HomeMy WebLinkAboutZ-10782FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z10782
Date November 18 19 81
THIS CERTIFIES that the building ................................................
Location of Property 54455 County Rd. 48 Greenport, New York
County Tax Map No. 1000 Section 52 .Block 1 .Lot 8
Subdivision ....... Y.Q¢I~K .~..Gg.qfl. a..19 ....... Filed Map No... 5. .8.5...Lot No..1..&.. 2. .......
Requirements for a One Family Dwelling Built Prior to
conforms substantially to the A-ppfic'~t~n-f~r ~tldin~'P~fltriT'h~t'eT6T61'e- fll~ff lff'tl~'o'ffi~e'/ra'tgd'--
April 23 ,19.5.7. pursuant Certificate of OcCupancYz10782
..................... to which-l~a/td~ng i~ermit.-N~.--. ....................
dated ... ~.o.v..e .m.b.e.v...~ .8. ........... 19.8.1., 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 toJohn T. Mackie
..................... ?oYn ) ...................
of the aforesaid building.
Suffolk County Department of Health Approval lq / R
UNDERWRITERS.CERTIFICATE NO. N / R
Building Inspector
Rev. 1/81
BUILDING~--nw°^~m~E~':m,=,~.- .,_
TO¥,7~ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 54455 County Rd 48
(number & street)
Subdivision Young & Goodale
Greenport, New York
(Municipality)
Map No. 585 Lot(s) 1 + 2
Name of O;.mer(s) John T. Mackie
Occupancy R-1
( ype)
Admitted by: Self
Owner
{owner-tenant)
Accompanied by: Self
Key available NOrth Fork Agency Suffolk Co. T~x No. 52-1-8
Source of request'
Robert W. Gil.liapie III
10-29-81
Date
D~FELLING:
Type of construction
Foundation Cement Block
Total rooms, 1st. F1 5
Bathroom(s) 1
Porch, type
Breezeway~
~ype Heat Gas
Fireplace(s) 1
Domestic hotwater Yes
Other
Wood Framed, Brick Veneer #stories
CellarFull Crawl space
2nd. F1 1 3rd. F1
Toilet room(s)
Deck, type
Garage Under
Warm Air x
No. Exits
Type heater
Patio, type__
Utility room
Hotwater
2 Airconditionin~
Gas
ACCESSORY STRUCTURES:
.Garage, type const..
Swimming pool
Other
NONE
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Lqcatign Description ,,_Ar,.t. Sec.
Kitchen No shut off gas stove V 52-52-B2
Remarks:
Inspected
by:
Curtis W. ~or~ton~ Time start 3:00
11/16/81
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.
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../O~2-~- ~/ , ..
New Building ............. Old or Pre-existin~g BuilOing(~:) , _~_~'
Location of Property ~ .~-.. ,~. , .--/~-,... ~, ~;2L~'~../~, ,/'~,, ,. ,~,,~ . '~" L~' . . , ~;. !, ,'
Hou~ No. Street ~~ Hamlet
O~n~r or O~n~r, o~ .ro~rt~ ...~.~ ~':t .-.-~RC K/~ ..........................
Cou,~ ~ ~ ,o. ~000 S,~,ion ...~.~ ~,o,~ ... ~/ ........ ~o, .... ~ ........
Permit ~o ........... Date of ~ermit .......... Applicant ..................................
Health De~t. ~pproval ........................ Cabot Dept. Approval .................. ~ .....
Unde~r tersA rova PI ~
' pp ........................ arming uoard Approval ..............
Applcant -.~.~Y .~.. ~.~ ~./...~.t ....... ( ........ - ......