HomeMy WebLinkAboutZ-10340FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y..
Certificate Of Occupancy
No ...... 7...'1.03.~.Q .... Date ...... .ff..a.n..u.a.l~., .8, ...............19 .~.'I.
THIS CERTIFIES that the building ......................... ' .......................
Location of Property 76325 Rein Rd. ~. Et .25., ................ .O.b.e..e.~p.o.x?.~,.
121[~s~ 'N'o[ ................. Street Ham/et
County Tax Map No. 1000 Section 0/*8 .Block 01 .Lot 001
Subdivision ............................... Filed Map No ......... Lot No ..............
Reculremen~s., for~a On~ F~a~tly~.,Dwel~ing~3ui~_,t_~r~or to
conforms substantially to the
Certificate of Occupancy
A~)ril
23,
,19..~: pursuant to w~ch 9~,~-~m~a-No ....... .%'Y/..".~ ........
dated . . .J. 8. n..u.s..r~...8., ..............19...,81 was issued, and conforms to aU of the requirements
of the applicable provisions of thc law. The occupancy for which th~s certificate is issued is .........
Private One Family Dwelling
The certificate is issued to Nicola Mazzaferro and Wf.
..................... /o¥~;;, ..............................
of the aforesaid building.
Suffolk County Department of Mealth Approval . .N../.R. ....................................
UNDERWRI~ERS CERTIFICATE NO..N../.R ............................................
Building Inspector
Rev 4/79
BUILDING DEPARTMENT
TO¥~ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 76325 Main Rd., Rt. 2~,.
(number & street)
Subdivision Map No.
Greenport
(Municipality)
Lot(s)
N~me of Ov~er(s) Nic ola Mazzaferro and Wife
Occupancy
Admitted by:
R-1
(type)
Mrs. Corwin
Unoccupied
(owner-tena~t)
Accompanied by: Mrs. Corwin
Key available
Suffolk Co. Tax No..048-01-001
Source of request Joseph MazzaferrO
Date 12/10/80
DWEI,LING:
Type of construction Wood
Foundation Cement Block
Total rooms, 1st. F1 6
Bathroom(s) 1
Porch, type Open
Breezeway_
Type Heat Oil Fired
Fireplace(s) 1
Domestic hotwater Yes
#stories One
Cellar Full Crawl space
2nd. F1 3rd. F1
Toilet room(s).
Patio, type__
Utility room
Pkrbwa~- Steam
3 Airconditionin~
Tankless
Deck, type
Garage.
Warm Air
No. F~xits
Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Wood, One CaEtorage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
No Violations Housing Code. Chapter 75
was found
Remarks:
Inspected by:~~~-f~Date of Insp. 1/8/81
Curtis ~or'ton T~me startg:00 end
9:15
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.
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 unusua~ 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.
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.. /..~.l.~.l.~..0. ............
New Building ............. Old or Pre-existing Building .... ~. ...... Vacant Land .............
Location of Property ............................ . .'7~. ~r~ ~. J~..~. ............. .~/~ .~..~..~. P .~//~'~
House No, Street Hamlet
Owner or Owners of Property ~..~. ~. t .~..~,~ ./.?./..~ .~. ~J ~--..~. ~--/~. ~') ...................
County Tax Map No. 1000 Section .... ~..,Z¢/.~. .... Block ..... .~../. ..... Lot .... .~. ~...~. .....
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval .. ~./...~. ................. Labor Dept. Approval ........................
Underwriters Approval ...N. ! ~-.~. ................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate ..... ~ ...............
Fee Submitted $. ~. ,.~._~c.. ......................
Construction on above described building and permit meets all applicable odes and regulations.
Applicant. ~ ............. ,..i~ ....