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Home My WebLink AboutZ-12282FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. 212282 Date ......IM)A44ry .21 .............. 1984. THIS CERTIFIES that the building ,dwelling.. , , . , Location of Property 960 Pequash Ayenue , . , .. , .. CutO que House Aio. Sheet Hamlet County Tax Map No. 1000 Section .... ? Q?. .... Block ...1 ? ..........Lot ..... P ........ Subdivision ........ ......................Filed Map No. ...X .... Lot No. . ........... Requirements for a private one -family dwelling built prior to conforms substantially to the Application fur -Building-Permit-heretefomfiie+d-in-this-offiee-datt& Certificate of Occupancy .... April . 2.3 _ ...... > 19 5:. pursuant to which Buildhig+ermit No. .. Z T 2 2 $ ? ............ -dated .........February, .41...... 19 84. , 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 private, one. -.f el amily.dwlinci....... The certificate is issued to .... S . PALATTA (owner, lessee. te... .................... . of the aforesaid building. Suffolk County Department of Health Approval ... no, rAgo:rd.. . . . . . . . . . . ....... . . . UNDERWRITERS CERTIFICATE NO ............ See attached Housing Code Inspection Report. Building Inspector Rev. 1/61 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 960 Pequash Avenue Cutchogue (number & street) (iYiunicipality) Subdivision X ",lap No. Lots) Name of Owner(s)_ John S. Palatta Occupancy R-1 unoccupied type owner -tenant Admitted by: Geo. Parth Accompanied by: same Key available ' Suffolk Co. Tax No. 103-11-7 Source of request John S. Palatta Date 2/4/84 DUELLING: Type of construction wood #stories 1 Foundation cement block Cellar partia]Crawl space slab Total rooms, lst. Fl 5 2nd. Fl 3rd. Fl Bathroom(s) 1 Toilet room(s) Porch, type Deck, type Patio, type Breezeway Garage Utility room Type Heat gas 'alarm Air Hotwater X Fireplace(s) No. Exits 3 Airconditioning Domestic hotwater yes Type heater gas Other ACCESSORY STRUCTURES: Garage, type const._ Swimming pool Other NONE _Storage, type const. ___quest, type const._ VIOLATIONS: Housing Code, Chapter 52 Location Description JArt.1 Sec. outside needs painting badly III 52-30-C outside front steps bad I II ``52-27-A I I Remarks: This also includes B.P. 2549Z C.O. issued 2/21/84, #212281 Inspected by: �`��wi�an''GTJ /f Date of Insp. 2/9/84 Curtis W. Horton Time start 9:15 end 9:30 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 I 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 Q Date.. C Fes, a:.. 9 2.4 ...... New Building .L'�� ? :�.`..... Old or Pre-existing Building ..'........... Vacant Land ............. Location of Property... i �................. c? �' H �............ .; 'i c 1., House No. Street ]Yamlet Owner or Owners of Property ......?J... ?..`al!.rT:........................... County Tax Map No. 1000 Section .... Block .... t......... Lot .............. Subdivision ..................................Filed Map No. ..........Lot No. ............. Permit No. .....�.?.. Date of Permit )Q�lll'�.� ..Applicant .................................. Health Dept. Approval ........................Labor Dept. Approval ........................ UnderwritersApproval ........................Planning Board Approval ...................... Request for Temporary Certificate .....................Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all opli"blq codes and regulations. Applicant. rr? :� . ,. .... ........ .... ... Rev. 10-10.78 Rj-t z ��3 ��I- O ZI ri VX Its) IV) -71 ET b 'Al A CONSENT TO INSPECTION �v i-4 rte) C� �F� l_ t� "��y� the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town C -- of Southold located at {;� f� a�.( �J JQ C��, e3Q�- %vhich is shown and designated on the Suffolk- County uffolk County tax map as District 1000, Section � C) ' , Block 1 1 , Lot _. 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: 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. Dated:i i- (signafure) r S -P la L- fl i -r Kl (print name) (signature) (print name o - �G .3 -,,/ - 7 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT �O 02 vaJA Aye. 00 !G/ 4 U cf-iO2 FORMER OWNER 06 i N ��, mcca E ve, ACR. 12 o nor S �oYe e W W/eKHAr-1S r Ui` 54 TYPE OF BUILDING km RES. ,2�p SEAS. VL _ FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS a/ t,4(" .e a, ,C, And! I L - AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable t �� 5 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH Q -.� -0 BULKHEAD Total DOCK FA Location BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Subdivision Map No. Name of 0 Occupancy Pot(s) Admitted. by: ,�— /".�tvZ'-�j Accompanied by: Key available Suffolk Co. Tax No. / (I 3 % Source of request Date DWELLING: Type of construction #stories Foundation. Cellar ravel space]; Total rooms, lst. F1 2nd. Fl 3rd. Fl Bathroom(s) Toilet room(s) Porch, type Deck, type Patio, type Breezeway Garage Utility room Type Heat—"arm Air Hotwater Fireplaces;5;'� 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 52 •Description r r Remarks: ?--A Inspected by: Date of Insp._f' f �� Time start S end�� I 40w a~ THE NEW YORK BOARD OF FIRE UNDERWRITERS n8 IBUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date Februar 14, 1984 Application No. on file 235940-84 N 3 3632 THIS CERTIFIES THAT v only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of John Palatta, Pequash Ave., Cutchogue, N.Y. in the following location; ® Basement ® 1st Fl. ❑ 2nd Fl. Section Block Lot was examined on February 9 , 1984 and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS INCANDESCENT FLUORESCENT AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. H. P. DRYERS FURNACE MQTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIMELLOCKS BELL UNIT TRANS. HEATERS MULT14UTLET SYSTEMS NO. OF FEET DIMMERS AMT. WATTS AMT. K. W. OIL H. P. G*S H. P. AMT. NO. A. W. G. AMT. AMP. AMT. I AMPS. AML H. P. SERVICE DISCONNECT NO. OF METER EQUIP EQUIP. S E R V I C E AMT. AMP. TYPE ,B' 2W 1 /0' 3W 3 ,6 8W 3 �' 4W -• OF CC. COND. PER AY A W. G. OF 6C. COND. NO.OF HI•LEG A• W. G. OF HI -LEG NO.OF NEUTRALS A. W. G. OF NEUTRAL OTHER APPARATUS: (NO VISUAL DEFECTS) "An Electrical Survey" Has been made of the exposed electrical equipment in the promises indicated. "No obvious unsatisfactory condition was found. John S. Palatta 3 Fraternity La. Stony Brook, N.Y., 11790 ODOM MANAGER 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. t—.— COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED MANY MANNER.