HomeMy WebLinkAboutZ-9920FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No... 29924 ........ Date .... April. .11 ................... 19 .$0
THIS CERTIFIES that the building ................................................
Location of Property ..... 8245• Main. Road ........................ Eaast. Marion0..N,Y.
House No. Street Hamlet
County Tax Map No. 1000 Section .... 31 ...... Block .... 2 .......... Lot ...... 3A ... • . .
Subdivision ...............................Filed Map No. ........Lot No. .............
requirements for a one family dwelling built prior to
conforms substantially to the rjU0L#UWQWAjUr-Fb IA.
Certificate of Occupancy
... April - 23 ......... 19.57 pursuant to which . .......... Z9920.... .
dated ... April. 1.1 ................ 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 .........
.......... Private.One .Family. Dtwelling*....................................
The certificate is issued to ........... Estate. .af . Mary. G... Muir ..................... .
(owner, oyf
of the aforesaid building.
Suffolk County Department of Health Approval..........N,IR.............................
UNDERWRITERS CERTIFICATE NO ................. N/F<.............................
Building Inspector
*non -habitable
Rev 4/79
BUILDING DEPARTDENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 824 N.Y.
number & street Municipality
Subdivision Map No. Lots)
Name of Owner(s) Mary G. Muir
Occupancy _ c ied
type owner- enant
Admitted by: John Muir Accompanied by: John Muir
Key available Suffolk Co. Tax No. 1000-31-2-31 1
u
Source of request Sonny Glickman, Esq. Date April 10, 1980 R
DWELLING:
Type of construction Wood framed ;#stories 2 •.
Foundation stone Cellar partial Crawl space X
Total rooms, 1st. F1 5 2nd. F1 4 3rd. F1 ■
Bathroom(s)- _ 1 Toilet room(s) 1
Porch, type screened in Deck, type Patio, type
Breezeway Garage Utility room X
Type Heat gas WxxmxAXx steam Hotwater�
Fireplace(s) 2 No. Exits 4 Airconditioning
Domestic hotwater yes Type heater gas
Other
ACCESSORY STRUCTURES:
Garage, type const. 2 car/wood Storage, type const. wood
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location
Description
Art.1
Sec.
112 Bath
Ceilin & floor bad
ITT
92--32-c
Hallway
Ceiling & Walls bad
III
2-32-C
Thru out
Wiring very bad -- some wires exposed
(with bad wire showing -bare wire _
V
52-36-A
Thru out
{ Debris everywhere _
VI
E-
Upstairs
Ceilings coming down in all rooms
111
32-C
Front pch.
Very bad shape
--30-A
Rpof
from bedrooms
III
52-31-C
)ld part of
Floor 'Q; to very bad - -termites
—Rouse
rotten - not safe
III
52-30-A
)utside,
Some
-
••r �r •TTIYTTC'� i7ll,io a rnrip_ ChaDter 52
non -habitable at this time (52-80-B)
Remarks This dwelling is
- Date of Insp. April 11, 1980
Inspected by: �i'�
ee
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.
B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate surrey 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 or land use $5.00
3. Copy of certificate of occupancy $1.00
Date ..�!% .. �f/.......... .
New Building ............. Old or Pre-existing Build' g .. t/ ....... Vacant Land .............
Location of Property y
.......................
House No. Street Hamlet
Owner or Owners of Property✓..�!e!� i �.!... . ........................ .
County Tax Map No. 1000 Section �........ Block .O oZ ......... Lot ...�?.> / .....
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 $ ............................ .
Construction on above described building and permit meets all applicab codes and regulations.
Applicant ...................
Rev. 10-10-78
x
'60, e -sem
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.
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 or land use $5.00
3. Copy of certificate of occupancy $1.00
il
Date .4 . /(J..!`.........
New Building ............. Old or Pre-existing Building Vacant Land .............
Location of Property ... 4. �.'/�../�?%Arts .. 6 �....... ... .. � �ol�................
House No. 7 7 Street ���sss �^ h Ham/et
Owner or Owners of Property kS.I.I....6. ...�.. L'... /6�.�' 1 , , , , , , , , , , , , , , , ,
County Tax Map No. 1000 Section .. 0 ..3 J........ Block ..) ........... Lot ....� ..........
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 .. /l .................
Fee Submitted $ .............................
Construction on above described building and Ormit meets all applicable codes andre uullaa�tio�ns.
Applicant . ... .VV. 1�,C-,�c;°.............. .
Rev. 10.70-78 � d.
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
1)
OWNER
STREET ;2+5
VILLAGE
DIST.
SUB. LOT
La m!:xetz :etC12F_ (U AQ 0
MN/t) eZ Otc* LJ
FORMER OWNER
N
E
ACR.
S
:<?
W
!4Ah',VV\c��Z
TYPE OF BUILDING
RES. 16
SEAS.
VL.
FARM
COMM. CB. MICS. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
�a 0 0
o,�)DOD
oZ 00
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0e-v//6/q
1 I �N L "- —Ilrr,5o T
'�.C' IJ ^ b U4= � -
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
-
Tillable
FRONTAGE ON WATER
Woodland
FRONTAGE ON ROAD
G p v
O if
Meadowland
DEPTH
House Plot
BULKHEAD
Total
-
DOCK
S, ',aa
elliA
0A
Location
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Subdivision
Name of Owner(s)
Map No.
Lot(s)
Occupancy
type (owner—tenant)
Admitted by: e*7 .run,Accompanied by:
Key available Suffolk Co. Tax No. 3/ — A — 3
Source of request Date
DWELLING:
Type of construction AdZ9.1itd ., dsmn� #stories ,jig�
FoundatioCellar Crawl spacer_
Total rooms, lst. F1�— 2nd. Fl _3rd. F1
Bathroom(s) Toilet room(s) %
Porch, typeDeck, type Patio, type
Breezeway Garage"
Utility room r---
Type Heat .. "# ,2— Hotwater
Fireplace(s)_ No. Exits Airconditioning
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const...A Cfi, Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
7
Remarks:
Inspected by:
Date of Insp.
Time start end
Description-
WE iklplpl�
7
Remarks:
Inspected by:
Date of Insp.
Time start end
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
number & street Municipality
Subdivision Map No. Lot(s)
Name of Owner(s)
Occupancy
type owner -tenant
Admitted by: Accompanied by:
Key available
Suffolk Co. Tax No.
Source of request Date
DWELLING:
Type of construction #stories
Foundation Cellar Crawl space
Total rooms, lst. Fl 2nd. F1 3rd. F1
Bathroom(s) Toilet room(s)
Porch,. type Deck, type Patio, type
Breezeway Garage_
Type Heat `Warm Air Hotwater
Fireplace(s) No. Exits Airconditioning
Domestic hotwater Type heater
Other
Utility room
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 start4ji�nd