HomeMy WebLinkAboutZ-12734BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location %S %E G0N/C �ANE
number & street Municipality
Subdivision Map No.
Name of Owner(s)
Occupancy.
Lot(s)
(type) downer -tenant)
Admitted by: & -44 2?A� Accompanied by: 'iz4o�'(
POMC
Key available ' Suffolk Co. Tax No.O7Z,6757..,0117
Source of request At�C� Date
DWELLING:
Type of construction ( #stories_
Foundation �(,(ili,�,.,,� 41lar Crawl space
Total rooms, lst. F1 ,-� 3rd. F1
Bathroom(s) Toile room(s)
Porch, type Deck, type Patio, type
Breezeway _ arage Utility room
Type Heati;;; Warm Air Hotwater
Fireplaces) No. Exits Airconditioning
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 3Z 45' A;LIL, .1rCef-
Remarks:
Inspected by: Date of Insp. 41,� 3
07- Time start end
i
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. ZA1 734.......... Date .......August 28 ............... 19.84
THIS CERTIFIES that the building ....Auto ,body, repair shop
Location of Property .4196.5„Main.Rd. .&, 15„Peconic Lane Peconic
House No. Street Hamlet
County Tax Map No. 1000 Section ..075 ....... Block ..Q5 ........... Lot ...01 0 .
M
Subdivision ...............................Filed Map No. ........Lot No. .............
Requirements for a B-1 Business Zone built prior to
conforms substantially to the }sgiaQ}{fig}1g�i�lggi}ggCSIt}fjQXOffdXQalt�d
Certificate of Occupancy #Z12734
April. .2 3 .......... 195.7.. pursuant to which}gap14M1s: rKffiXXNo. .....................
dated Augus t . 28.,, . 1 98.4 . _ ........ 19 .... 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 .........
... Ali tQ..hQdY. ':Qp4 r; .shop .................................................... .
The certificate is issued to .... l,v i n _ L. Pace .. , .
(owner,){L�Wggr}ltgmmk X X
of the aforesaid building.
Suffolk County Department of Health Approval ...... .
UNDERWRITERS CERTIFICATE NO..............N/A................................ .
See attached inspection report.
Building Inspector
Rev. 1/81
• - 4
BUILDINTG DEPART?LENT
TORN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 41965 Main Rd. & 15 Peconic Lane Peconic, N.Y.
�numoer & street Municipality
Subdivision Ma -o No. Lot(s)
Name of Owner(s) Alvin L. Pace
Occupancy B-1 owner
(type) owner-�R?MR:qt
Adiitted by: Mr. Pace Accompanied by: same
Key available ` Suffolk Co. Tax No. 075-05-10
Source of request Addie Pace
DVELLING :
Date 8/21/84
Type of construction Wood framed #stories 3
Foundation CPmPnf Cellar - Crawl space ---
Total rooms, lst. F14 Bays 2nd. Fl Office 3rd. F1
Bathroom(s) Toilet room(s) 1
Porch, type Deck, type Patio, type_
Breezeway Garage Utility room
Type Heat 2 oil fired Warm Air xxxx Hotwater
Fireplace(s) No. Exits 1 Airconditioning
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
NONE
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 45 N.Y. State Uniform Fire Code
Location
Description
Art.1
Sec.
No violations Ch. 45 N.Y. State Uniform
P vention and Building Code.
I
Remarks:
Inspected by:
Curtis W. Horton
ate of Insp.A tg. P3, 1084
ime start 2:30 end 2:40.
0 7R�to 6PM
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
S',outhold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ga4eetato 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 land use --Fre-Existing C.O. $15.00
3. Copy of certificate of occupancy $1.00 Vacant land C.O. $ 5.00
Date .... .......
New Building ............. Old or Pre-existing Building ..... .... ... Vacanj Land .............
Location of Property ..� l.....71 . . .4�.4
House No. // Str et Ham/et
Owner or Owners of Property .................... .... .4'.... ........................ .
County Tax Map No. 1000 Section .... G.. Block ..... o'. 5 ...... 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 app ' able codes and regulations.
Applicant ..:2. ��dc c; , k G Gt ............. .
Rev. 10-10.78
P
CONSENT
TO
INSPECTION
Owner(s) Name(s)
do(es) hereby state:
, the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at c c - rc , - �-'� +" J�, 7`. -XJ 6
which is shown and designated on the Suffolk
s
County tax map as District 1000, Section C 73 , Block Lot O i v
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
0
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town_ of Southold.
Date d:t�G[
—� (signature)
(print name)
sisnature)
print name