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Home My WebLink AboutZ-12938 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY Certificate Of Occupancy No. Z1298 Date October 29 1984. THIS CERTIFIES that the building One family dwelling Location of Property 50930 Main Road Southold House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 02 Lot 0 9 Subdivision Filed Map No. Lot No. Requirements for a private one-family dwelling built prior conforms substantially to the AppjkatkmxtexBonin)Pgnia l it ieexawl741i t)tit afblarxeuttI to April 23 57 Certificate of Occupancy , 19 . . . pursuant to which}Bg1ilglinfr1AS41cNix #Z6.0.08. . dated July 19 19 7.4 , 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 John Mavrovic (owner,}{q xgr of the aforesaid building. • Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO N/A Also Building Permit #7749Z with . a C . O . #Z6545 dated 6/20/75 this is for an accessory building , this is not to be used as separate dwelling unit and to have no cooking facilities . Building Inspec or Rev.1/81 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 piiee+e 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling / land use --Pre-Exis ting C . O. $15 . 00 3. Copy of certificate of occupancy $1.00 1111 Vacant land C . O . $ 5 . 00 Date a'ev " ey New Building Old or Pre-existing Building Vacant Land Location of Property 50 130 P,4�N `' ` 4 0% 1114( House No. Street Hamlet Owner or Owners of Property 3o1N 1417-0 c-. County Tax Map No. 1000 Section X KA Block . XX h Lot . . X X A' Subdivision Filed Map No. Lot No. Permit No. Date of Permit ,f0.0 0. Applicant . . . . .1 OMAI. . l 41(2414 C. Health Dept. Approval Labor Dept. Approval Underwriters Approval Planning Board Approval Request for Temporary Certificate Final Certificate Intl/ Fee Submitted $ � Construction on above described building and per it meet all applicable codes and regulations. 30VALoZ�2'3g 2-14°51.20 00 � Applicant . . i . . . . . . . . . . Rev.10-10-78 1111 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy Z6008 July19 10+. No. Date 9. . MTHIS CERTIFIES that the building located at Els Road Street Map No. Xx7c Block No. =X Lot Nom Southold, N.Y. a 7 • • . t ' ' s1 • • • • Ho conforms substantially to th• **,i4+ _° Y : . ' ! 'E' '4'• ; ';+_. r '• !r'l t4`' ;tr le.-1' '4'.f'e _ ;444r". code built before Apr 23 57 f oZCcupaney dated , 19. . . . pursuant to which No.2 .E7 dated July 19 , 19? . ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is N.C.)One family dwelling The certificate is issued to DeWitt & Mary Guilbert Owners (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval per" existing UNDERWRITERS CERTIFICATE No. . r.. . existing HOUSE NUMBER 50930 Street Main Rd (old #+8880) /Lock.. ,Q, 7.-----CA-A-• Building Inspectoi FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office 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 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 / L` Date f /�- 7 J New Building Addition �t Old or Pre-existing Building Vacant Land /`�� Location Of Property . m/Rif ,JJ V7'74&)L /Vl //, 7 / Owner Or Owners Of Property .. k (4, rr- — 'A/l)7 61 f//< /3 C / f Subdivision Lot No. Block No. X House No titery Permit No. Date Of Permit Applicant 7 Health Dept. Approval [� Labor Dept. Approval Y. Underwriters Approval7'12 Planning Board Approval /A-/r Request For Temporary Certificate Final Certificate Fee Submitted $ Construction on above described building and rmit meets/752H appli ble codes and regulations. Applicant Sworn tobeforeme t 0 y � 0 7 y F "'ay of ( 41 (stam or seal) �00 Notary Publi County � ' y�ss io �' T� of �tJ.Y 0omm. EJ1A' 3/3 o/7!v / , inspection report, July 19, 1974 # 50930 (revised#) Main Road, Southold, N .Y. Tax Roll: DeWttt Guilbert & Wife , owners Upon receipt off application for pre-existing certificate of occupancy I made an inspection of this one and one half story framed dwelling and found the following violations of Chapter fifty two ( 52) Housing code of the Town of Southold. I was admitted by Mrs Guilbert and was accompanied by Mr Guilbert and Mr. J. Baker on the inspection which was begun about 9:05 AM. The first floor consists of front enterance vestibule, utility room, dining room, living room, full bath room, kitchen and enclosed rear porch, access to partial cellar through trap door in porch floor. 1 . Living room: Lamp cord outlets on north wall baseboard Art V Sec 53-56 Al 2. Rear porch: no means oflight controll at point of entry " " 52-56 B' 3. Cellar(partial) : water pump electrical connection & hookup needs junction box & connected to pressure switch wnclosed If " 52-56 Al 4. Second floor consists of four rooms, three used as sleeping quarters and one storage room. 5. Storage room: lamp cord outlet " " 52-56 Al 6. Bedroom on north west used as access to bedroom on N/East " " 52-24 D2 Heat is furnished to all rooms from gas fired hot water heater in utility room. Exterioft and open space are in good condition Inspection completed about 9:30 A.M. Respect, submitted Or �'�l� WI / , G-46.i Edward inierman Housing & Bldg Inspector