HomeMy WebLinkAboutZ-10708 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No...?.L0708........ Date September. 3.~..........., 1~~..
THIS CERTIFIES that tile,building .
Location of Property ...715. P~guasl} , A,v,er}µe.,.. , , , ,Cutchogue,,, ,1Vew, ,York, , , , , , , ,
House No. Street Hamlet
County Tax b4ap No. 1000 Section ] 0.3 ........Block ....7...........Lot 2.fi .
Subdivision ........................:.......Filed Map No. .....:..Lot No. .
conforms substantially toR~~u1~~1~~~~,~~r~iy~ijr~~e~~i~~~`~~q~q=~~j ~~~p~"ypE~~~_to
, , . , .April .23... , , 19 . 57pursuant to ~il~c~i ccupancy 210708, , . , ,
.I~o,. .
dated ...Sep.>:~embex..30........... 1981. ,was issued, and conforms to al] of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .
• • • • • •]?r• iva•te • On•e • Eam.i.ly • D~elli.ng • w1.th . Accessory . S truc tune (7 . C.aL' .Garage )
The certificate is issued to . W.illiaan •Kans •~s•t•~t®• • P• .
o wnerX X ~~31?~ ~~~X
of the aforesaid building.
Suffolk County Department of Health Approval .....N,lR . .
UNDERWRITERS CERTIFICATE NO......IZ/. R .
House number corrected as of 8/11/86,
Building Inspector
Rev. 1/81
BUILDIi•;G DE?A.F.TT1F.s~1^
T01;i; OF SOL'TriOLD, iv. Y.
HOUSING CODE IIISPECTION REPORT
Location 715 Pequash Avenue Cutchogue, New York
(number & street) 1`iunicipality
Subdivision DFap No. Lot(s)
Name of O:m er(s) William Kane Estate
OCCUpancy R-1 Unoccupied
type ~ ( owner-tenai,t
,'admitted by: Self Accompanied by: self
Key available Four Sales Realty Suffolk Co. Tax No. 1.03-7-26
Source of request Marilyn K. Lang Date 9/29/81
D'/I~.LZi `G
Type of construction wood Ystories 2
Foundation Poured Cement Cellar Full Crawl space
Tctal coons, 1st. F1 3 2nd. Fl 3 3rd. FI
Bat,:ro~:~(s) 1 Toilet room(s) in pantry
Porch, t e ~ea~
YP Roof over ee type Closed in Patio, type
Breeze~~ray Garage Utility room
Type Heat oil Fired 'Aare Air Central Hotwater
Fireplaces} No. Exits 3 Airconditioning
Domestic hot•,•rater~ Type heater Gas
Other
ACCESSORY STRUC'~ L~F?ES
1
Garage, type const.Wood, one car Storage, type connt.
S~•~imming pool G,iest, type connt.
Other
VIOL ~TIO':S: HGU~1ng Code, Chapter 5~ .
Location Description Art. Sec.
Outside Needs Painting III 52-30-C
Garage Very bad shape II 52-30-A
Front Porch Steps broken, sills bad II 52-30-A
Thru out Some windows rotten III 2-30-C
Bathroom Floor needs re lacin ~ II 52-32-D
Side outsid door - Needs Repairing III 52-31-B
Stairs U Rail must be continuous II 52-27-B
Remarks:
Inspected by: '~~~~"1-~-~ Date of Insp. Sept. 29/81
Curtis W. Horton Time start 3:30 end 4:05
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, acertificate 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 19571, 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 or land use $5.00
3. Copy of certificate of occupancy $1.00
Date .
New Building .............Old or Pre-existing Bui ing Vacant Land .
Location of Property •.r . G( /.C-l~Q. ` C-
House No. Street Ham/et
Owner or Owners of Property . `L.~ . ~ ~ /V(.;
/9.~......... fl
County Tax Map No. 1000 Section ~ Block ~ Lot
Subdivision .................................Filed Map No. ..........Lot No. .
Permit No. Date of Permit ..........Applicant . r~G.-~-??il.... ~U/~ ~~w~. ~
Health Dept. Approval ........................Labor Dept. Approval
Underwriters Approval ........................Planning Board Approval ...........1~.
Request for Temporary Certificate .....................Final Certificate ~
Fee Submitted $ ~.~Q.S ~ ~1~ ~
h d'
Construction on above described building and permit meets all applic ble c es a d regulations. J
~Q ~ ~
Applicant. ~!?.7
Rev. 10-10-78 ~ /
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