HomeMy WebLinkAboutZ-11250 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No..Z 1 1250 • ~ • ~ ~ ~ ~ ~ Date ....Ocx.ober..1.2 19 82.
THIS CERTIFIES that the buildings (2.).. • • • • . • . • .
Location of Property ..1.9.80 ~ ~ ~ ~ ~ • • • New . Buf.Folk • Road Cutcho~.ue
House No. Street Hamlet
County Tax Map No. 1000 Section . ~ O.q .......Block 05...........Lot ...0.1.8......... .
Subdivision X ...........................Filed Map No. . X......Lot No. .X .
Requirements for a private one-family dwelling built prior to
conforms substantially to the A~plicziic~-feF•Sai~diag;~eranit#Hereto€er®-f~leci~~il3iae€f3oa~daied
Certificate of Occupancy
....AprSl . 23• • • • • • , 1957. pursuant to which $ai~Clixg•Perwvit No. .21.125.0. • . • .
dated ....Octo.her..12 19 .82, 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. p.r.ivat.e .one.~fami.ly. dwelling.and .oae~-.car. accesaory. garage......
The certificate is issued to .....MargB.r,@t. P....la~.~.s14t' .
(owner, lesssanrteaansl
of the aforesaid building.
Suffolk County Department of Health Approval n/.a .
UNDERWRITERS CERTIFICATE NO............ n/.a .
Building Inspector
Rev. 7/81
_ _ i
BUILDI_`TG DEP:,RTPL~iT
TOP~i~T OF SOUTHOLD, N. Y.
HOUSIi7G CODE Ii~dSPEC^l ION REPORT
Location 1980 New Suffolk Rd. Cutchogue
~numoer & street Municipality)
Subdivision X Plap No. Lot(s)
Dtame of Owner(s) Margaret P. Eissler
Occupancy R-1 owner
type ovm er-tenant
Admitted by: Mrs. Eissler Accompanied by: same
Key available ` Suffolk Co. Tax No. 109-05-018
Source of request Abigail A. Wickham Date 10/5/82
D'.~IELLTNG
Type of construction wood framed #stories 2
Foundation poured cement Cellar oart.ialCraWl space rest
Total rooms, lst. Fl 3 2nd. F1 4 3rd. F1
Bathroom(s) 1 Toilet room(s) 1
Porch, type Deck, type Patio, type
Breezeway Garage Utility room
Type Heat oil fired ~darm Air central Hotwater
Fireplace(s) No. Exits 2 Airconditioning
Domestic hotwater ves Type heater- eas
Other coal stove
ACCESSORY STRUCTURES: storage
Garage, type const. one car & Storage, type const.
S~•~i•nming pool Guest, type const.
Other fenced in bar-be-que area
VIOLATIONS: Housing Code, Chapter 52
Location Description ~Art.~ Sec.
n as stove--no shut off V I52-52-B (2)
cellar no rail--cellar ste s III 52-27-B
cellar some floor joists rotten {1 I 12_30-A
Remarks•
Inspected by: ~ Date of Insp. 10/12/82
Curtis W. Horton 'Time Start~;?0 _end 2:35
FORM NO. E
i TOWN OF SOUTHOLD
Building Department
Town Hal'
Southold. N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
'~structions
A. This apoiication must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec
for with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property fines, streets, and unusual
natural or topographic feature
2. Final approval of Health Dept. of water supply ana sewerage disposal-(S-9 form or equali.
3. Approval of electrical instaliauon from Board of Fire Unaerwrrters
4. Commercial buildings, Industrial buildings- Multiple Resiaences and similar buildings and installa-
tions, acertificate of Cooe compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
l"J For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
hand uses:
1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or
topographicfeatures.
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 55.00
Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
/Date ......~8 ~Sl
gc~.-........ .
New Building Old or Pre-existing Building ?......n V/scant Land' - .
Location of Property': °.`!.....!~~.~U~~v~~..ti~.~ ~-G~!?aq(~; . N~. _
House No. ~ Sheet v ! Hamlet
Owner or Owners of Property ...m~!e<=.~. ~r ~ , E/SS.(_E~~..- .
CountyTax Map No. 1000 Section l0 9...... Block Lot...~~..........
Subdivision 6---~ ........Filed Map No. J ...Lot No.
Permit No. Date of Permit ..-....Ap licant .
~nfevzo~/ /LP/I7Or,~tcexo~ 19/oS'- .ono C~ D, /Le .
Health Dept. Approval ........................Labor Dept. proval
Underwriters Approval ........................Planning Board Approval .
Request for Temporary Certificate .....................Final Certificate .
S
Fee Submitted $
~?e-.eXi~
Con ruction on above described building and permitsaeexs all applicable codes and regulations.
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