HomeMy WebLinkAboutZ-10246FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No...7,!.Q246 ........ Date ..... Navember• .12., .......... . . .. 19.80
THIS CERTIFIES that the building ................................................
Location of Property.. 66125 North Road, aR 27, Greenport, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section . 040 ....Block .. 02 ........... Lot ..... 008, , . , . .
Subdivision ...............................Filed Map No. ........Lot No. .............
renuirements for a One- ami] v j)yye i B It r' or to
conforms substantially to tlae Application farBuildinE P IL �4f Le_>31g 1 is o ffice 4aLe _
A ril 23 Certificate of Occupancy
.. P ................. . 19 .?7pursuant to which $u"4ag-Va"t-Ala. ...... #ZI.024. 6...... .
dated . ,November 12, .. 19 ..s9was 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. DWPIIing. with. Accessmry. Garage. .............. .
The certificate is issued to ...Elbert, P.. A. Mary, Z.. ,Macgipper. ......................
(owner
of the aforesaid building.
Suffolk County Department of Health Approval ...... N/R
UNDERWRITERS CERTIFICATE NO....... N./.R
Rev 4/79
ling Inspector
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location a6 /o J ^/0!zs-,
number & stre
Subdivision Map No.
Lot(s)
Name of Owners)r'r-rz� '' `s. �/A2Sg 7• 1%q '0-41t5f,�C
Occupancy �2-
(type) owner -
Admitted by:�. Accompanied by: J!//
Key available Suffolk Co. Tax No. 0ma-0a-ooe
Source of request Z"1, �C� �l1• '167 Date(::)--
DWELLING:
Type of construction#stories r✓
Foundation C.F1_,(,EQT a5/oc-/k- Cellars// Crawl space
Total rooms, lst. Fl ,�2 2nd. Fl, ' Zff- 3rd. Fl
Bathroom(s) Fc./1 Toilet room(s) —
Porch, type — Deck, type Patio, type —
Breezeway — Garage Utility room
Type Heat Warm Air Hotwater (7/Q
Fireplace(s) No. Exits /Lid Airconditioning —'
Domestic ho twat Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. &aom t�uo/u; Storage, type const.
Swimming pool Guest, type const._
Other
VIOLATIONS: Housing Code, Chapter 52
Location
Description
Art.
Sec.
=&2Xgl1t:2X2,ee�5 4-242 J
J Z -G t
Remarks:
Inspected
Date of Insp. /(1c1/ /u .rt -0r
Time startdz�)b/"Wend r :y� ✓?�
o
A.
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIF1C ATE 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 feitures,
2. Finai approval of Health Depz, of water supply and sewerage disposal•-•(S•g form or equat).
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), Nonconforming 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. i
G. Fees: '
1. Certificate of occupancy $5.00
" 2. Certificate of occupancy on pre-existing dwelling or land use 55.00
3. Copy of certificate of occupancy $1.00
Date
New Building ... , , . • , , , , , • Old or Pre-existing Building(X) . _. ..._'Vacant Land ... ......... .
Location of Property , 250 Front Street • • • • ��/fas• t
House No. Streer Hamlet
Owner or Owners of Property .. , , , , . , George atad Carolyn Cottral
..:s:. ..................
County Tax Map No..1000 Section • , , ,040• 00 , • . , Block • . ,02: 00 • . • • • , Lot • • , ,008; 000
.,Subdivision ... , , , ,
................. • ........Filed Map No. ..:.........Lot Na. ..............
hermit No. .......... Date of Permi: ..........Applicant.. •
•.. ..•.......................
Health Dept. Approval .. • . , , ; • , , , , , , • '
• • • • • • • .Labor Dept. Approval
Underv.,riters Approval .... • , , , , , , , , , , , , , , , • , , ,Planning Board Approval
Request for Temporary Certificate ................. • ...Final Certificate .......:.........
Fee Submitted S. J..•A0.................
Construction on above described buildingand
permrCmeets all appkcable,,codas and regulations.
A frplicznt Rudolph H. Bruer .
i ••/• •1 •. • • • • .•• /• • • . . • • • . . •,
IROW. 10-10-78
t;k�jkj-
�°