HomeMy WebLinkAboutZ-10556FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No .... Z. ~ 9,5.5.6 ....... Date S [ l' ~[U ~ y ' '1 ...................... 19 ' ' 8 1
THIS CERTIFIES that the building ................................................
Location of Property . .2..4.2.5.....~.~.]:. ~..G.v.e..e.k..9. v..~.v9 .......... .Sg.q ~..hp)..cl,. l~.e.~. ~tpJe. k..
House No. Street Hamlet
County Tax Map No. 1000 Section ... 5.1 .- ...... Block . .6 ............ Lot . .40 .............
Subdivision ............................... Filed Map No ......... Lot No ..............
r quit meots f o f il we n ui o to
conforms substantially to
.....................April 23 a57 . Cevt;;Lt:L~a]~LOt.~0cGupancy ~Z10556
, 1J-.. pursuant re wmchqS~lflrrrg'rertmr we ...................
dated ?.u..~ y.. 1. .................... 19.8.1. ,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 .........
...... P.v..:ty.a.t.e.. 9.n.e., F.a.mA ~. y..~.~e..~.l.~.~ ~ ..........................................
The certificate is issued to ...... t'.o.~. ~.eq...& .I4f ...................................
{owner,.I.~ge~_or_ Len_e_nt~ _ _
of the aforesaid building.
Suffolk County Department of Health Approval ..... ~./.R ..................................
UNDERWRITERS CERTIFICATE NO ...... ff./. ~ .........................................
Building Inspector
Re~. 1/81
Location 2425
Subdivision
BUILDING DEPARTMENT
TOYS[ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Mill Creek Drive
(number & street)
Map No.
Southold, New York
(Municipality')
Lot(s)_
Name of Owner(s)
Occupancy R-1
(type)
Admitted ~y:. Mr. Schwartz
Peter Neu and Betty
(owner-tenant)
Accompanied by: Mr. Schwartz
Key available Suffolk Co. Tax No. 51-6-40
Source of request Muriel Schwartz Date June 26, 1981
DW~,LING:
Type of construction
Foundation Cement Block
Total rooms, let. F1 4
Wood
CellarFull
2nd. F1
Bathroom(s), 1
Porch, type
Breezeway,
Type Heat
Fireplace(s) 1
Domestic hotwater
Other
Oil Fired
Toilet room(s)
Deck, type
Garage One Car
Warm Air x
No. Exits 3
#stories_ One
Crawl space
5rd. F1
Yes
Patio, type n~ck
Utility room
Hotwater
Airconditioning
Type heater Electric
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
NONE
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Locatipn Description Art. Sec.
Bedroom Hole in sheetrock wall III 52-32.C
Gar~Me S~lall Garag~ door bad ..... TIT ~P-~I-~
Remarks:
Curtis W. Horton
Date of Insp.
T~me start 9:00
July 1~ 1981
end9:30
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 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.
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 .... ~u...n.e..2. 6. :..~.9. 8..~ .......
×
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
Location of Property .... ~ .~.1.~..C..~.e.e.k...D.~.~.v.e. .............................. .S.o.u.~h..o.l.d. ....
House No, Street Ham/et
Owner or Owners of Property .... ~..e.t.e?...N.e.u...~..~~
County Tax Map No. 1000 Section .... 5.]:. ......... Block .... .6 .......... Lot....4.0 ...........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................ I~r
-,\
Underwriters Approval ........................ Planning Board Approval ......
Request for Temporary Certificate .Final Certificate
Fee Submitted $ ............................
Construction on above described building and permit meets all applicable cod .e~/a, nd '~.
ApplicantMuriel Schwart~ ,
........................
Rev. 10-10-78