Loading...
HomeMy WebLinkAboutZ-10335FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building . .B..ug.g.~..O?...~.q .................................. Location of Property 80 Jackson Street, New Suffolk, N.Y. h [~d~s'e 'IV'o: ....................... 'S't/e~ i ....................... h ~r~ iei County Tax Map No. 1000 Section .... .1.1.7. .... Block q0 .Lot 001 Subdivision ............................... Filed Map No ......... Lot No .............. Reauirements for a One family Dwelling Built Prior to conforms substantially to the A.l:?.ril .2..~ ........, 19 ...~ursuant. Cete.~tf~i~,n. te. . . of 0ccupnncy,,,__ ~,u~ ......... ~o wmc n -~ra~a~ng t~ernftt-~g ...................... dated January 6, 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 ......... private One Family Dwelling The certificate is issued to . . T]~. KI~OGENOR P0II~ COMPANY ............... of the aforesaid building. Suffolk County Department of Health Approval ..... .N/.R ................................. UNDERWRITERS CERTIFICATE NO...N/R ........................................... Rev 4/79 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location ~d) ~/C{~CO~J ~ (number & street) Subdivision Map No. Occup~cy ~-- / (type) A~itted by: (Municipality) Lot(s) Source of request (j~,./r~_.,,~ /-./ (owner-tenant Accompanied by: ~/~ Suffolk Co. Tax No. DWELLING: Type of construction (.~oO,D ~fg,~'X4'~'- #stories Foundation ~--~a;/ ~/oc~-- Cellar Crawl space Total rooms, let. F ! ~ ~e 2nd. F1 3rd. F1 Bathroom(s) ~ Toilet room(s) / Porch, type--~o~_~3~_ Deck, type Patio, type Breezeway Garage. - Utility room Type Heat ~--~ ~--~-~?~Warm Air ~5 ~ ~ Hotwater Fireplace(s) ~ No. Exits ~ Airconditioning Domestic hotwater ~ Type heater ~ Other ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 --Location Description Art. Sec. Inspected by:/~~~/fy~,~OD( !kate of Insp. ~Y-~ ~/ Time start ROo 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 featu res. 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~(~gfz.z~(~r..3. q,. ~.9.80 .... New Building ............. Old or Pre-existing Building .... ~ ...... Vacant Land ............. Location of Property Bungalow #1 Kimoqenor Point New Suffolk House No. Street Ham/et Owner or Owners of Property ?.h.e..K..i.m.o.~{enor Point C9.m. pany 116.00 ............. 06:00 ............ 023:000 ....... 116.o0 06.00 County Tax Map No. 1000 Section . .117o00 ....... Block .09.00 ......... Lot ......... 117.00 010.00 001.000 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 ~ Fee Submitted $ ..~..,.-- .(~.. ................... Construction on above described building and permit meets all Applicant .. Rev, 10-10-78 ,,~ me~s a~_,,al~;lic_p_~b_.l./,el codes and regulations. ~ ,