HomeMy WebLinkAboutZ-10709 FORM N0.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
21 0709 , • . , Date ......Septamber..30 146.1. .
No...........
THIS CERTIFIES that the,Uuilding .
Location of Property ....?595 Sound Avenue and Bergen Avenue, Mattituck, N.Y.
...............................................••Hamlet
House No. Street 001
County Tax Map No. 1000 Section ..t.2 .......Block ..........Lot 003. _ , , , , , ,
Subdivision .................................Filed Map No. .....:..Lot No. .
Req it m nts f~r~[~e-esti g Agricultural, Buildings
conforms substantially to tie isa4iofr erldte o- rt~~ereketorcfifed ia-llvs-offioedalze}---
Built Prior to C r {~i~at of. ~cupancy 210709
.APT'.7,1 . 23........... , 19 5.7, pursuant towFt~~tr-l~mg~'enxtt .
dated September 30 _ , _ . , , , 19 $ ,was issued, and conforms to al] of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .
,Three. Farm Huildin s
...........Q
The certificate is issued to ....Rob,@Ct. F.nGenmana
(o wn a rX/gsAeX ~?c 9 F ~R p(X X
of the aforesaid building.
Suffolk County Department of Health Approval ......N/,R...•,,,,,,,,,,,,,,,,,,,,,,,,,,,,
UNDERWRITERS CERTIFICATE NO... N/R , • • _ • , , , , , , , , , , , , , ,
Building Inspector
Rev. 1/81
Location 2595 Sound Avenu~
rill~:,ber ~ StreB-C) ~r:'.,i:i.;!r:<;,-.~:~,
Subdivision Map No. Lo+.(s)
ivame pl u'.;ner~s/
Occupancy Residential and Agricultural
typ e ( own er- t en ai.t )
Admitted by: Accompanied by:
001
Key available Suffolk Co. Tax TJo. .120-02-003
Source Of request Robert Entenmann - Date June 5, 1981
~,g}~~x LARGE BARN
Type of construction wood rstories
Foundation Cellar Crawl space
Tctal rooms, lst. Fl 2nd. F1 3rd. F1
Bathroom(s) Toilet room(s)
Porch, type Deck, type Patio, type
Breezeway Garage Utility room
Type Heat 'rlarm Air F~otwater
Fireplace(s) No. Exits Airconditioning
Domestic hot•.•rater Type heater
Other
ACCESSORY STRUCTURES:
.Garage, type coast. Storage, type coast. wood
Swim.*~ing pool Gaest, type coast.
Other
VIOLATIO'dS: Housing Code, Chapter 52 •
Loca.ion Description Art. Sec.
Barn See Below
Small Sh d Needs to be rebuilt 52-30-A-C
Larger S ed Has fallen to the ground III 52-30-A-C
Remarks: Barn in process of being renovated.
Inspected by: ~.~~~~j~~ Date of Insp. July 23, 1981
Curtis w. Horton Tjme start2:00 end 2:30
_
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 onpre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Date ..JUne•5,,•,1981
New Building Old or Pre-existing Building . XX Vacant Land .
Location of Property ~n~°.'. y~. , , ,North Road & Bergen Avenue,..Matti~ucl~, , j~I~~,york
House No. Street Hamlet
Owner or Owners of Property Robert Entenmann (formerly Walter ,GatZ , JamQ$, F, , Neefus,
ppoot1 Jr.)
CountyTaxMapNo. t000Section ..12.4.00...... Block ..42.OA........ Lot..003.•SSS..
Subdivision .................................Filed Map No. ..........Lot No. .
Permii No. Date of Permit .........:Applicant .
Health Dept. Approval Labor Dept. Approval .
Underwriters Approval ........................Planning Board Approval ~ ' 1 ~9. .
1 .
Request for Temporary Certificate .....................Final Certificate . ,I, ~ .Ip ~
Fee Submitted $ . x.•.40 ~ ~ I~
Construction on above described building and p meets appli able codes and regulations. V
Applicant .
o ert Sn ~ n ann
Rev. 1040-78
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