HomeMy WebLinkAboutZ-9987 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No.....Z.9987........ Date ..........June 18 19.80
THIS CERTIFIES that the building .
Location of Property ....9705 North Road to Bayview Southold
NouseNo. ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Street ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Hamlet
County Tax Map No. 1000 Section ....79......Block ......5........Lot .......20.1
Subdivision ...............................Filed Map No. ........Lot No. .
Requirements Por a one-Yamilp dwelling built prior to
conforms substantially to ihe-Apglicatic~t~€or-BailFl~ii~-Perukerete£cne-f`>}ee~-irrt-]ris-effree~dated
Certificate oY Occupancy
. , . Apx'i1, 23 , , , . _ , 19`~?. pursuant to wIYC]iSuikling-P.euuit.Alo. ......Z•99£~7......... .
dated ~?z. ~ $ .............19.80, 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 .
Px1v.~'Le. G?3~-~'emiiy, Dwelling .
The certificate is issued to . GeOrgP..P.. AUZIr;I. & .0~'8............ .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval NCR
UNDERWRITERS CERTIFICATE NO N~~............................ .
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1 //~~y j~ ~y~~~ ~(~d~~~y_ _ S ~ ~ ~ Building Inspector
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BUILDII~IG DE.~'~;1:Ti~.LItiT
TOWP1 OF SOUTHOLD, N. 1'.
HOUSING CODE IPISPECTION REPORT
Location 9705 North Road to Bayview Southold
number & street Municipality
Subdivision Map No. Lot(s)
Name of Owner(s) George P. Dunn & Ors.- "8 Owners"
Occupancy R-~ Unoccupied
type owner-tenant
Admitted by: Self Accompanied by: Self
Key available Albertsons Realty Suffolk Co. Tax No. 79-5-20.1
Source of request Michael N. Hills Date June'~13,1980
DWELLING:
Type of construction Wood framed #~stories lt'
Foundation Cement Block Cellar Full Crawl space
Total rooms, 1st. F1 Four 2nd. F1 Two 3rd. Fl
Bathroom(s) One Toilet room(s)
Porch, type Deck, type Patio, type
Breezeway Garage Utility room
Type Hea-~il Fired Warm Air Hatwater- Steam
Fireplace(s) No. Exits Two Airconditioning
Domestic hotwater Yes Type heater Tankless
Other
ACCESSORY STRUCTURES:
Garage, type const.Wood, One Car Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location Descri tion Art. Sec.
Kitchen Gas Stove no Shut Off V 52-52 E6
Outside Rotten Under Front Door Sill III 52-31-8
Outside Some windows Rotten ~ III 52-31-B
Remarks
Inspected by: `cif n~ti~sy,-Date of Insp._6/16/80
Curtis Horton T.iTrie start 11:00 end 1L•20A.M.
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-IS-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
Date E~I~~FJ .
New Building .............Old orPre-existing BuildinJg nVacant Land .
Location of Property /U: ,~AyaiecJ /?c1.... , _ ; Sdv1~o/cY• .
House No. Street Hamlet
2->}~rtio,~D ~e~;rs;>ep d(rPoe~e P.~~ 1 u~IR~p
Owner or Owners of Property .
County Tax Map No. 1000 Section . Block f.... 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 $ ..'.l .
Construction on above described building and permit meets al/~l~/a~pp~licable codes an~ul~~ti~ons~
Rev. 10-10.78
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