HomeMy WebLinkAboutZ-11026 FORM N0.4
TOWN OF SOUTHOLD
Bl71LO1NG DEPARTKtENT
Office of the Bulldlna Itgpector
Town Nali
Southold, N.Y.
Cestificytte Of OtarpancY
No..Z7.1.a26... Date Ju.ne.9..: 19 E2.
THIS CERTIFIES that the buildings f 2.) .
Location of Property HIXa`.~l.
~o............ Youngs_ ,Ayen~t , _ Orient.
County Tax Map No. 1000 Section . A.t.t3 .......Block ~.1 ..........Lot 007, , , , , , , . „
Subdivision X.......... ...................Filed Map No. X .Lot No. X .
Requirements for a private one-family dwelling built prior to
conforms substantially to the Appiicotiettter-l;xiiditt~Petm~!-lmtmieFore~fded-firttt~otThx'Ceted
Certificate of Occupancy
...April . 2~......... , 19 5.7. pursuant to which BPermit No. G 1,1,QZfi, , , , , , , , , .
dated J.uB ~ . 9 19 II 2. ,was issued, and coaforma to aB of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .
.a. privaZs..oAe.
;fa~j.a,~; ,Qwc~,l,~in~ ,adtl, accessory one-car garage.
The certificate is issued to ...R4bert,T;. & Virginia,~J: Rroepel
(oniia,llraramw~al
of the aforesaid building.
Suffolk County Department of Health Approval ...n/, E .
UNDERWRITERS CERTIFICATE NO........ P/.r .
Building Hupector
Rev. 7/87
i
it
i ~ e ~ g~.K _ i.. _ ~q
' ~n t5 ~ .
' ~ cr.E-
~ ~ ~ Q a - -
v ~ ~ u ,,.Y ~ ~ ;
< 1
~ ~r_ }~CJJC :T T ~ ~ '
{ O; 3 r. ; ~ J
~ ~ ~
.
a ! y
k ; i rye ~ _ ° i ~ ; {
- •
I z~ _ ~ ~ ~
f-i I _ ~ - ,
_
E - ~ _ - (1ij ,
~ ~ r,'Lf. r,;.(' ry ~ J..µ, iJ'.L
•f .eJ+ .)jE' r
~ ! ~ ~ - n ~ 3 . _ - EIAUT!toarzm AETTRAaOV o. w~o~ w~ '
i ~ ~ ~ ~ ~ ~ ~ ~ ro THIS suaver Is A vl uT. a
~ I j • P SECT - n : iC9 Of TE:: t+aW +'~:K SIAT:
( E ~ CO:IcS DF TM S' ..vi'i x;^- NC' aF~"F'f.
~ 1 ~ TY EA a.". 0. LY " J' e
~ C
i
GUARAh ~ ~ <r. .
t ~ { . S DNYT TE. ft cA. ~ fw
! i Ti ~ ,~77 T-v. r, l - IG PiEPAR.. Ai n L. . T
.~UPi(Elf$V F'4~ ~ 7fo 7Eit A3.9CN s 1 •_'.c. ' ..t+.
y _ . a'~ JNTIWL GUACL15Ef5 f4[ !M:7 TM Al s. •
a i T ~ ; [o l~ITtQt1AF ~lS1EMiGti a w.c:.
~Ll A. ~ £ 1CA~JJ 4 ~ '
- _ -
yr ~1~:- moo. , rr. 'y, ~.udrurrfaeo~; ~rJaranfeCCl 7•itle
' Drvr6~d~; A•trrcYrca~ '3ttle ,trrsura..tiGe
,3 Co' ,erS :-~,<Jrve~sc' No V. 4~ .1969..
c~f.~i~ _ _ _ VAN Tv~'~, 5or1
' r
y
L.g
I C _ h~:>r.u81Cr)'! ~ r. - ~ - LtGet1,4E~ A.ytIC tS~fYE~Of6
~ _ .
BUILDING DEPARTMENT
TOj•IN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 575 Youn s Avenue Orient
number & street [Municipality
Subdivision x Nfap No. X Lot(s) x
Name of Owner(s) Robert T & Virginia W. Kroepel
Occupancy R-1 tenant
typ e owner-tenant
Admitted by: John McNiff Accompanied by: same
Key available ` Suffolk Co. Tax No. 18-1-7
Source of request Rudolph H. Bruer Date 5/14/82
D4IELLIDIG :
Type of construction wood #stories one
Foundation block viers Cellar Crawl space x
Total rooms, 1st. F1 5 2nd. Fl 3rd. Fl
Bathroom(s) 1 Toilet room(s)
Porch, type Massed in Deck, type ~a~ao, type rear porch
Breezeway Garage Utility room
Type Heat gas ~1arm Air central Hotwater
Fireplace(s) 1 No. Exits 2 Airconditioning
Domestic hotwater yes Type heater gas
Other
ACCESSORY STRUCTURES: wood
Garage, type const. one-car Storage, type const.
S~oimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
kitchen gas stove-no shut off p 2- 2-E 6
roken sidewall shin les III 52-31-B
crawl s ac some sills rotten I T 2-30-A
utilit bld sills bad, needs general repairs III 52-30-A
bathrm. walls & floor needs work III 52-32-D
Remarks• ^
Inspected by: Date of Insp. June 8, 1982
-Time start 3:45 end 4:15
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 ii~e~
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 equall•
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 ...~ay,14~,1982,,,,,,,,
New Building .............Old or Pre-existing Building . X.......... Vacant Land .
Location of Property Youngs Avenue i Orient, New York ,
Nouse No. Sireei Namlet
Owner or Owners of Property ...E~obsra:t . T....&, T7.i,xgl.ri~.l . W., ,I~'Oepe], , , , , , , , , , , , , , , , , , , , ,
County Tax Map No. 1000 Section .....18........ -Block l.......... Lot .
Subdivision . .....................Filed Map No. ..........Lot No. .
Permit No. Date of Permit ..........Applicant >Zo1~~~t, * , ~(r.;oepe,l , , , , , , , , , ,
Health Dept. Approval ........................Labor Dept. Approval .
Underwriters Approval ........................Planning Board Approval .
Request for Temporary Certificate .....................Final Certificate X................. .
Fee Submitted $ a 00 , . , , ,
Construction on above described building and er i eet a is c r gulations.
Applicant . , .
'(1~ lph H. uer, Attorney for Robert T. Kroepel
Rev. 1D-10-JB ,r'C_ C . ~ I (Q
h-~K - Z~J~S t ~p ~ ~ ° Z- -