HomeMy WebLinkAboutZ-10773FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
Z10773
No ..................
Date November 16 1~.1.
THIS CERTIFIES that the building ................................................
Location of Property ..... .3.9.0.5...P.e.q.u.a.a..h. ?.v.e..n.u.e., ..... .C.u.~. c..h.o.g.u.e. ,..N.e.~...~.o.v.k. .......
House No. Street Ham/et
County Tax Map No. 1000 Section .... 1.3. 7. ..... Block ..... .0.2. .......Lot .... 0. .0 .8 .--. 0.1. 8. 7.0.1.9.
Subdivision ....... .D.e.s.c.; .................. Filed Map No...-. ..... Lot No .... .'- .........
Requirements for one family dwelling built
conforms substantially to ~'tc-Apl~l~tt-io~t -fe~- ~i4d-ing- -Peri4 4~r~ef~e- :r-~l-i~-t~-of.C~ ~l~t~d -
Prior to April 23 57 CertificaLe of]:::.'--.':::.ZOcenn.~nev-
..................... ,19... pursuant to which ~ai~e~i~ Per~t- Ne.- .......... 10 ? 73
dated . .N. 9y.e.m.b..e.r..1.6. ............. 19.8. 1., was issued, and conforms to all of the requirements
of the apphcable provisions of the law. The occupancy for which this certificate is issued is .........
A Single One Family Dwelling with Three Buildings that No Longer are
?ermitted for NON-CONFORMING DWELLING USE -
The certificate is issued to
of the aforesaid building.
Harry Primavera
(ownerxt~]OK ~O~X
Suffolk County Department of Health Approval ...... .N./.~ ................................
UNDERWRITERS CERTIFICATE NO .... ~/. 13. ...........................................
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 3 ~0 ~ ~ 0~0_,~/~/ ./~f~,'~', C6,7-~//6PC~LJ~-. /~/~
(number & strdet) / (Municipali/~y)
Subdivision ~ ~. Map No. ~ Lot(s)
of 0 er(s)
occup cy
Admitted by:
Key available
Source of request
(~wrrer- tenant)
Accompanied by: _5~
~oo
Suffolk Co. Tax No.
Date
DWELLING: ~ /
Type of construction
Foundation ~T/~.7-- ~/~c~ Cellar
Total rooms, 1st. F1 ~ /~'
Bathroom(s )
Porch, type.
Breezeway.
Type Heat
Fireplace (s
Domestic hotwater
Other
~s?ories
Crawl space
3rd. FI
Toilet room(s) ~
Deck, type -- Patio, type -'
Garage Utility room - ~
Warm Air Hotwater ~/~ ~//c~
No. Exits ~-~{j~ Airconditioning ~
~,-"~- Type heater
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code,' Chapter 52
Location, Description., Art. Sec.
(0
Time start~/Y~-~-4 end~:~-/~''
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
· (~umber &' st~'ee%) ' / (Municipalify) /
Subdivision Map No. ~ Lot(s)
Name of Owner(s)
Occupancy ~- /
(type)
Admitted by:
Key available
Source of request
/ (owner-renan{)
Accompanied by:
Suffolk Co. Tax No./ /~-o~
DWELLING: -~ Z
Type of construction
Foundation ~'/--/~_.,~'-/~/o~- Cellar/~WZ
Total rooms, 1st. Fl~- 2nd. F1
Bathroom(s)
Toilet room(s)
Porch, type~t~~_~Deck, type
Breezeway. Garage.
Type Heat ~2~c~/~7-~. Warm Air
Fireplace(sS ~ No. Exits
Domestic hotwater
Other
#stories
Crawl space,,/~/'~-~_
3rd. F1
" Patio,
Utility room
Hotwater
Airconditioning
Type heater
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
., Location Description Art. Sec.
·
Remarks: _
Inspected by~/~~~te of Insp.
Time start~'>~3-/~end ~5-/~~
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
(number & s~eet) ' (Municipalfty)
Subdivision Map No.
Name of Owner(s)~/~/
Occupancy f:~ype~~/~/-~/~ ~~ "~~~tenant)
A~itted by: ~~ Accomp~ied by:
Key available ~~ Suffolk Co. T~ No. .
Source of request
Date zl/O~ Z ~ ~ ~ /
DWELLING: ..~--/~/~T Z~/Z~//~-~ --~/~
Type of construction ~Jo~p F/~/~'~ .. ~stories.
Fomda~ion ~:~ ~. Cella:~~rawl space
To~al rooms, ls2. F1 ~ -- 2nd. F1 :rd. F1
Bathroom(s) ~ Toilet room(s)
Porch, t~e -- Deck, t~e -- Patio,
Breezeway -- Garage. Utility room
Type Heat ~c~ Warm Air ~- Hotwater
Fireplace(s)~ No. ~its ~ Airconditioning
Domestic hotwater ~ T~e heater
Other
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 5~
Location. Descripti.on Art. Sec.
U?
Time start end
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
(n~ber ~ s~eet) (M~icipality)
Subdivision Map No. Lot(s)
Name of Owner(s)
Occupancy
Admitted by:
Key available
Source of request
/ ( own er'% e~ant )
Accompanied by: ~Z~
Suffolk CO. Tax No./~Z-g ~-OZ~
DWELLING: /~ ~'/-~
Type of construction
Fo~mdation ~/c~cy~ ~- Cella~ /~7 ·
Total rooms, 1st. F1
Bathroom (s).
Porch, type,
Breezeway
Type Heat
Fireplace(s)
Domestic hotwater
Other
#stories
Crawl space
3rd. F1
Toilet room(s) ~
Deck, type ~ Patio, type
Garage. --- Utility room
Warm Air ~ Hotwater ~
No. Exits ~-~J~ Airconditioning
Type heater -~-
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Location Description Art.Sec.
~7 . ~ ~, ~.~ ~ <~ / ~ ~ z- ~-~ ,
... .. ( I
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
New Building ............. Old or Pre-existing Building ....x ........ Vacant Land .............
3905 ?equash Avenue, Cutchogue, New York
Location of Property ...................................................................
House No. Street Hamlet
Owner or Owners of Property . . .H.a.~. ~'..?.~ .m.~.v.e.~..a ........................................
137 02 008-018-019
County Tax Map No. 1~00 Section ............... Block ............... Lot ................
Described
Subdivision ................................. Filed Map No ...... Z .... 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 $ .... 5.: .0.0. ....................
Construction on above described building and permit meets a
Applicant .....