HomeMy WebLinkAboutZ-11287FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
Date .... 0. c..~ 9.b.e.r' .2.7. ................. 198..2.
THIS CERTIFIES that the building -q... (2.) .........................................
Location of Property . 2; 3 9.7.5 ............ .C p.u.n.b.y..tt.o.~ .cl..4.8. ........... C. u..~.c.h.q .g.u.e ......
House No. Street Hamlet
County Tax Map No. 1000 Section . Q .8.~ ........ Block .. 0. ! ........... Lot ...0.0.9 ............
Subdivision..X ............................ Filed Map No...X ...... L. ot.N.o.. X
Requirements for a private one-family dwelling ~u~-~ 'p'~i6~"~6'"
conforms substantially to the
Certificate of Occupancy
.... ~I~r'~.l..~3 ......... 195.7. pursuant to which ttttif0ing-Petrnft No...~.1.~..2.07 .............
dated ...... 9 .c.~.q b..e .~..2. 7. .......... 19.8..2, 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 . .a..o..n.c.-.
r.~..~..~..o.z.t.~.~, g..~.o.~..~.~.~.~. 9.~..~.o...,..b.~..~.,. y.% .~.~..~.h..p.e?..~. ?.c?.~.~. ?.~y.. b..~.~.~?. ~. 9.~.~'
connected.
Thc ccrtificate is issucd to MARY C. MEWHAM & Others (Margaret Newham & A.
(°wner,*~ee"~r~mnar'~] Gertrude Lenahan)
of the aforesaid bui]dh~g.
Suffolk County Department of Health Approval ....n./.a. ...................................
UNDERWRITERS CERTIFICATE NO ........... .n./.a. ...................................
Rev. 1/81
BUILDING DEPART[4ENT
T0%';N OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 23975 County Road 48
[numoer & streeT)
Subdivision X
Cutchogue
R[ap No. X
(Municipality }
Lot(s) X
Nmme of Owner(s) Mary Newham & Anna G. Lenahan
Occupancy R-1
(type)
A~mitted by: Charles Stiens
Key available
Source of request
tenant
(owner-tenanT}
Accompanied by: same
' Suffolk Co. Tax No.084-0]-009
Rudolph H. Bruer Date Oct. ]3, ~982
DI'~LLING:
Type of construction wood framed
Fou/adation wood posts & cement Cellar
block
Total rooms, 1st. FI 2 2nd. Fi
Bathroom(s) ~
Porch, type roof over Deck, type
Breezeway Garage
Type Heat eletric 'Warm Air
Fireplace(s) No. ~its ~
Domestic hotwater . yes TYPe heater
Other This dwelling is connnected to a barn.
#stories ~
Crawl space
3rd. FI
Toilet room(s)
Patio, type,
· Utility room
Hotwater
Airconditionin~
gas
ACCESSORY STRUCTURES: ~
Garage, type const. Storage, type const.
Swim~ing pool Guest, type const.
Other Three wooden buildings connected together making one large
wood storage building.
VIOLATIONS: Housing Code, Chapter 52
Location Description I Art. I Sec.
kitchen
kitchen
barn
wood stora!e
shed
gas stove--no shut off
bare electric wires ce~l
kitchen
needs major rePairs
. needs ma~or ~epair~
t in
t V !52-52-E 6
III
., 52-31-B
III /52_31_B
52-30-A & C
52-30-A & C
Remarks:
Curtis W. Horton 'Time start 10:00 end 10:30
TOWN o1: .';uu I IIOLL) % __
'[own It.il
AI'I'LICATIQN I:'01t Cl~lt 1'II:ICA*I'I:. 01" OC¢LJPAItlCy
[ ,illin ih;pi /\llJJl~J¥,lJ .... ·
J IllliJ L;Ul Jljii,~llu . .-/~ .............
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 subn~itted 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 dr 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 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 prem,,ises, 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
New Building ............. Old or Pre-existing Building(X) . --X .... =/Vacant Land i ............
Locat on of Pro err ('"'/' '
· P YHouse .............................. No ~ ' Z.~.~-~ ....... '-. ....... -~~
· Street
Owner or Owners of Property ~¢'~1~*-~/,o,~,~.~~~q .~
County Tax Map No. ,000Section .... ~..~..~. .... Block ...6../. .... i... Lot .... ~..~..~'. .....
Subdivision ................................. Filed Map No...; ....... Lot No ..............
Health Dept. Approval ....... . ,/~./(~ ............ Labor Dept. Approval ... d~..~.~ ................
Underwriters Approval ........ ./~. j//..O~. .......... Planning Board Approval .... /1~.~ ........ ~,.,
'
Request for Temporary Certificate ..................... Final Certificate . ' .......
Fee Submitted $ '.'2(,-(-...fJ.c~'.(f~//(' .~..(:? ~ii"-~ ~ '/' ,"~ (..,*
Construction on above described building and p~;jmi~_~ts all app~able_.co.des and regulations.
Applicant ..... ~ .__-, ~;;:~ ,,~-z ~. zdv~). .......................