HomeMy WebLinkAboutZ-10215FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
NO. ...?1Q21� Date October 2!s, 1:0
................................19.:.
THIS CERTIFIES that the building ................................................
Location of Property. N
150.3rd Street ( ^ray Avenue) Laurel, N.Y.
House o. 126 .............. gest 012 Hamler
County Tax Map No. 1000 Section ............Block ................Lot.................
G.I. Tuthill 861 71
Subdivision ........ , . ............Filed Map No. ........Lot No.
requirements for a one—family dwelling built prior to
conforms substantially to the
Certificate of Occupancy Z10215
Apr i 1 .23 , .......... 19 .7?pursuant to which Bvi+ditrrPermi-NU0........ .
dated October 2lt,........ 19 .80
.cto , 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 T.welling
................................................................................
The certificate is issued to .. Edward McEvoy
.............owner, X;X91PV!"iPlX.....................
of the aforesaid building.
Suffolk County Department of Health Approval ... N/R
UNDERWRITERS CERTIFICATE NO..VP..........
Building Inspector
Rev 4/79
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 170 3rd Stree t (Bray Avenue) Laurel
number & street Municipality
Subdivision G.I. Tuthill Map No. 861 Lot(s) 71
Name of Owner(s) Edward McEvoy
Occupancy R-1 Occupied
type owner -tenant
Admitted by: Self Accompanied by: Self
Peal Estate,
Key available Burt Lewis Mattitu%4affolk Co. Tax No. 126-7-12
Source of request Richard F. Lark, Esq. Date Oct. 13, 1980
DWELLING:
Type of construction Wood frames One
YP #stories
Foundation Cement Block Cellar Crawl space X
Total rooms, lst. F1 4 2nd. F1 3rd. Fl
Bathroom(s) Toilet room(s) x
Porch, type
Deck, type
Breezeway Garage
Type Heat gas 'Harm Air central
Fireplace(s) 1 No. Exits 2
Patio, type cement
Utility room
_Hotwater
_Airconditioning
Domestic hotwater Yes Type heater Electric
Other Outside shower stall
ACCESSORY STRUCTURES:
i
Garage, type const._
Swimming pool
Other
VIOLATIONS:
Storage, type const. Yes -wood
Guest, type const.
Housing Code, Chapter 52
Location
Description
Art.
Sec.
Front Door
Front stens need repairing
III
52-31-A
Sitchen
Some cabinets need repairs
I
52-32-C
rhruout
Soots on Ceilings indirate roof 1p.nking
III
52-31-C
outside
Needs Painting Badly
III
2-31-B
Remarks:
Inspected by:�rY24�/_Date of Insp. Oct. 24, 1980
Curtis Horton Time start 11:30 end 12:02
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
October 13, 1980
Date.....I ....................
New Building Old or Pre-existing Building ... X........ Vacant Land
............. .............
Location of Property150 Third Street Laurel
...........................................................
House No. Street Ham/et
Owner or Owners of Property .. , . Edward McEvoy
..................................... I.................
County Tax Map No. 1000 Section ... 12.6...00 . , .. Block , 07.00 012. 000
......... Lot ................
G.I. Tuthill 861 71
Subdivision .... I ............................Filed Map No. ..........Lot No. .............
Permit No. .......... Date of Permit ..........Applicant ..................................
Health Dept. Approval ..... �/ R ............... Labor Dept. Approval ........................
Underwriters Approval ..... ..................Planning Board Approval ......................
Request for Temporary Certificate .....................Final Certificate ...................... .
Fee Submitted $ 5r00
Construction on above described building and per . me s all licable and regulations.
Applicant ..
R c arl' . L Esq., Attorney for'AppYicant
Rev. 10-10-78
803
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD,, N. Y.
HOUSING CODE INSPECTION REPORT
Location 150 3rd. Stree t (Bray Avenue) Laurel
number & street Municipality
Subdivision G•I• Tuthill Map No. 861 Lot(s)_ 71
Name of Owner(s) Edward McEvoy
Occupancy R-1 Occupied
type 7—owner-tenant)
Admitted by: Self Accompanied by:. Self
Real Estate,
Key available Burt Lewis Mat titu%Ri f folk Co. Tax No. 126-7-12
Source of request Richard F. Lara, Esq. Date Oct. 13, 1980
DWELLING:
Wooframes: Osie
Type of construction ##stories
Foundation Cement Block Cellar Crawl space x
Total rooms, lst. F1 4 2nd.. F1 3rd. F1
Bathroom(s) _ Toilet room(s) X
Porch, type Deck, type Patio, type cement
Breezeway Garage Utility room
Type Heat gas Warm Air central Hotwater
Fireplace(s) 1 No. Exits 2 Airconditioning
Domestic hotwat�!r YeS Type heater Electric
Other Outside shower stall
ACCESSORY STRUCTURES:
Garage, type const.
Storage, type const: :Yes -wood
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52'.,
Location
Description -
Art.1
Sec.
Front Door
Front steams need repairing
III
52 -A
litchen
Some cabinets need repairs
III
52-32-C
Chruout
Snots on Cei ings ind -
III
52-31-C,
)utside
Needs Painting Badly
III
2-31-B
Remarks:
Inspected by: Date of Insp. Oct. 24, 1980
Curtis Horton Time start 11:30 end 12:02'