The URL can be used to link to this page

Home My WebLink AboutZ-12348FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z123.4.8 .......... Date March 13, 1984 19 THIS CERTIFIES that the building .P.r..e..E.x. Jr..~.i.n.g..B.u.J:. 1..d.i.n.q ...................... Location of Property i.C~Q L/~l~view Drive Peconic County Tax Map No. 1000 Section ~ $ ......... Block . . .3 ............ Lot 11 Subdivision ............................... Filed Map No ......... Lot No .............. ~. R~QU. IR.~MEN. TS FOR PRE-EXISTING BUILDINGS BUILT PRIOR conforms substantially to tne ~RRt~[~[~XX~X~gKRiI~jii~1XKii~/Sj~0~KXi~RtK~[t~ice dated 1957 ...................... 19... pursuant to which Building Permit No ...................... dated ............................ 19 .... 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-Rosi~ea~ia~-Agriculta~al .............................................. The certificate is issued to Heske~L .~.{,. Haddad ................ 't&;;.'O ...................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A Building Inspector BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location / ~ ~2 ~~~ ~ i ~~/~.z~z~ (numbe~ & street) / (MunicIpality)~ Subdivision Map No. Lot(s) (owner-tenant) Accompanied by: .~~ Key available Source of request Suffolk Co. T~ Mo. ~Y-_?-- / / DW~3.LING: Type of construction .~-~ ~ #stories / Fo~dation ~~/~~ Ce~tar~/Z'Crawl spaoe Total rooms, 1st. F1 ~- 2nd. F1 ? -- 3rd. F1 Bathroom(s) ~ Toilet room(s) Porch, type~F/~ Deck, type ~/~/~ Patio type Breezeway. Garage~,/Z~ Utility room Type Heat~9~/~ Warm Air . Y Hotwater Fireplace(s) ~ ~ No. Exits f Airconditionin~ Domestic hotwater ~ ~Type heater ACCESSORY STRUCTURES: Garage, type const./y.,,~//.~_~.~Storage, type const. Swi~ing pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. Remarks: 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. 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 --F~'e-Ex±st±ng C.0. $15.00 3. Copy of certificate of occupancy $1.00 Yacant land C.0. $ 5.00 New Building ............. Old or Pre-existing Building ....X. ....... Vacant Land ............. - /~ ~// Lakeview~ Drive, Location of t-roperty ............................ Peconic House No. ' ...................................... Street Ham/et Owner or Owners of Property Heskel H. Haddad County TaxMapNo. 1000Section 68 & 67 Block 3 11 & 1 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$ 15.00 Construction on above described building and permit meets all applicable codes and regulations. Applicant " ...... "'~'s~l' ~: ' ~k;::i'd~.a ......................... R~v. 10-10-78 HESKEL M. HADDAD CONSENT TO INSPECTION , the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) ~ the owner¢~) of the premises in the Town of Southold located a~akeview Drive, Peconic, New York · whici] is shox~m and designated on the Suffolk County tax map as District 1000, Section 68 , Block 3 , Lot 11 That the undersigned (has) Jda~ filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: __ Certificate of Pre-existing Use That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: March 12, 1984 \ L ~ .... ~ (signature) Heskel M. Haddad (print name) (si.ffnature) (print name)