HomeMy WebLinkAboutZ-11435 FORM N0.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N.Y.
Certificate Of Occupancy
No 2,11435. January 18 83
Date .................................19...
THIS CERTIFIES that the building S.. ~ .
Location of Property 3?4~. MINNEHAHA, BOULEVARD, , , , _ _SOUTHOLD , .
House No. Street Nam/et
County Tax Map No. 1000 Section 4 $.7......Block 43.........Lot 03 6, , , , , , , , , ,
Subdivision .........XX ....................Filed Map No. ..XX....Lot No. , , , XX
Rec~uirem~r~ts.~or a riv~te, on~~a~, ~ly~dw~e}lY~nq~~~~~p~r~o~lrs~€~s~~a~ted
con orms su s anti y to th~ taYLan uig cep
April _ 23, , , , , , , , , , , , , 19 57 pursuant tc~f~i~rtx~g~grfrRi~~1oupancy 211435, , , , , ,
dated January 18. 19 83 ,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 .
A,priyate.one-familX dwelling with enclosed porch and accessory garage
structure.
The certificate is issued to ..GEORG>1. F.•..KRAPF & HIS. WIFE, ELIZABETH H.
(owner, lyz]~~ry;
of the aforesaid building.
Suffolk County Department of Health Approval ........N/. A .
UNDERWRITERS CERTIFICATE NO . N/A
.....'t C'
Building Inspector
Rev. 1/81
FORM NO. &
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, iv.Y. i i97 i
APPLSCATfON FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in type~ririter OR ink, and submitted in duplicate io the Building lnspec-
torwith the following; for ne~.v buildings or nzw use:
1. Final surrey of property with accurate location of all buildings, property lines, streets, and unusual
- natural or toocaraohic features.
2. Final approval of Health Oept. 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 Plannine Board apprcval of completed site plan requiremznts where applicable.
B. For existing buildings (prior to April 1957), Nonconforming uses, or buildings and "pre-existing"
land uses:
1. Accurate surrey of peoperty showing al! property {roes, 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. Data of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate. ~
C. Fees:
1. Czrtificate of occupancy S5.00
2. Certificate of occupancy on pre-existing dwelling or land use 55.00 f
3. Cepy of certificate of occupancy $1.C0
Date .
New Building .............Old or Pre-existing Building(X) . __,Vacant Land .
~ Laos u~ : - .
~ Location of Property .
House rVo. Srreer f Harrier
Owner or Owners of Property !.°"~f`:"~`~~. . ~~`~~~./2`. ~~f~ .
County Tax Map No..1000 Section ~.7........ B!oc!c .~:-3i h Lot . ~:3 ~ , ~ a.
Suboivision .................................Filed Map ido. ..:.......Lot No. .
Permit No. Date of Per...it AppllCani .
Health Dept. Approval ........................Labor Dept. Approval .
Underwriters Approval ,..........Planning Board Approval • .
Request for Temporary Certifical!te ......................Final Certificate
Fee Submittzd S ~ `.Y'..`
nstruction on above described building and permit m~e`ztsfall appl{cable~codes and regulations.
Rev. 70-10J8 V ~ ~3
-
i
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
17, 1983 197317 ~ N 5 9 010 6
Date Application No. on file
THIS CERTIFIES THAT
only the electrical equipment os described below and introduced 6y the applicant named on the above application number in the premises of
Elizabeth H. Krapf, 32-05 Minnehaba k3oulevard, Southold, NY.
in the following locationp ? Basement ? lst FL ? 2nd Fl. Section Block Lot
was examined on 11 r 1 and found to 6e incompliance with the requirements of this Board.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS ECEPTACLES SWITCHES INCANDESCENT. FLUORESCENT Nygppp~ AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS, qMT. H. P. NO. OF FEET AMT. WATTS
SERVICE DISCONNECT NO.OF 5 E R V I C E
AMT. AMP. TYPE METER ~ 2W 1 9 3W 3 9 3W 3,e 4W NO. OF CC COND. A. W. G. NO. OF MI-LEG A' W' G NO. OF NEUTRALS A. W' G
EQUIP. PER $ OF CC. COND. OF HI~LEG OF NEUTRAL
OTHER APPARATUS;
No visual detects: an inspection has Veen utade of the exposed el~trical equipment in the
premises indicated. No obvious unsatiE;factory conditia~n was found.
,~'l
1Villiam R. Hixnburg, >~sq.
128 V3~11ey Avenue
LaL;utL1t Valley, N.Y"". 11° 1 G ERAI NAGER P
Per /
This certificote must not be altered in any manner; return To the office of the Board if incorrect. Inspectors may be identifie y Their, credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.