 52-32-A Remarks: -Curtis W Horton T~mo start9:20 -::~ '~ 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 safeW 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 June 23, 1981 New Building ............. Old or Pre-existing Building .... .X ....... Vacant Land ............. Location of Property ...... .Wj=l..1.o.~..T.e..r.r.a.c..e..L.a.n..e ....................... .O.r.i.e.n..t ........ House No. Street Ham/et Owner or Owners of Property Robert J. Douglass County Tax Map No. 1000 Section 026 Block 02 Lot 19 & 20 Subdivision ............. L.~?..,. .... :...'.:: .... Filed Map No~. ~. ~..7...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 ...... .X. ............. Fee Submitted $ .5.: O..0 ........................ Construction on above described building and perr~pt/~ all ~pt~i~le_~e%and regulations~ A ppl i cant ~.. ~/. '/, .~.,, .~. ,~, -- ,ev. 10-10-78 'A~I'~(~'~'.' '~ar]~, ' ~t~c~'~b~: '~)~'