HomeMy WebLinkAboutZ-13949FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. 213949October 22 85
......... Date.................................19...
THIS CERTIFIES that the building .... One..fam.ily. sig^ Q I1;..ng .....................
Location of Property 13.00 Minnehaha Blvd. Southold
House %1%0. Street Hamlet
County Tax Map No. 1000 Section ... P7 ......Block ...... ........Lot . , 1 1
Subdivision ...............................Filed Map No. ........Lot No. .............
Requirements for apprivate one-familydwelling builtprior to
conforms substantially to the AWN h AbK 1MR(mg, $'cif y yalkwwmj $� �Y X t eXc afef
Certificate of Occupancy
April , 2 3, , , , , . , . , 195 7 . pursuant to which &K6 F&MtKNo. ........ .. 13. 3949 .......
dated .... C c t ob.er... 2.2 ........... 19 .$ 5 , 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 .........
....Ohl E..EAMILY.DWELL IN.Cc,.9NE,CAR GARAGEt METAL STORAGE BUILDING
The certificate is issued to ...... FFANK.PA)oM$l)LA,,WIFE,,,,,,,,,,,,,,,,,,,,,,,,,,
(owner,}( dC*?16b"2C X
of the aforesaid building.
Suffolk County Department of Health Approval ......... N/A , , , , , , , , , , , _ „ . . . ........... .
UNDERWRITERS CERTIFICATE NO ................. N/A
..�ZA�/
.. �...�'...
Building Inspector .
Rev. 1/81
I
BUILDING DEPARTHENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 1300 MINNEHAHA BLVD. SOUTHOLD
number & street Municipality
Subdivision Map No. Lot(s)
Name of Owner(s) FRANK PALOMBELLA & WIFE
Occupancy R-1 owner
type owner -tenant
Admitted by: Mr. Palombella Accompanied by: same
Key available ' Suffolk Co. Tax No. 87-2-11
Source of request Mr. Palombella Date 10/21/85
DWELLING:
Type of construction WOOD FRAMED #stories ONE
Foundation CEMENT BLOCK Cellar PARTIAL Crawl space
Total rooms, lst. Fl 5 2nd. F1 3rd. F1
Bathroom(s) 1 Toilet rooms)
Porch, type Deck, type Patio, type
Breezeway Garage Utility room
Type Heat oil fired 'rJarm Air Hotwater
Fireplace(s) 1 No. Exits 2 Airconditioning
Domestic hotwater yes Type heater tankless
Other finiehed attic
ACCESSORY STRUCTURES:
Garage, type const.wood 1 car Storage, type const. metal
Swimming pool Guest, type const.
Other gpiit. rail fence.
VIOLATIONS: Housing Code, Chapter 45 N.Y. Stat(�UniformaFire Prevention
Location
Description jArt.1
Sec.
cellar
cellar steps narrow and steep
CH. 45 -ch f 1242.3b
f
Remarks:
Inspected by:
Date of Insp. 10-22-85
Curtis W. Horton Time start9:05 end9:30
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N.Y. S. LIC. NO. 49618
PECO YORS & ENGINEERS , P. C.
(516) 765 - 5020
54655 MMAIN ROAD
SOUTHOLD, N. Y. 11971
CERTIFIED TO
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14
COMMONWEALTH LAND
TITLE INSURANCE COMPANY
TITLE NO. 487-501 —S
ANTHONY CRACCHIOLA
KATHY CRACCHIOLA
Prepared in accordance with the minimum
standards for title surveys as established by
the L. I. A. L. S. and approved and adopted
Tor such use by The New York State Land
Title Association.
to
Q
SURVEY FOR -
ANTHJNY CRACCHIOLA
81
KATHY CRACCHIOLA
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y
1000 — 087 — 02 — Oil
SCALE= I " 20'
OCT. 4, 1985
85-340
s
CONSENT
TO
INSPECTION
19 NK / /A0M1,.!X'/
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 / 300 MI ALAI y,4 H/+ �?L VD
which is shown and designated on the Suffolk
County tax map as District 1000, Section �- '7_, Block Z , 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:
C/'2T/ F/C/qT/::7 0% OC'C U/'HiyC 4
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: ,rj ",,4
(signature)
(print name)
signature)
(print name)
1
FORM NO. 6
TOWN OF SOUT HOLD
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 dopiliIiiiiiiiiii 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. gar existing buildings (prior to Apr-' .19WJ, Non -conforming uses, or buildings and "pre-existing"
_a
1. Accurate survey of property 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 occupyonp-eistin.del,in_ 15.00axw
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
Date ../R.. 2 ��.�.j_.........
New Building ............. Old or Pre-existing Building ... %:`�...... Vacant Land .............
Location of Property . l �. �i o . /'�i i!Nr ,41/1 /_/,q oU L. Yb SD v -7-14-OLD
House No. Street Hamlet
Owner or Owners of Property .... l P/194, CVW1364.,.1.A ? .................
County Tax Map No. 1000 Section ..(7.../........ Block .... J�1. ....... 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 $ �f/ J, 0. v ..................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant .... 3.� �a�L` ..................... .
Rev. 10-10-78
if. a-#2/39Yj
I
BUILDING DEPARTMENT
T0WN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location p
1'. --
(number & street Municipality
Subdivision Map No. Lot(s)
Name of C
Occupancy
Admitted by: ccompanied by:- Oe2,1&"n
Key available ' Suffolk Co. Tax No.C.1
Source of request V -I ���� Date --
DWELLITNG
Type of construction #stories
Foundation _ Cell r ravel space
Total rooms, lst. F1 2nd. F1 3rd. F1
Bathrooms) Toilet room(s)
Porch, type Deck, type Patio, type
Breezeway Garage Utility room
Type Hea ��Idarm Air Hotwater
Fireplace(s) No. Exits__ Airconditioning_
Domestic hotwater Type heater
Other ,,., . 1/ -.-44--
ACCESSORY
�
ACCESSORY STRUCTURES: �
type const.MV Stora e type ype const.
Swimming pool Guest type const
Garage,
Other
VIOLATIONS: Housing Code, Chapter 45'N.Y. Stat(p,Uniform_Fire Prevention
Remarks:
Inspected by:/� Date of Insp. /,6F
�! Time start !G' S end G