HomeMy WebLinkAboutZ-10083 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No....Z1008~....... Date Aug}?et.. ~Q 19 .$0
THIS CERTIFIES that the building .
Location of Property ~ 25 Silver Lane t3reenport, N.Y.
House No. ~ ~ ~ ~ ~ ~ ~ Street Hamlet
County Tax Map No. 1000 Section 47 .....Block ?..........Lot ........6 .
Subdivision ...............................Filed Map No. ........Lot No. .
requirements for a one family dwelling built prior to
conforms substantially to the
A ri1 2 OertiPicate of Occupancy
......p...... , 19 .5~pursuant to which Z1,OQ83.
dated ......August 20 19 80 ,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 (}eorga M. Kontomati e
(owner, /dfc7iZ~~+~'4dW~t/ .
of the aforesaid building.
Suffolk County Department of Health Approval N/R
UNDERWRITERS CERTIFICATE NO . N/R
Building Inspector
Rev 4/79
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 125 Silver Lane Green ort N.Y.
number & street Municipality
Subdivision Map No. Lot(s)
Name of Owner(s) George M. Kontomatis
Occupancy R-1 unoccupied
typ e own er-tenant
Admitted by: self Accompanied by: self
Key available Wm. Smith office Suffolk Co. Tax No. 1000-47-2-6
Source of request Wanda S. Shearin Date August 12, 1980
DWELLING:
Type of construction Wood #stories 1
Foundation cement block Cellar Crawl space- X
Total rooms, lst. Fl 4 -2nd. Fl 3rd. Fl
Bathroom(s) 1 Toilet room(s)
Porch, type Deck, type Patio, type
Breezeway Garage Utility room
Type Heat gas Warm Air central Hotwater
Fireplace(s) No. Exits Airconditioning
Domestic hotwater yes Type heater gas
Other Two (2} attached small storage sheds
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const. small, metal
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location Descri tion Art. Sec.
Kitchen Gas stove - no shut off - 6
Remarks•
Inspected by• ~
Date of Insp. August 18, 1980
Curtis Horton Time start 3:00 end X1}5
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 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 Q QQ
Date ~~..4`.~ .
New Building .............Old or Pre-existing Buildingx Vacant Land .
Location of Property ~ I ~,!~P-r. ~
:aY}~:.-........... ~OAo4,~. .
House No. y~,. ~vStreet Hamlet
Owner or Owners of Property ~Q~~~. ~ ~C~M\~~3A.1a~ .
County Tax Map No. 1000 Section Block Lot .
Subdivision .................................Filed Map No. ..........Lot No. .
1\ ~
Permit No. Date of Permit ..........Applicant Waal 1~--.a~. ~.~~-t .
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 applic~le codes and regulations.
C'
Applicant ~~QK~.1t?,.~1~.,~ ~~ZD~Y~ .................y...........
Rev. 10-10-78 v. Z y J
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