HomeMy WebLinkAboutZ-9713FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate O[ Occupancy
Date .... O..c~p?.e..r..1.~} ................. 19.77.
THIS CERTIFIES that the building ................................................
Location of Property 3545 Bayshore Road Greenport
Hou~o No. Street Ham/et
County Tax Map No. 1000 Section ....5.3. ...... Block ... 9.6. ......... rot ....... 9.9 ........
Subdivision..P. ?.~.O.n.i. ?. ~a.y'...E.s.~.a. ~.e.8. ...... Filed Map No.. ? ?.2.6...Lot No..5.~..~..5.9. ....
Requirements for a one family dwelling built prior
conforms substantially to the ' _ ' .~,~
,, ca+~e of Occupancy 7o,7n~
April 23 1~.7 '. , , ~C~.w~w~.' . ~..
.......... ~'. ......... , ... pursuant To whicn-mnmmga-ermn No ......................
dated October 16 197.9. 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 ~qel!ing
The certificate is issued to Arthur W. Harm, Jr.
of the aforesaid building.
Suffolk County Department of Health Approval
UNDERWRITERS CERTIFICATE NO. V,/7.
to
Building Inspector
Rev 4/79
BUILDING DEPARTMENT
TO%'~N OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 3345 BaYshore Road
(number & street)
SubdivisionPeconic Bay Estates
Map No.
Greenport
(Municipality)
1124 Lot(s) 58 & 59
Name of Owner(s) Arthur W. Hahn, Jr.
Occupancy R - 1
(type)
Admitted by: Mr. Hahn, III
unoccupied
~(owner-tenant)
Accompanied by: Mr. Hahn,-III
Key available
Suffolk Co. Tax No.1000-53-O6r09
Source of request~ Arthur W. Hahn, III
Date October 15, 1979
DWEllING:
Type of construction Wood framed #stories
FoundationCement block Cellarpartial Crawl space
Total rooms, 1st. F1 4 2nd. F1 3 3rd. F1
Bathroom(s) 2 Toilet room(s)
Porch, typeGlass enclosedDeck, type
Breezeway
'2 -Type Heat 0il fired
Fireplace(s) One
Domestic hotwater
Other
ACCESSORY STRUCTURES:
Garage, type const. 2 car/wood
Swimming pool
Other
Garage
'Warm Air nas
No. Exits 3
Yes
Patio, typ~
Utility room
Hotwater X
Airconditioning
Type heater Tankless
Storage, type conSt.
Guest, type"const.
VIOLATIONS:
Location
Kitchen
Housing Code, Chapter 52
Description
No shut off gas stove
two
rest.
Outside
Outside
Cellar door ~
Some wood posts/front porch
~Art. Sec.
V 52-52-B-~
TTT 52-~1-R
III 52-50-A
Remarks:
Inspected by:
Curtis Horton
Date of Insp. October 16. 1979
Time start 11:30 end 11:56
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 featu res.
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 featu res.
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
Date ..~...,~.../.~O~..~..~.. ......
New Bui d ng ...... ,~... Old or Pre-existing Building .... ~ Vacant Land
Location of Property ; ?¥.'.~. '~.~..~..~?..5./?..~.,~..~../??../. .... .~../~..~?,..//./.¥.~./~./.-~,~...,~',..¥ ...........
House No. Street , Ham/et
Owner or Owners of Property . /~/? '7'?? ~-~//2 ~ ///~/_?,/j/~
County Tax Map No. 1000 Section ...... .~. -~- .... Block ....... .~. ...... Lot .... ~;~. ..........
Subdivision...2,.. /~.'~.~ ..... '" ' /~f '~: .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 $ ~- ~
Construction on above described building and permit meets all applicable cg,des and regulations.
Applicant~.."~..~..~.. ~..~....~.~..~ .........
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