Loading...
HomeMy WebLinkAboutZ-9303FO~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No.. Z..9303 .... Date ............ November..1.6,.., 19.79. THIS CERTIFIES that the building located at .254.Q .Bayshc;r~ .Re)ac% ..... ~ Map No .... 112~$ .... Block No... XXX .... Lot No... 11.7.-.119..incl.usiv~- .......... REQUIREMENTS FOR ONE-FA~,ILY. D, WEI~.,IN, G b,~.ilt, lorior to conforms substantially to the ~1~~~~~ nerezolore file(l in this olnce CERTIFICATE OF OCCUPANCY ~i[~ ..... April. 23, ...... , 19.57~ pursuant to which~j~,X~ No. zgi~Q3.. dated ..... ND.v. emb~r. 16.,...., 19.7.8., was issued, and conforms to all of the reqnire- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ..... PRIVATE .O~E.-~.AblIil¥. DWELLING ................................... The certificate is issued to .. Rarren .Kalhacke.~ .................................. of the aforesaid building. Suffolk County Department of Health Approval (owner, ... ~re~Existing .................. UNDERWRITERS CERTIFICATE No ............. P..r.e. ZE.x..i.s.t.i..ng .................. HOUSE NUMBER...2 .5.4.0. ....... Street...B.a.y.s.h.q .r.e..R.q .a.d.,..G..r.e.e.n.p~)r.t' ~. ~.e.w..York Building Inspector Location Subdivision /'--~¢~,,_.,,' ( ,~r'~?.='-3 Map No · //o~gf · 0ccup~cy /~- / (type) A~itt ed by: O ~ Key 'avail able BUILDING DEPARTMENT TO~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT (number & street) (Municipality) Lot(s ) z/~/~/~ /~'c~ Source of request (ov~ner-~+~t) Accompanied by: ~z~/~ Suffolk Co. Tax No. W~OO -dPD'6-'/-2g DWEJ,LING: Type of construction ~,oooF,~A/-/~- - #stories Foundation C~tw~/wF ~o~- Cellar~f~ Crawl space~ - ~ ' FI~~ 3rd. F1 Total rooms, 1st. Fi~ ~ 2nd. Bathroom(g) o~'- i~-~-z~oz~ Toilet room(s) -- Porch, typ eo~/~z~ Br e e z eway Type Heat CO,- ~=~/~3 Fireplac e(,s') ,~,,.-- ,'~,'w. Deck, type Garage Warm Air No. Exits Domestic hotwater~///R~ Other - Patio Utility room Hotwater Airconditioning T~e heater ~/c'~'~c~ ACCESSORY STRUCTURES: Garage, type const.2 /~ao~Storage, type const. Swimming pool ~ Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description , Art. Sec. Remarks: / ,,,r'o ~Z~//O ~ Inspected by:, .'~.~~//,~Z~ Date of Insp. ,,/.~/~6 Time start~:~ ~./~. end g.:/~- 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- torwith 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. 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 Owner or Owners of Property .... .~..~..~.%..Z.~.~ ............................ County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. 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 $...'-~ .......................... Con struction o n above described bu lid lng a~,c~e~s~a~ap,~plicab~,~n~d~ r~.~?ions. Applicant.,. ~ ........... "~'' ~' ~;,~. "~:/~i~ ............