The URL can be used to link to this page

Home My WebLink AboutZ-10229FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. Zl 0229 October 31 1980 - ' Date ................................ ,. . . THIS CERTIFIES that the building ................................................ Location of Property ;40 Mec..anic Street Southold, N.Y. h~s; hiol ....................... 'S't/e;i ....................... h~rhiei County Tax Map No. 1000 Section ....6.1 ....... Block 4 .Lot 34 Subdivision ............................... Filed Map No ......... Lot No .............. requiremer~ts for a one family dwelling Ouilt prior to conforms substantially to the l~j~l:~o~~~~~ Certificate of Occupancy Z1 .... ..... .A??i~i...~.3. ...... , 19~..7. pursuant to which :gtg~ No ........ .u.~?..~ ......... dated ............................ Ootober _31 19~.0.., 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 FAMIbY DWRLLING W/.ONE..CAR D~-T~C!~D.GARAGE.. The certificate is issued to W i lli ara J. Mi lusi ch (owner, ~.~- of the aforesaid building. Suffolk County Department of Health Approval N/R UNDERWRITERS CERTIFICATE NO ..................... 1~../~. .......................... Rev 4/79 Location Subdivision BUILDING DEPARTMENT T0¥~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 140 Mechanic Street~ Southold, N.Y. (number & street) (Municipality) Map No. Lot(s) Name of Ov~er(s) Willi~uu J. Milusich Occupancy R-1 (type)- Admitted by: self unoccupied (owner-tenant) Accompanied by: self Key available Suffolk Co. Tax No. 1~000-61-4-34 Source of request Rensselaer G. Terry, Jr,,Esq. Date October 29, 1980 DWelLING: Type of construction Wood Foundation cement block Total rooms, 1st. F1 3 Cellar 2nd. F1 full #stories Crawl space 3rd. F1 1 1/2 Bathroom(s) Porch, type front/glassed Deck, type, Breezeway Garage Type Heat oil fired Warm Air Fireplace(s) Domestic hotwater No. Exits yes Toilet room(s) 1 Patio, type.__ Utility room ~t~.~r steam Airconditioning Type heater gas Other ACCESSORY STRUCTURES: Garage, type const. Wood/1 car Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. .. Garage Garage doors need repairing III 52-31-B Kitchen Gas stove - no shut off V 52,52,~ Porch/rear Sills are bad III 52-30A Remarks: Oct. 3O, 1980 curtius tfo~ton' ' T~me start 3:30 end 3:50 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 featu res. 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 $5.00 3. Copy of certificate of occupancy $1.00 New Building ............. Old or Pre-existing Building . .~ ....... Vacant Land ............. Locati°n of Property 'r;c'u's~ ~/;" ' ' ~~I~;;;~'P~'~C' ' ' ~ ........... Owner or Owners of Property...~..~...(~.. ~ ............... County Tax Map No. 1000 Section .... .~.. ! ....... Block ...... ..~. ...... Lot .... ~ .~ ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval .. ~ .................. Labor Dept. Approval ........................ Unde~riters Approval ... ~ ................. Planning Board Approval ...................... Reque~ for Tempora~ Certificate ..................... Final Certificate ...... ~ ................ Fee Submitted $ .~.~ ...................... Con,ruction on above de~ribed building and permit meets all applicable codes and regulations, Applicant . . .~ ............... ~ ~~ R~. 10-10-78