HomeMy WebLinkAboutZ-10594 FORM N0.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
210594 Date Y.. 19.81
No........ , .Jul 22
THIS CERTIFIES that the building .
Location of Property ...18J 5..Pscnnic .Say . Boulevard ~ . Lsurel.e..Nex..York• .
House No. Street Hamlet
County Tax Map No. 1000 Section 12.? .Block g...........Lot ~p .
Subdivision ...Map oP Lauare~l~~Pmark . , , .Friled Map Nof. ? ~?1.~...~Lao~t~No. s[. 2
conforms substantially to theeRpp-Toabie*-}er8aoitlclda?g-~narex~if.~emriefdfe
a-t~Med~ikiaoF~ioe~a3ad=r to
,April 23 . , . , , , , 19 .`~?pursuant to w{f~~S~ti~S~~Dcupancy Z 10594
dated ,July 22 19 .8 ~ ,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
The certificate is issued to Jdilliam .J.. F.itEg,4rald..and. Jif .
(owner, lerme or tenant/ _
of the aforesaid building.
Suffolk County Department of Health Approval .......N,lR .
UNDERWRITERS CERTIFICA'T'E NON./.A .
~ ~
Building Inspector
Rev. 1/81
-
BUILDING DEPAF.Ti•1EI•IT
T01•.'I: OF SGUTHOLD, N. Y.
HOUSIA'G CODE INSPECTIOid REPORT
Location 1815 Peconic Ba Boulev r
nuWber & street I•iunicipality
Subdivision Map of Laurel Park Pfap No. Lo+_(s) ~
Name of O~m er(s) William J. Fitzgerald and Wf.
Occupancy R-1 Owner
type (owner-tenant
Admitted by: Mrs. Fitzgerald Accompanied by: Same
Key available Suffolk Co. Tax No. 127-8-1n
Source Of request William Wickham Date ,iuly 1'1r 1gft1
D',~ LI21G:
Type of construction W,,~~ nstories o~A
Founcation remAnt Rie~~ Cellarp.,~}. Crawl space Rest.
s-~-s~-az-
Total rooms, 1st. F1 ~ 2nd. F1 3rd. Fl
Bathrocm(s) 1 Toilet room(s)
Porch, type ~1ass.ed is Deck, type Patio, type
Breezeway Garage Utility room
T}~pe Heat Gas 'Aarm Air ~ Hotwater
Fireplace(s) No. Exits Airconditioning
Domestic ho t•;rater Yes Type heater Gas
Other
ACCESSORY STRUCTURES: NONE
Garage, type const. Storage, type const.
St:~imming pool Guest, type const.
Other
VIOLATIOI;S: Housing Code, Chapter 52
Loca~ion Description Art. Sec.
Kitchen Gas V 2- 2-B 2
headro II 2-2 A + B
Cellar One Floor foist has b Pn cut in half 52-30-A
Remarlts
Inspected. by:~,~,~„ Date of Insp. July 21 , 1981
• Time start 2:3o end 2:4n
Curtis W. Horton
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 equall.
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 July.13,,,1981,,,,,,,,,,
New Building .............Old or Pre-existing Building X....... Vacant Land .
Location of Propert~~! ~ Pecoru.c BaX Boulevards Laurel, New York
House No. Street Hamlet
Owner or Owners of Property ...Regana.C.,Fitzgerald,,,,,,,,,,,,,,
County Tax Map No. 1000 Section ...127.00, , , , , , Block .08.00, , , , , , , . , Lot , 010.000, , , , , , , ,
Subdivision.Map,of,Latsel, Park,,,,,,,,,,,,,,MapNo. .212,.,.,.,.,, LotNo. ?1............
Permit No. Date of Permit ..........Applicant .
Health Dept. Approval ........................Labor Dept. Approval ~
Underwriters Approval ........................Planning Board Approval ~fr1~
Request for Temporary Certificate .....................Final Certificate X..............~`~~I~~
Fee Submitted $ .5.00 ~G. I~
Construction on above described building and permit ee all a lic s d ulations. ~ ~~ff
WIC , .C. ~
Applicant ..............4.~
by Wil i Wi
Rev. 10-10-78
Mrs. Regina Fitzgerald: 298-9481
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