HomeMy WebLinkAboutZ-9983FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No. ....Z99$3 ....... Date ......... June .17 ................ 1980
THIS CERTIFIES that the building ................................................
Location of Property ....X50 Huntington Boul yard; .. Peconic
House No. Street A6r;Jei
County Tax Map No. 1000 Section . 6% ........Block .... ..........Lot ....... 7........ .
Subdivision. Peconic Shores .....Filed Map No. ........Lot No.
requirements for a one -family dwel] �n uilt prior i
conforms substantially to the -Application_ for_.Building-Permit_heretofore Tiled in s. ffIceated-
Certificate of Occupancy
... April .. � ........ ,19 . nursuant to which_RuikUng.l'erxnit-No. ................. .
dated .... June . 17 .............. 19. 801 was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy '#or whidhf tMs'certificite is issued is . 2.r. ivate
One-Fami11
ly Dwelling.......... ........ ............................
The certificate is issued to ,Victor E. L' Eplaateriier"`
.....................................................
(owner, lessee-oasenant)
of the aforesaid building.
Suffolk County Department of Health Approval
UNDERWRITERS CERTIFICATE NO ................ N/R
Rev 4/79
nspector
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-
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.
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 $1.00
Date .. June, JA,.. 1 Q0, , , , , .. .
New Building ........ 5zVOld or Pre-existing Building ... X ....... Vacant Land .............
Location of Property . AuntingtQn, ,$Qulevard,,..>?econip,, ,NQW. ;XQ3; s, , , , , , , , , , , ,, , , ,
House No. Street Hamlet
Owner or Owners of Property ...Victor, E,., ,If' p> attenie ............................. .
County Tax Map No. 1000 Section .. 67...... , , , , . Block ...4........... Lot ..7 .............
Subdivision .................................Filed Map No. ..........Lot No. .............
Permit No. .......... Date of Permit ..........Applicant ..V A;Q:'. k, •..Ta.'kil��ati~Q ] �x ... .
Health Dept. Approval ........................Labor Dept. Approval ........................
Underwriters Approval ........................Planning Board Approval ......................
Request for Temporary Certificate .....................Final Certificate .... X..................
Fee Submitted $.5. 00 ........................
Construction on above described building and4pe'bets all p ca c ad regulations.
Applicant . RuH. Br r, A torney, for Victor
Rev. 10-10-78 E. L' Eplatteni er,
,rte, T Z 7-11-- J TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
STREET
VILLAGE
DISTRICT
SUB.
LOTF.?
FORMER OWNER
-
N
E
S
W
TYPE OF BUILDING
_
RES. Z �a
SEAS.
VL.
FARM
COMM.
I IND.
CB. I MISC.
LAND
IMP.
TOTAL
DATE
REMARKS
3 6�
SCD
�'0�
ons
o 17
a -v
o? .fcsr�
a2 a v
s d 6
AGE
BUILDING CONDITION
NEW
NORMAL
Acre
BELOW
Value Per Acre
ABOVE
Value
-
Farm
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
Brushland
Total
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location '/50 /-Z-V nr o�- C_
(number & street(Municipality)
Subdivision c .J�/Q _ Map No. Lot(s)�3---�',�
d
Name of Owner(s) VIc7-
o/Z zC�jOi��N/E/�
Occupancy(type) owner- enan
Admitted by:. �sL C� - Accompanied by: o exezl :
Key available,
Suffolk Co. Tax No./44X1-e�� -C7'-1-007
Source of request ®aL f( Date 410--/ Z- 6
DWELLING:
Type of construction (1odo�;-m #stories &PAli
Foundation 4]U&4d 257/0c' Cellar ZCrawl space�o
Total rooms, 1st. Fl(A,,,_0d. Fl 3rd. Fl
Bathroom(s)61.1,E Toilet room(s)
Porch, type Deck, type = Patio,, type
Breezeway Garage Utility room �-
Type Heatc_/z/ C- ` Warm Air Hotwater
Fireplace(s) No. Exits -7T &a Airconditioning
Domestic hotwater yc5 Type heater. Qs Fi eco
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const./ j,o/ o4_
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Remarks:
Inspected by:
Date of Insp. G ` t 7- (?o
Time start 0' S • end//'60
C
-
mm_
♦ d
rr"60 fA
Remarks:
Inspected by:
Date of Insp. G ` t 7- (?o
Time start 0' S • end//'60
C