HomeMy WebLinkAboutZ-9562FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No..g.9.5.6.2. ........... Date ................. ~qn..e..2. Q, ...... 19.7.9
THIS CERTIFIES that the building ................................................
Location of Property . .5.5..0..C..~..a.r..P.o..i.n.t..D..r~.v.~. ~...~.a.s.t. ~..S.o.~ .t .h.o.]:,d. .................
House No. Street Hamlet
County Tax Map No. 1000 Section . .9.0. ........ Block ...0.2. .......... Lot ...0.~(~ ...........
Subdivision..C.e.d.a.=...~.e.a.c..h..~.a.r..k ...........Filed Map No..9.0. ..... Lot No..],0.6 .........
Requirements for a One Family Dwelling built_Pti, or.to
conforms substantially to the
__ Certificate of Occupancy
..... .~p.r.~..~..2.3., ..... ,19-1~. pursuant to whic~~ No ....... ?P.~.4 ..........
dated ........... .J.u.n.~...2.0., ........19..7 .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 .........
....... .~.a..xy.~.e.~., 9~., .r.a~..x.~..~. ~ .~r~..~.~.x~ ........................................
The certificate is issued to ...D.I..3~..~..K.o...H./~...I~..C.K ......................................
. (owner, ~s~aez~
of the aforesaid building.
Suffolk County Department of Health Approval ..... .P.I;. ~..--.~.x.~..~.t.~.n. cj ......................
UNDERWRITERS CERTIFICATE NO ............. .P.r.O.-.~.x.~..~.~.~.~g ......................
Building Inspector
Rev 4/79
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y-
HOUSING CODE INSPECTION REPORT
Location 550 Cedar Point Drive East Southold
(number & street) (Municipality)
Subdivision Cedar Beach Park Map No. 90 Lot(s) 106
N~me of Owner(s) Diana K. Hallock
Occupancy R-1
(type)
Admitted by: Mr. Hallock
Key available
Source Of request
unoccupied
(owner-tenant)
Accompanied by: Mr. Hallock
· xxx Suffolk Co. Tax No. 1000-90-02-016
Diana K. Hallock Date June 14, 1979
DWELLING~
Type of construction Wood
Foundation cement block
Total rooms, 1st. F1 four
Bathroom(s) one
Porch, typeclosed in
Breezeway
Type Heat electric panei~arm Air
Fireplace(s)_ one No. Exits
Domestic hotwater ves
Deck, type
Garage
#s~ories one
Cellar partial Crawl space rest
2nd. F1 ..... 3rd. F1 -
Toilet room(s) ---
.... Patio, type. ---
Utility room
Hotwater
two Airconditioning
Type heater electric
Other
ACCESSORY STRUCTURES:
Garage, type const. - ....
Swimming pool
Storage, type const.
Guest, type const.
wood
Other
VIOLATIONS:
Location
cellar door
rear of house
storage shed
inside
Housing Code, Chapter 52
Description
all rusted out
needs paintinq
broken shinqles & broken windows
needs a better heating system
Art. I Sec.
III 52-30-A
III 52-31-B
v 52-32-A-1
V 52-32-A-1
Remarks: This dwelling is for summer occupancy
Time start, 10:35 end 10:50 pm
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
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 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 l Tq ......
New Building ............. Old or Pre-existing Building . ~ ....... Vacant Land .............
Location of Property H~o~u.
Owner or Owners of ProperW ...~).;~ .~...~{ii. llo., k .....................................
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ................................. Map No ............... Lot No ...............
Permit No ........... Date of Permit .......... Applicant :'. ~-~'~-.'~o~ __ ~).~ . .¢~. .........
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate ..... ~ .............
Fee Submitted $ .... 5~.'..0.0. ..................
Construction on above described building and permit meets all applicable codes and regulations. · Applicant /. ~ .~ .~. ~..~. ~.~ .......................
99,9l ............. '
~INAUTHORIZED ALTERATION OR ADDITIO~
fO THIS SUEVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT
MAP OF . PP..OPEP. TY
5U~VEYE'~
DIANA IX,.
B AY VIEV"4 -
HALL. 0CK
50UTHOLD
5¢FFoLK Co..N.Y.
I~! = CONC. ~46NUME-l'-i'r
'T-ITLE NO. 5 - 31698
LITTLE pECONIC i~A¥
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