HomeMy WebLinkAboutZ-10932FORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
THIS CERTIFIES that the building 0...(8. ) .........................................
Location of Property . 1.7. 5. .0 .............. g. t: .e ?.1.~. n. g..L.a. ~ ? ........... .C.u.~.q h..o ~.u.e. .......
House No. Street Hamlet
County Tax Map No. 1000 Section . .q ~ .6 ....... Block . .0.~ ........... Lot ...0..0.2 ...........
Subdivision ..... .X ......................... Filed Map No...X. ..... Lot No. X. ............
Requirements for a private one-family dwelling built prior to
conforms substantially to the A-~tion-for-l~8tding I'ciiiiR"~of~:~'g'~il~-ill-thi~-office'dllt~
Certificate of Occupancy
·..~ p?.~. 1...~.3 ........... 19 2.7. pursuant to which Bufldin~-P~nrrit No....g .19.9.3. .2 ............
· dated ... ~ P?.~. 1...7 ................. 19 .~.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 ......
p. rSy.a.t.~.. 9.n.e.-.~.9.m.~.~¥..d.u.e..~.l.~.n.~. ?.nfl...s.e.v.e. ~2..a.c.c. ?.s?.? .y..s.~.~.u..c.~.?.e.?.. ..........
The certificate is issued to ........... .H....~..~.~?.C t.. 9?). o....~.~.~. ..........................
of the aforesaid building.·
Suffolk County Department of Health Approval ...... .n./?. ................................
UNDERWRITERS CERTIFICATE NO .............. .n./.e. ................................
Building Inspector
Re~. 1/81
Location
Subdivision
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
1750 Sterling Lane
(number & street)
Map No.
Cutchogue
(Municipality)
Lot(s)
Name of Ovmer(s) Albert Orlowski
Occupancy R-1
(type)
Admitted by~ Albert Or$.ow~ki
unoccupied
(Owner'tenant)
.~ccompanied by: Albert Orlowski
Key available
Suffolk Co. Tax No. 096-03-002
Source of request James J. Cron
Date 3/23/82
DWELLING:
Type of construction
Foundation. stone
Total rooms, let. F1
Bathroom(s) 1
side & fro~t
Porch, type roof over
Breezeway
Type Heat oil fired
Fireplace(s)
Domestic hotwater
Other
wood framed
#stories
Cellar partialCrawl space
2nd. Fi 3 3rd. Fi
Toilet room(s)
Deck, type
Garagq
Warm Air
No. Exits 2
yes
2
rest
Patio, tire__
Utility room
Hotwater x
Airconditioning
Type heater tankless
ACCESSORY STRUCTURES: TOTAL 7
large
Garage, type const, one car, woodStorage, type const, wood
milkhouse
~m~X~pump house~ w.ood ~, type const, wood
~E Wood sanitaries unit; large one-car garage, wood; wood barn
with attached shed building.
VIOLATIONS: Housing Code, Chapter 52
, .Location Description , ,,Ar~... Sec.
kitchen gas stove - no shut off ¥ 52-52,,,.,E 6
III 52-32, D
b ~ ,.t,,h tiles mi. ssing ....
:tairs up very narrow ..... .. II 52-27, A
cellar some floor joists and sills rotten III 52-30, A
barn floor bad in barn III 52-30, A
Remarks:
Mar.
31,
1982
Inspected by: ~/, ./Q~~ Date of Insp.
Curtis W. Hort6n Time start 9:15 end 10:30
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 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.
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
March 23, 1982
Date ..........................
X
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
Location of Property Main Road at Sterling's Lane, Cutchogue
Hous~ No. Street Ham/et
Owner or Owners of Property H. Albert Orlowski
County Tax Map No. 1000 Section 96 Block 3 Lot 2
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 X
Fee Submitted S 5,00
Construction on above described building and permit meets all a. pplicable codes and regulatij~¢.
Applicant ............... ~ ~'./~:~-'%
Rev. 10-10-78