HomeMy WebLinkAboutZ-11290 FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No..; t 1 2:;~.p Date ......~Ipv.P-:~~°X:.1 19` .
THIS CERTIFIES that the building .
Location of Property 3r.:i . .rat', ~,qc~n};~~ E;,ast. ;~~:.r5.on
l-louselllo. ~ Street ~ ~ ~ Ham%et
County Tax Map No. 1000 Section ..:1.31.......Block ..':~4~...........Lot .
Subdivision ........................Filed Map No. .'.=......Lot No.
Requirements for a private one-family dwelling built prior to
conforms substantially to the Afrgkce~iea-fef~Bai}d~ieg~errrriF~herehrfere-filed•-iir4kis~off~rce~dated
Cartificate of Occupancy
n r r 1..' 3 , 19 .5 7 pursuant to which ~ldi~g I?er~t
No. 'l 1 1 ? a 0
dated ~`i o 4S'.n1'~ : i'..1............ 19 ,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 .
...:-i . ~ r_1..Y.:1 : tL'..~Z ^'.''J.~i11.~i .'~*Jy ~.1.~X1 .
The certificate is issued to P ~ t ~.r , k r a. s
(owner, lessea•or4enerK/-
of the aforesaid building.
Suffolk County Department of Health Approval n./.~ .
UNDERWRITERS CERTIFICATE NO............:~!a .
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Building Inspector
Rev. 1/81
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$UILDING DEP ARTi~TEP•TT
T0:'Ii~T OF SOUTHOLD, N. Y.
HOUSIi1G CODE INSPECTIOtJ REPORT
Location 360 Bay Avenue East Marion
~nu„~oer do sheet) i~iunicipality)
Subdivision. x Nlap No. x Lot(s) X
Na.2e of Owner(s) Peter M. Karas
OCCUparcy R-1 unoccupied
(type o~~rner-tenant
Admitted by: Mr. Karas Accompanied by: same
Key available ' Suffolk Co. Tax No. 31-5-7
Source of request William H. Price, Jr,, Esq. Date 9/14/82
D?'IELLI~TG
Type of construction wood framed #stories 1
Foundation cement block Cellar partia~rawl space rest
Total rooms, 1st. F1 5 2nd. Fl 3rd. Fl
Bathroom(s) 1 Toilet room(s)
Porch, type large, roof Deck, type Patio, type
Breezeway over Garage Utility room
Type Heat gas ~1arm Air Hotwater x
Fireplace(s) No. Exits 3 Airconditioning
Domestic hotwater yes Type heater gas
Other
ACCESSGRY STRUCTURES: NONE ,
Garage, type const. Storage, type const.
S~•rimming pool Guest, type const.
Other
VIOLATIOTS: Housing Code, Chapter 52
Location Descrilatien Art. Sec.
kitchen gas stove--no shut off V 52-52 B, 2
outside cellar doors rotten III 52-30-A
cellarwa ( cement blocks loose III. '52-31-A
inside II artially blocked II 52-27-A
cellar ste S
Remarks•
Inspected by: ~ ~ Date. of Insp. 10/29/82
Curtis w. Horton -Time start 9:10 end 9:30
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Tf'S SUVEY IS A VIOLATION OF
't09 Of ME NEW YORK S1ATE
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E.ty i~< IH'S $UrYeY no AP NOT BEARING
n: a.. :'~fi,.t"o LJK:D SEAL OR
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FORM NO. 6
TOWN O~ 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 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.
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 September 14, 1982
New Building Old or Pre-existing Building XX Vacant Land
location of Property . , ..360 Bay Avenue East Marion
House No. Street Hamlet
Owner or Owners of Property , . , ,Peter M. Karas
County Tax Map vNo. 1000 Section , . , _ 031, , . , Block ~.8 Lot .
Subdivision ...........................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 . - , - , XX
Fee Submitted $ 5.•.~~ .
Construction on above described building and permit meets all applica c regulations.
Applicant .
William~l3. P i~e, Jr., Attorney/Agent for
Rw. to-to•~e Peter M. Karas
(2~.e . a r~ ~~a
?IISq II~r~~Z
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