HomeMy WebLinkAboutZ-9714FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No.. 79714 ......... Date .. October .17 ................. 197)
.
THIS CERTIFIES that the building ................................................
Location of Property51100 Main Road Southold.House Alo. Street0702 07
Ham/et
County Tax Map No. 1000 Section ..... ......Block ....0........... Lot ...... ......... .
Subdivision ................ Filed Map No. ........ Lot No. .... . .
Reauirements for a one family dwelling built prior t
conforms substantially to the
Certificate of Occupancy 29714
...April... ........ , 195? . pursuant to which BVAMW61%Mt No . .....................
dated ... October 17 ... 19 ?9 , 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 .........
...................................... One . Family. Dwelling.................. .
The certificate is issued to .......Edward E. Goub and & wi .............................
(owner, l
of the aforesaid building.
Suffolk County Department of.Healthval................7�R................. ... .
ro
UNDERWRITERS CDOf IFIMATE NO ........................ .......................
......... .
Building Inspector
Rev 4/79
tnumber ac s•treezi kriunicipa-_lzy J
Subdivision Map No. Lot(s)
Name of Oimer(s) Edw. E. Goubeaud & wf.
Occupancy R - 1 Unoccupied
Admitted by. -Mary B, Pietrodangelo Accompanied by: Mary B. Pietrodanelo
Key available Suffolk Co. Tax No.1000-070-02-07=
Source of request Rudolph H. Bruer, Esq, Date Octo. 16, 1979
DWELLING
Type of construction Wood framed #stories 2 -
Foundation Fick & Cement block Cellar partial Crawl space rest
Total rooms, lst. Fl 5 2nd. Fl 3 3rd. Fl
Bathroom(s) 2 Toilet room(s)
Porch, type .Screened beck, type Patio, type
Breezeway Garage Utility room
Type Heat Oil fired `Warm Air Hotwater X
Fireplace(s) 2 No. Exits 3 Airconditioning
_ Domestic hotwater Yes Type heater Tankless
Other
ACCESSORY STRUCTURES:
Garage, type const-. *2 car Storage, type const. '
Swimming pool Guest, type const.
X&K *B.P. #7838Z C 0 Z6503
VIOLATIONS: Housing Code, Chapter 52
Location
Description
Art.
Sec.
Cellar
Steps - steep & narrow
II
52-27-A
Remarks:
Inspected by: C2LJ-4;�4Date of Insp. October 16, 1979
Curtis Horton Time startend 415
s
TOWN OF SOUTHOLD
Pudding Dolimrtment
Town Clerks Office
Southold, N. Y. 11971
APPLICATION GOES CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building
Inspector 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
installations, 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 property 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 in-
formation 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 .....October 16,8,,.1979 ,
New Building .................... Old or Pre-existing Building ......X................... Vacant Land ............................
Location Of Property ..... S..&-AiA... ............................
Owner Or Owners Of Property ........ Mary ..RIVI/..q...mr.y... BA ... )?.j,etxQA X.ICif Q..
Subdivision................................................................ Lot No............. Block No............. House No.............
Permit No ..................... Date Of Permit ....................Applicant ..............
HealthDept. Approval ............................................Labor Dept. Approval ................................................
Underwriters Approval .............................................. Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate ..........X. ............................
Fee Submitted $.6...Q.O.........................
Construction on above described building d er ry�et al a Ii b odes and regulations.
Applicant .... ...
P H. ruer,or Mary���-etrodange,�o
Sworn to before me this ��
16th day of ...... Octok�ero 1979.......
,, ,_ ,Sk
Notary Public .. ...uffol................. Count
BEMS L. AUSTIN
` OTARY PUBLIC, State of New York
No. 3203050
Qualified in Suffulk County
Commission Expires March 30, 1981
(stamp or seal)
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.� TOWN OF SOUTHOLD PKOPERTY RECORD CARD r , F,.
OWNER
STREET
VILLAGE
DISTRICT
SUB.
LOT
a,cr,ir,�r,•'LJ '^`-�i^'V(,,../1.( (" u A
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FORMER OWNER
E
ACREAGE
?
S
W
I
TYPE OF BUILDING
C • `
RES.
SFAS.
VL.
FARM
COMM.
+ IND.
( CB.
I MISC.
I Est. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS r
n
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4z .7 O V
1 -,57-/-40 &''`
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C)
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE
FRONTAGE ON WATER
Farm
Tillable 1
Tillable
Acre
Value Per Acre
Value
FRONTAGE ON ROAD G x 33 U � � � 2 -
BULKHEAD
Tillable 2
DOCK
Tillable 3
Woodland
Swampland
Brushland
House Plot
Tota