HomeMy WebLinkAboutZ-10871FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
THIS CERTIFIES t~tst~e building ~. .... e k'v'r~ 6 i).' 'li~, ~; .............................
Location of Property 33800 County Road 48 Peconic
/-I[~s~ 'IV'o: ...................... 'S'tt:e~i ....................... /'l$~niei
County Tax Map No. 1000 Section 074 .Block 03 .Lot 0 1
Subdivision X .Filed Map No. X .Lot No. X
Requirements for a private one-family dwelling built
confonus substantially to the A~t~It-to?
Cortiftcate of Occupancy
pr~r to April 23 19
dated February 5 19 82 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 private one-family dwellin~ with wooden barn accessory structure.
The certificate is issued to ......?.e.~..a.~.d M. Lang & his wife, Marilyn K.
........ .....................
of the aforesaid building.
Suffolk County Department of Health Approval n/r
UNDERWRITERS CERTIFICATE NO. n / r
Building Inspector
Rev. 1/81
BUILDING DEPAP, TMENT
T0¥.~,~ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION RE?0RT
Location 33800 Countv Rd. 4g & 216~ Carroll Ave. Peconic
· (number &'street) (Municipality)
Subdivision x Map No. x Lot(s) x
Name of O~er(s) Gerard M. & Marilyn K. Lang
Occupancy R-1
( ype)
Admitted by: Mr Lang
owner
~ owner-tenant)
Accompanied by: Mr. Lang
Key available
Suffolk Co. Tax No.0~74-03-011
Source of request Gerard M. Lang
Date 1/20/82
DYfELLING:
Type of construction
Foundation brick
Total rooms, 1st. Fi 5
1
~lassed in
Bathroom(s)
Porch, type
Breezeway
~Mpe Heat
oil fired
Fireplace(s)
Domestic hotwater yes
wood framed #stories 2 story
Cellar partial Crawl space x
2nd. F1 5
Toilet room(s).
Deck, type
Garage.
Warm Air
No. Exits 4
Type heater
3rd. Fi 1
Porch
lY~, ~ype roof over
Utility room
Hotwater x
Airconditioning
tankless
Other attached ~ story carriage house & attached wood shed
Total 3 rooms, separate wooden stairs.
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
StOrage, type const, wood barn
Guest, type const.
5' fence~ Carroll Ave. side
chit
rear
VIOLATIONS: Housing Code, Chapter 52
att~
att~
rear
GU
outside
Location Description Art. Sec.
barn needs various repairs III ~2-30-A
[mney east bricks need.painting uP~ etc. III 52-32-B..
[mney west top of chimney missing .. III 52-32-B
III 52-32-A
cellar some floor joists dry rotted , ..
cellar no hand rail, steps uneven II 52-27-A ~
r stairway no hand rail II 52-27-B
ched wood bed roof leaks~ sills gone--needs
major repairs III 52-30-A
ched carri~ge house needs major repairing III 52-30-A
side porcl floor and sills bad III 52-32-A
tside some wood shingles missing . IIII 52-31-B
needs painting & gutters need repairing
& C
& C
III 52-31-B
Remarks:
Inspected by: ~ .~/~/~/~.~..~? Date of Insp. January 21, 1982.
Curtis W. Horton T~me start 2:30 end 3:30
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 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, 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 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.
Co
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... ~:A2 .~.. '.~.~..~.. .......
New Building ............. Old or Pre-existing Building J Vacant Land
Location of Property ~.f.~-~...
House No. Street Ham/et
Owner or Owners of Property .~-'..~T.-~.~..f~.../-? .... .~..:..-~--....~.../~.f~..(.LT~. '~'... ~.~. 'i...~...~../~'..~.. ~
County Tax Map No. 1000 Section .... r~..¥ ....... Block ..... ~ ....... 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 ~
Fee Submitted $ .... ,. ;~.: .~..d~....~. .............
Construction on above described building and.~p~ets all applica~de, and regula[ions.
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