HomeMy WebLinkAboutZ-10933FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No..z30.~32,. ' Date ......... Apr£1 ?...,. ............. 19E2.
THIS CERTIFIES that the buildings.. 13.)... ........................................
Location of Property . 5.1.435 ............ ,~ia J, ~. ;~Q a 0 ,..d ~ ~ .i.e.. 8 ~ .... ~ 5.. ~.q U .~ b.q ], cl...
House No. Street Ham/et
County Tax Map No. 1000 Section ...0.~.9 ...... Block .. D~3. .......... Lot .. ~.~.~. ...........
Subdivision... ~L .......................... Filed Map Ho....~. .... Lot No..~ ...........
Requirements for a private one-family dwelling built prior
conforms substantially to the Aial~goafie~ ~f~-~u~kLita~. ~m~t-heret~-~re-f'ded-/~- t4~is- off'we -dated
Certificate of Occupancy
· .~.Q.. g. gr. ~_ J...~3 ..... , 195 )~'. pursuant to which Befldi~g-RermR No ....... ~.1.Q~3 ........
.dated ..... g pr.i l. 7 ............... 19. ? ~o, 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. przL~a ge..cne.-~.av~ilj.. Ow~.l!ing .,~nd..%,gO. ~qG~.qr.y.D.t.r. ug.t.u.r. 9 .s..' .......
The certificate is issued to ...... ~.~ .a r.q I. ~. 3% ....G .o.e.d. o..n,..( .[~s..~ ~ .~.e.. 9 .f.) ...................
(owner, ~e~eee.~ eeaa~)
of the aforesaid building.
Suffolk County Department of Health Approval ....... ¢/?. ...............................
UNDERWRITERS CERTIFICATE NO ............... ¢/?. ...............................
Building Inspector
Rev. 1/81
BUILDING DEPARTMENT
T0~ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 51435 Main Road, State Rd. 25
(number & street)
Subdivision X Map No.
Southold
(Municipality)
Lot(s) X
Name of Owner(s) Harold E. Gordon Estate
Occupancy R-1
(type)
Admitted by: R.G. Terry Jr.
unoccupied
(owner-tenant)
.~Accompa~ied by: same
Key available
Suffolk Co. Tax No. 069-03-006
Source of request Russell E. Mann
Date Mar. 22, 1982
DWELLING:
Type of construction
Foundation brick
Total rooms, 1st. F1
wood framed
#stories 2
rest
Cellar partial Crawl space
2nd. FI 3 3rd. Fi
Bathroom(s) 1 Toilet room(s) 1
Porch, type glassed in,w°~xo~ type wood
Breezeway Garage roof-over
Type Heat oil fired Warm Air
Fireplace(s) No. Exits 2
Domestic hotwater yes Type heater tankless
Other second kitchen, rear stairs, open brick well
Patio, type
Utility room ×
%~~ steam
Airconditionin~
ACCESSORY STRUCTURES:
Garage, type const. 2 car wood
Swimming pool
Other 2 story barn
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
_Location Description Art, Sec.
'.gnt porch sills & deck bad III 52-30-A
~itchen no shut off - gas stove & heater V !52-52-2
~.~.r kitchen floor joists & sills bad III 52-31-A
bathroom floor not waterproof III 52-32-D
lar steps needs replacin$ III 52-30-A
utside %
inside needs p.~inting badly inside & outside III '52-31~ 32
barn &
garage both needs major repairs III 52-31-A
fr(
cel
Remarks:
Inspected by:~~,/~/~///~/~-~ Date of Insp. March 27, 1982
Curtis W. Hort~n Time start 9:~5 end 10:45
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-
tor with 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, a certificate 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.
Fees:
'1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
New Building ............. Old or Pre-existing Building ... ~ .... Vacant Land .............
Location of Property .......................... z'~.,~[/~ ~/ .... /~ .~.: ..... ~ ?. ¢..t..~.' .0. '.L.02~' y.
House No. Street Ham/et/[~ '7 I
Owner or Owners of Property ,f'~../~..~.O..L.,~.,.. '. ~...... ,..~.~./'~., .~.~..', .~..., .......................
County 'Fax Map No. 1000 Section g ~ Block 5 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 S
Constructio.n on above described building and permit meets all applicable codes and regulations.
Applicant .~....~.--. ..........~