HomeMy WebLinkAboutZ-9907 FORM N0.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold,N.Y.
Certificate Of Occupancy
No....?99.Q7......... Date I~arc~, 19.80
THIS CERTIFIES that the building .
Location of Property 65..I"1~4u.~?C~. #'r~?'~W>~3!~ ~ 27.$~ . M1911,ri . $Dly.Y1~b+..Rd, $olithold, N. Y.
House No. Street Hamlet
County Tax Map No. 1000 Section ~ .....Block ~ `........Lot 9 3..... .
Subdivision ...............................Filed Map No. ........Lot No. .
requirements for a one family dwelling built prior to
conforms substantially to the
Certit'icate of Occupancy
.....AAri~..23....... , 195.?.. pursuant to whic ............?99Q7... .
dated .......1Ka~'c~ . ?7............19 SQ ,was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .
......Private. Ot~~. ~.g.~i~Y..I?w~~.~~>4$. ?~/.Tlv~..C>~r. C~~"poX't .
The certificate is issued to .........~$abe~~.e, , j~app.
of the aforesaid building.
Suffolk County Department of Health Approval ..........Nlj3 , , , , , , , , , , , , , , , , , , , , , , , , ,
UNDERWRITERS CERTIFICATE NO ..................~T~R .
Building Inspector
Rey ans
IIUILDIPeTG DEPARTi~TE~IT
TOI•N OF SOUTFIOLD, N. Y. -
HOUSING CODE INSPECTION REPORT
Location 65 Midland Parkway/12785 Main Ba view Rd. d Y.
- number & street Ifunicipality
Subdivision ~ Map No. Lot(s)~_r
Name of O~+mer(s)_ Isabelle R. `Ka1~p '
Occupancy R 1 ~ owner
type otmer-tenant .
Admitted by: Mrs.- Kapp Accompanied by: Mrs. Kapp
Key available Suffolk Co. Tax No. 1000-88--1 X13 - - -
Source of request-- Rudolph H. Bruer,'Esq. Date March 25,-1880
Dj~lEZLING:
Type of construction wood framed #s-toriea 1 -
Foundation cement block• - Cellar full Crawl space
. -.Total rooms, lst. F1 - 6 2nd. Fl 3rd. F1
• Bathroom(s) ~ -1 Toilet room(s)
- Porch, type open beck, type Patio,.. type slate -
Breezeway Garage under Utility zoom X
Type Heat oil fired "rlarm Air X Hottiater
- ~ -Fireplace(s} 1 No. Exits 5 Airconditioning
Domestic hotwater e ves Type heater electric'
-Other -
ACCESSORY STRUCTURES:
. Garage, type const. Storage, type const. -
Swimming pool Guest, type~const.
Other 2 car cement block carport -
- - VIOLATIONS: Housing Code, Chapter 52
Location • Descri Lion Art. Sec.
Carport Cement wall cracked badly IIT 52-31-A -
Outside House needs painting badly III 52-30-C
2 Backdoor No ste s at one - ste s too hi h at
other II 52-27-A
Remarks:
Inspected by:~~~~ ,Q1~~~ Date of Insp. March 27, 1g80
Cu-r'ti---s"""~~~orton .
• Time start end
FORM NO. 6
TOWN OF SOUTHOLD
Building Deportment
Town Clerks Office
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building
Inspector 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 simjlar buildings and
installations, o 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.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property 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 in-
formation 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
March 25, 1980
Date
New Building Old or Pre-existing Building Vacant Land
~~~~~i, ~ixeruiyy
Location Of Property ....Nfy~/ corner Main Ba~rview &~Seawood Drivt:~ Southold, N. Y.
.
Owner Or Owners Of Property ....Isabelle R. Kapp
Suffolk Co. Tax Map designation: 1000 - 88 - 1 - 13
Subdivision ................................................................Lot No............. Block No............. House No.............
Permit No. Date Of Permit ....Applicant „Isabelle R. Kapp
Health Dept. Approval ............................................Labor Dept. Approval
Underwriters Approval ..............................................Planning Board Approval
X
Request For Temporary Certificate Final Certificate
Fee Submitted $ ,.5.00
Construction on above described building ~d me lic sand regulations.
PP ems......,........ .
A licant h Ii. uer, ~ Attorney for Appla.can~~~~~~
Sworn to before me this
25th March 1980
day of (stomp or seal)
Notary Public f County fop
MARY DIANA FOSTER 9~~
NOTARY PUBLIC, State of New York /~ie~`.L~~~~~~
No. 52-4655242, Suffolk County /""~T -
Commission Eapirsis march 30. 14 //Y~'""
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