HomeMy WebLinkAboutZ-9537FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No. .495.37.......... Date ...... May.. 23 .................. 19.79
THIS CERTIFIES that the building ................................................
Location of Property 13 75 SeawOOd Dr. Southold
P Y House )Vo. ....................... Street ....................... Ham/et
County Tax Map No. 1000 Section . 079 .......Block .... 07........Lot ....... 060 . • • . • •
Subdivision ... SeaWOOd.Aores..... • ... • . •Filed Map No. . 2575..Lot No. ...?3:n24... .
conforms substantially to the 1110] !1
u To
CERTIFICATE OF OCCUPANCY
.... April ... 23...... , 19 57 pursuant to which Jvddhwdk=dt No. . Z9537 • • • • • • • • • • • • •
dated .Max... �3................. 19 .7 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 .........
P...........r.i,vate .One. Family, ,Dwelling with Accessory Structure
The certificate is issued to ......Robert. Fi.. A. 01tw. E. • P&t;l
........................
(owner,�IX
of the aforesaid building.
Suffolk County Department of Health Approval ........ Pre,Exlsting ...................
ng
UNDERWRITERS CERTIFICATE NO.....................Pre-Existi........:.....................
. .... ...............................
Building Inspector
Rev 4/79
TOWN OF SOUTHOLD
Building Department
Town Clerks Office
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
Inspector 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
installations, 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 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 in-
formation required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Date..MaY.21,...1979
.................
New Building ................ Addition ................ Old or Pre-existing Building ..... X........ Vacant Land ..............
Location Of Property ..See attached survey .....................................................................................
Owner Or Owners Of Property ..........I;obert..E:...aul...........................................................................
Subdivision................................................................Lot No............. Block No............. House 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 $ ......5.00 .....................
Construction on above described buildinda permit�pWaly,�6ppRgdbte-�odes and regulations.
Sworn to before me this
21st...... day of ..... ................
Notary Public ...... Suf9.Q. I X ............. County
1.P H Bruer r as Attorney ffo�r�y��1 *7
icant, Robert E. Paul ROV tt- 15G& (stamp or seal) CO Z gS�rj
�' ��17, ��
cod
I-
ti
.6'goo
4 ?p
1,110 -
vs
tT M.
R
AP DIST WAIN—"TA FOR APPROVAL TO CONSTRUCT
._
\ T/TLENO. 79 -5225
�lip�Ty
Bgy��F�L
�p'QD
s
ce'
St PSE OF Ne'l>
O P{tD W V
O4
's
s
�0 45893
�a LAND SUB4E�'ol
SURVEY FOR
MICHAEL HANGLEY - 8 RUTH HANGLEY
LOT NO. 23 8 24, "SEAWOOD ACRES, SECT. /
AT SOUTHOLD DATE: MAY 17, I.
TOWN OF SOUTHOLD SCALE I - 40
SUFFOLK COUNTY, NEW YORK NO. 79— 256
N UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED TO
SURVEY
LE CAW
7209 OF THE
NEWYORK STATEEDUCATION USL/FE T/TLE /NSURANCECOMPANY
*COPIES OF THIS SURVEY NOT BEARING THE LAND OF NEW YO4A' _
SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL R/VERHEAO SAV/NGS BANK
NOT BE CONSIDERED TO BE A VALID TRUE COPY
)(GUARANTEES INDICATED HEREON SHALL RUN ONLY TO M/CHQEL B RUIN HANGLEY
THE PERSON FOR WHOM THE SURVEY IS PREPARED
AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN-
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 1575-
(number
3 number & street (Municipality)
Subdivision S; -,j u/ad,o ,�%r 3 Map No. 2 5'75 Lots)
Name of Owner(s)
Occupanc1l,AeA o
type owner -tenant
Admitted by: moo, Accompanied by: !'
Key available Suffolk Co. Tax No. 1ooa-o7-a7-a6o
Source of request
�ate g-Lz ! Z7 g
DWELLING:
Type of construction 6CAVOZ2 #stories o�ew
Foundation , Z�LOC&_ Cellar J/ Crawl space
Total rooms, 1st. Flz sates 2nd. Fl — 3rd. Fl
Bathroom( a w,G Toilet room(s)
Porch, type — Deck, type Patio, type
Breezeway Garage Utility room -T
Type Heat eE:vyrrzN L- Warm Air Hotwater
Fireplace(s) No. Exits ? d Airconditioning
Domestic hotwater ,bLa�Tr�
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool pool Guest, type const.
Other
VIOLATIONS:
Housing Code, Chapter 52
Location
Description iArt,.
Sec.
:z)
L011wOOVS Do IV07- PIC6VIoe 5Z�w7 4 e4&
2 ,c/4 �itJ� U5 t=7�Z-
Remarks:
Inspected by:
Date of Insp.
Time start/- d P end /�71c
3