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HomeMy WebLinkAboutZ-9819FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No.. ZA$19.......... Date .... January . 4 .................. 19-80 THIS CERTIFIES that the building ................................................ Location of Property...780 ,Qbampl. in. n1 al ............... Greenpart.. N.Y. • • ... House No. Street Namlet County Tax Map No. 1000 Section ... 34 ....... Block ....3 ..........Lot ..... 36.,.1 ....... Subdivision ...............................Filed Map No. ........Lot No. ............. requirements for a one family dwelling built prior to conforms substantially to th Certificate of Occupancy A.rr.11. ?_'s ........ 19 5.7. pursuant to which .........29818 ...... dated .January 4................ 19 80. , 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 ......... ..............OZIP. F*MK1y..Nel,ling .W/kdditinn. (Bldg.. Permit .102712)... . The certificate is issued to ....... William.J..Mills IIZ...••••••.••.••••.••••••••• (owner, ... �� of the aforesaid building. Suffolk County Department of Health Approval ............N/R .......................... UNDERWRITERS CERTIFICATE NO ................... .C• • N .46.1-765 .• • • • • • • • Building Inspector Rev One BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 780 Champlin Place number & street (Municipality) Subdivision Map No. Lot(s) Name of Owner(s). William J. Mills, III Occupancy R - 1 tvpe owner - Admitted by: Mr. Mills Accompanied by: self Key available Suffolk Co. Tax No. 1000-34-3-36.1" F L Source of request Mr. Mills Date Nov. 29, 1979 MMLING: Type of construction Wood framed #stories 1 1/2 Foundation Stone & cement block Cellar full Crawl space Total rooms, 1st. Fl 3 2nd. F1 2 3rd. F1 Bathroom(s) 1 Toilet room(s) Porch, type wood roof/overbeck, type wood Patio, type Breezeway Garage Utility room Type Heat oil- `Warm Air Hotwater X Fireplace( free FireP Gree No. Faits 2 Airconditioning Domestic hotwater yes _Type heater tankless Other ACCESSORY STRUCTURES: (small) Garage, type const. Storage, type const. wood" Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. oundation Foundation needs parching 111 5 -3 1 tairs to nd floor No hand rail on stairway -2 Remarks: This dwelling is being completel 'ust been added. (B1dg.Permit 10271Z) by: Date of Insp. 12/12/79 Curtis Horton Time start 1: 45 end 2:15 rebuilt. A new bathroom has Inspected FORK NO. B TOWN OF SOUTHOLD Building Deportment Town Clerks Office 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 Inspector 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 installations, 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 property 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 in- formation 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 .©4-f.......�� ...�"f New Building ................ Addition ................ Old or Pre-existingBuilding � 9 •••• `.. Vacant�L/ond Location Of Property .................. cl_XAm/!?�p.L!l(...��l e.,...... %........... ................(..................... Owner Or Owners Of Property . A4 ,J ` plot- /o.AO - Sbc 3S� }3/.f 3 - ADS— 3'r'r � Subdivision................................................................Lot No. Block No. ............ ... House No ............. Permit No ..................... Date Of PermitApplicant .................................................................... Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning BoardAPProval ...................................... Request For Temporary Certificate ....................................... Fee Submitted $ ......�.................... Final Certificate .......................................... Construction on above described buildin a d er it meets all pp ic.oble codes and regulations. Applicant ................... .......................................................... Sworntobefore me this .... ... �1.. day of .............. / ' (stomp or scop ' Notary Public C 4lt�...,. County ; 4 q� 3 �� �✓ VAM 11. JA 4 NOTARY PUBLIC, SiAi1i CF ; Suffolk County No. 4644 '244 /l Term Expires March 30, 1981 /64.31 l01.5Q W �orch � I tO �� Z - storc f j t n �Tw / r <7/tfC fJOU$e I m 37- Shed 7-Shed w r 1 ' 85.,Z7 5.73"'-3 i'FU'►-tr 9'�:�. � �_` �-, . EF�E=��tfa j J �Q tC30.p 4 lb r � n , J� THE NEW YORK BOARD OF FIRE UNDERWRITERS Pm BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date December 27. 1979 Application No. on file 971408 N 4 617 6 5 THIS CERTIFIES THAT only the electrical a ipment as described below and 'ntrod ced by the ap l' It na on the above a I' tion number in the premises of �' 5� Bailey Ave. Greenport, Yil .iam Mills IIT, 81; C�iamplin , x/o , L.I. .yam in the following location; 4 Basement KI 1st Fl. E* 2nd Fl. Outside Section "Block Lot was examined on December 20, 1979 and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT yA R AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. H. P. 10 29 15 10 1 F PRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL TRANS. UNIT HEATERS MULTI -OUTLET SYSTEMS NO. OF FEET DIMMERS AMT. K. W. OIL H. P. GAS H. P. AMT. „ NO. A. W. G. AMT. AMP. AMT. I AMPS. AMT. H. P. AMT. WATTS 2 F 1 600 SERVICE DISCONNECT NO. OF S E R V I C E AMT. AMP. TYPE METER EQUIP. �, 2W 1 'B' 3W 3 0 3W 3,0 4W NO. OF CC COND. PER 0 A. W. G. OF CC. COND. NO. OF HI -LEG A• W C'' OF HIAEG NO. OF NEUTRALS A. W. C' OF NEUTRAL 1 100 cb x 1 3x10 1 3/0 OTHER APPARATUS: 1 -Smoke Detector 1 William J. Mills III GENERAL MANA, E P1 217 Champlin . Greenport, N.Y. 11944 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPT rVK DWILUIM0 uCPAK1MC141. 1n1D GVPT Vr LtmirmAlC muA1 n16PDC F►LIGRiv I" e}■v■ ■•�+•�•��^• Location BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Subdivision Map No. Lot(s) Name of Owner (s) Occupancy — Admitted by:_ G"' e towner--cenan-c Accompanied by: Key available Suffolk Co. Tax No. Source of request r' Date_ v� DUIELLING: Type of construction #stories Foundation ellar Crawl space Total.rooms, lst. F1 2nd. F1 3rd.'Fl Bathroom(s) Toilet room(s) Porch. type beck, type ZPatio, type Breezeway " Garage Utility room Type Heat -,-Warm Air Hotwater zj" Fireplace7ho ) INo. Exits Airconditioning Domestic ater Type heater ___1�� Other 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 startend