HomeMy WebLinkAboutZ-10802 FORM N0.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
NON-HABITABLE
Certificate Cif Occupancy
No. ?,lOBD.2......... Date llecember.4..,,,,,,.„_.,19$?.
THIS CERTIFIES that the building s .
Location of Property .628.5 .............1`:ew,~uffoj.k, Road.,,,,.,,,.,New.Suffolk,
House No. Street Ham%t
County Tax Map No. 1000 Section ? ? 7. , , , , , .Block 05, , , , , , . , , ,fit , , .006
Subdivision XX .......................Filed Map No. .X......Lot No. ...X... .
Requirements for a private one-family dwelling built
conforms substantially to the ~4pplieelien-fer>>3eilding~Pernriti•ittrett>t'otz-Hted•YtTtMS~tf1~C"tIBTEC
Certificate of Occupancy Z10R02
p r i ox.. t 0 . l~R r ~ 1. t 3 , 19 .5 7 pursuant to which 'Efl3Tditlg PBr1hTt No . .
dated ....December. 4 . . . . . 19 fl? ,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 .
,private,one.-fa~i.ly.dWellingi accessory barn, chicken coop, small
wood privy.
The certificate is issued to ....estate, of Edna Foster
(owner, ~559EO?7enP1R)
of the aforesaid building.
Suffolk County Department of Health Approval / R
UNDERWRITERS CERTIFICATE NO ...............N/R
~~,o--~;~ . .
Building Inspector
Rev. 1/81
FORM N0.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No.Z115.1.?.......... Date ....March. ~ 19 8.3
THIS CERTIFIES that the buildings...(..4.),,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Location of Property .6285 . . . . . . .......New Suffolk Road New Suffolk
House No. Street ~ ~ ~ ~ ~ ~ ~ Hamlet
County Tax Map No. 1000 Section ~ ~.7........Block . 45............Lot 0,06. , , , , , , , .
Subdivision ........................Filed Map No. X.......Lot No. .X.......... .
Requirements for a private one-family dwelling built prior to
conforms substantially to the Ag~licatiort€or-B~rikltn~Perttl}t kereta€ore-f>;ecl-in-tlti~e€fieedated
Certificate of Occupancy
, A p r i 1 2 3 , , , . , . , 19 5 pursuant to which $mldi~Permit No. ?.1. ~ 5 ~ ? .
dated . Ma r c h..7 . , . , , . 19 $ 3. ,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 ..8 .
o,qe-far~i].y..dwell,ing, and_ accessory. buildings„(,acces,sory, barq chicken
coop, small wood privy). ~
The certificate is issued to ,?AUL. N]AFFE,I , .MEREDITH , R; , ,MAFFEI &
/owner, /essee~m tenanTl THEODORE M A F F E I
of the aforesaid building.
Suffolk County Department of Health Approval N / R. _ .
UNDERWRITERS CERTIFICATE NO .............N/. R................................. .
The non-habitable conditions of the pre-existing dwelling have
been corrected and the dwelling now is habitable.
~~-f....`.......:~............
Building Inspector
Rey. vet
~ ~O FORM NO. 8
o, f~, \ TOWN OF SOUTHOLD
r Building Department
Town Halt
® 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 i957j, 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 55.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
'ni/t~4'3- 3. Copy of certificate of occupancy 51.00 it
R.~-c se...a T/~.w7~ Date ~~i9~Fo2.
m~~ ltit,~u.e.~ vrla~
New Building .............Old or Pre-existing Building(X) . _.X _ s Vacant Land
Location of Property ; ..........................:.............C.....
House No. yYliu ~fi T - Street af~ Hamlet
Owner or Owners of Property ~;1 f' ~ a ~ j:.
County Tax Map No: 1000 Section Block Lot S° .
Subdivision .................................Filed Map No. ..........Lot No. .
Permit No. Date of Permit ..........Applicant .
Health Dept. Approval ........................Labor Dept. Approval .
UnderwritersApproval ........................Planning Board Approval ..................n •
Request for Temporary Certificate .....................Final Certificate . X.............. -
Fee Submitted 5 5.~ .
Construction on above described building
a~~rmitmeet~l appl{cabl~odes and regulations.
Applicant _ / .
Rav. 10~tOJ8 ~
i~--: ~~(_,1
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Tawn 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 on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Date
New Building .............Old or Pre-existing Building Va ant Land
s~ ~'1 ~/J
Location
o~ProperU/!4sGU , , ccTfr?Li~. ]~c(,~ . . . . . . . . ......./~CC~ <.S'Q~~~Q/~
House No. `'A /Srree~T Hamlet
Owner or Owners of Property .'4.'="r'!T.//. '7~T~:~..l~G~!'~`T~ QF~,
County Tax Map No. 1000 Section /!..C...... Block ...4/..~~ Lot ~ .
. IS
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 .
Ua
Fee Submitted $ , . , , , .
Construction on above described building a eets II appl' le c and egulations.
Pre.('0. ~1o86a(Non-fkb~`~bpPlic nt ~ '
iZl'+181 , Recap ~ 9So5" .
- . t
BUILDiI2G DEPP.RTi•1EIdT
T01~1I: OF SGUTHOLD, t1. Y.
1
HOUSING CObE IIISPECTION REPORT
LoCatlori 6285 New Suffolk Road New Suffolk
number & street Piunicipality
Subdivision x Map No. x Lot(s) x
Name o£ O~m er(s) Estate of Edna Foster
Occupancy R-1 unoccu Ted
type ( owner-tenat,t
Admitted by: Accompanied by:
Key available Celic Real Estate Suffolk CO. Tax NO. b000-117-05-006
Source o£ request Robert A Celic Date 11/30/81
D41EI,LIIIG
Type of construction wood framed #stories 3
Foundation brick Cellar~artialCrawl space
Total rooms, lst. F1 3 2nd. Fl 4 3rd. Fl 4
Bathro:,m(s) 1 Toilet room(s)
Porch, type wood roof overDeck, type x Patio, type
Breezeway Garage Utility rocm pantry
Type Heat kerosene soace~arm Air Hottvater
Fireplace(s) 2 No. Exits 5 Airconditioning
Domestic hotwater Type heater part of coal cook stove
Other
ACCES50RY STRUCTURES:
.Garage, type coast._ Storage, type coast. barn
x$V(Snffi>8z3Ilgxp~~:l chicken coop C~3~~St~x~}t'1p~, small wood privy
Other
VIOLATIONS: Housing Code, Chapter 52 .
Loca,ion Description Art. Sec.
roof leakin badl III 2-31-C
throu hout holes in the ceilin throught III 2-32-C
throu bout holes in the walls variou ace II 2- 2-C
first floor floors rotten III 52-30-A
throughout windows bad III 52-3i-B
inside heat is not sufficient to maintain temp-
erature of 70 de rees V 52-53-A-1
inside whin should be checked V 52-26-A-1
i s'de needs cleanin t ro o _ V --62-~
outbuildin needs vario re airs II _ 0_
Remarks: THIS DWELLING IS NON-HABITABLE UNTIL THE ABOVE VIOLATION.
ARE CORRECTED.
Inspected by: Date oi' Insp. 12/2/81
Curtis W. Horton Time Start 11:OOend 100