HomeMy WebLinkAboutZ-9912FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No ........ ~9932 ....
Date ....
THIS CERTIFIES that the building ................................................
Location of Property ...... ~. ~5.0..B..ay. Av.e~ue E~;. ~?.:1.0~,..N,~.*
House No. ' ............. 's't/e$i .......... Hamlet
County Tax Map No. ]000 Section ..... ~.1. ..... Block .... ~ ........ Lot ....... O~ ........
Subdivision ............................... Filed Map No ......... Lot No ..............
requirements for a one f~ily a~elling built prior to
conforms substantially to the
Cer~f~oa~ce .of Occupancy
..... .Ap.r.~l...2.~. ...... ,195.7.. pursuant to which~ .......... Z99.'12 .....
dated ...~1~.17$.~. .h. ................. 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 .........
.......................... , .00..e..F..am.$.ly.,, .~..e.l,!$ng .............................
The certificate is issued to .......... .~..~.. ]~l...~.$~.la.~...I~$.~$ ........................
(owner~
of the aforesaid building.
Suffolk County Department of Health Approval ............ .N./R. ..........................
UNDERWRITERS CERTIFICATE NO .................... I~/I~ ..........................
Building Inspector
Rev 4/79
Location
Subdivision
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y..
HOUSING CODE INSPECTION REPORT
250 Bay Avenue
(number & street)
East Marion, N.Y.
(Municipality)
Map No.
Lot(s)
Name of Owner(s) Mary Mirsini Miskalis
Occupancy ,
Admitted by:
R-1
(type)
Mary Miskalis
owner
(owner-tenant)
Accompanied by: Mary Miskalis
Key available Suffolk Co. Tax No.1000-31-08-05
Source of request Corwin & Glickman~ Esq Date A~rii 3, 1980
DWELLING:
Type of construction
Foundation Poured cement
Total rooms, !st. FI 3
1
Bathroom(s)
Porch, type
Breezeway
Type Heat gas
Fireplace(s)
Domestic hotwater
Other
Wood framed
#stories 2
X
Cellar partialCrawl space
2nd. FI 3 3rd. Fi
Toilet room(s). I
Deck, type
Garage one car
Warm Air
No. Exits 2
yes
Patio, type
Utility room
Hotwater X
Airconditionin~
Type heater tankless
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
NONE
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Location Description
Toilet rm. No ventilation
Cellar
Cellar steps - bad
tart.
'II
Iii
Sec.
52-26-B~2.6
52-27-A
Remarks:
Inspected by:
Cu-rtls Horton
Date of Insp. April 5, 1980
Time start 10:30 end 11:00
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 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 unusual natural or
topographic featu res.
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..3:..~ .9.8.0. .....
New Building ............. Old or Pre-existing Building ...X ........ Vacant Land .............
Location of Property ...... B..~7..A?.e.n..u.e?..~.~.s.t..¥.~?.i.o.n.,. ?.y. ..............................
House No. Street Ham/et
Owner or Owners of Property .... .¥.~??..¥.~ .z'.s.~.~..~.i.s.k:.~.l.~.s .................................
County Tax Map No. 1000 Section . .. ...... 3.~. ..... Block ...... 8. ........ Lot ..... 5. ..........
Subdivision ................................. Filed Map No ........... Lot No ..............
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 $..5: .0.q .......................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant
...................................
/46.0