The URL can be used to link to this page

Home My WebLink AboutZ-12652FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. 212652......... Date ...... Ju1X 30 .................. 19 84 THIS CERTIFIES that the building s ... (? ).......................................... Location of Property14 A ................. Pine Avenue Southold House No. Street . * ' * * 'Harriet County Tax Map No. 1000 Section ....0 7.7.....Block .. 0 3 ..........Lot .... 010 Subdivision. Gaose..Bay. Katate.a .........Filed Map No. 1.176, ,Lot No. 7'10 Incl. Requirements for a private one -family dwelling built prior to conforms substantially to the App3icatirnrfar-fhfi *>tb permitht�etpft�� Dt t2¢�a[ g�g�� April Certificate of Occupancy r . 2 3 , 19 5: pursuant to which Blanding-Hermit No. ...Z12.6.52 dated ....... Juy l 30 84 19... , 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 dwelling and accessory wooden storage building. ......................................................................... The certificate is issued to OTTO MACOMBER & BERNICE MACOMBER HIS WIFE (owner, kueebrterrarrtj of the aforesaid building. Suffolk County Department of Health Approval ... no, record .............................. UNDERWRITERS CERTIFICATE NO........... no..re......cord ............................ SEE ATTACHED HOUSING CODE INSPECTION REPORT. Building Inspector Rev. 1/81 BUILDING DEPART1,1EINT TOt' N OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 140 Pine Avenue Southold number & street Municipality Subdivision Goose Bay Estates Niap No. 1176 Lot(s)7-10 Incl. Name of Owner(s) Otto Macomber & Bernice Macomber Occupancy R-1 owner type owner -tenant Admitted by: Mrs. Macomber Accompanied by: same Key available ` Suffolk Co. Tax No. 77-3-10 Source of request Mr. Otto Macomber Date 7116/84 DWELLING: Type of construction wood framed #stories 1 Foundation cement block Cellar PartialCrawl space rest Total rooms, 1st. Fl 5 2nd. F1 - 3rd. Fl - Bathroom(s) 1 Toilet room(s) Porch, type Deck, type Patio, type Breezeway Garage one -car Utility room Type Heat oil fired Warm Air Hotwater X Fireplace(s) 1 No. Ecits Airconditioning Domestic hotwater yes Type heater tankless Other outside shower ACCESSORY STRUCTURES: Garage, type const._ Swimming pool Other Storage, type const. wood Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Remarks: Inspected by: 7. 4% ate of Insp. July 20, 1984 Curtis W. Horton .Time start 11:45 end 12:00 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall f;outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted•eetato 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 ! land use --Pre-Existing C.O. $15.00 3. Copy of certificate of occupancy $1.00 / Vacant land C.O. $$ 5 .00 Date ..........70(p.04 ...... New Building ............. Old or Pre-existing Building ... K ...... Vacant Land ............. Location of Property . /.T � .. 6.�i!�.. !. < !�t........ ........................... . . House No. Street Ham /et Owner or Owners of Property .. (f/.,�ry(�!�/.... �'"�- ........................... County Tax Map No. 1000 Sections( ....` ./......... Block .. .......... Lot ... 11%........ . Subdivision ...../'C ..........................Filed Map No. . A ......Lot No. . X.......... 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 Construction on above described building and permit meets all applicable co es and regulations. �1 '3 q Gl l Applicant ... ....................... Rw.1a,o.7a CONSENT TO INSPECTION /Zz -A Owner(s) Name(s do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 1 yO V-/ N E /1 V z - S6 �4J'- o- L a/ t, ;*/' , which is shown and designated on the Suffolk- County uffolkCounty tax map as District 1000, Section 7_, Block ?, Lot /,0 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: PV, e,0. That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: ? - /! — S; r 1� J (signature) j0?474p A1'1f C - o y,2 J E'iQ (print name) (signature) -P F- M*4(C-k (print name) /em) ..._. ~7 7 2 --/0 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT .� COMM. I IND. I CB. ( misc. I Est. Mkt. Value FORMER OWNER N E ACREAGE �k+ w S W TYPE OF BUILDING RES. ,'�Jj SEAS. VL. FARM COMM. I IND. I CB. ( misc. I Est. Mkt. Value LAND IMP. TOTAL DATE j REMARKS s ov Z o 14 8/ AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD 000' X 12,5", ♦ G `' g 4 Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 ' J Woodland Swampland Brushland----- House Plot Total AA Bldn- I -- .<I - ; Foundation Both Extension17 Extension Basement 7/� Ext. Walls S Floors Interior Finish Extension Fire Place Heat Porch Roof Type Porch Rooms 1st Floor i Breezewo y Garage Igo Patio Driveway i Rooms 2nd Floor 1 Dormer Q. B. BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location number & str Subdivision / (Municipality Map No. Lot(s)_ Name of Owner(s) Occupancy_ type owner -tenant Admitted by: j%%zeeAccompanied by: Key available ' Suffolk Co. Tax No. % L 3 —Z d Source of requester �j�.. Date _1 1-z9z-z41 MTELLING : Type of construction �� L #stories_ Foundation Cellar Crawl space Total rooms, lst. F1 2nd. F1 3rd. F1 Bathroom(s) l Toilet room(s) Porch, type Deck, type Patio, type Breezeway Garage,o"Z W,,gn Utility room Type Heater T '"arm Air Hotwater Fireplaces) No. Exits Airconditioning Domestic hotwater Type heat'er_— ' Other MA -4. �— ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Remarks: Inspected by: Date of Insp. Time start end