HomeMy WebLinkAboutZ-9286Foaas No. s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z.9.286... November 2, 19 78
Date ........................... .
THIS CERTIFIES that the building located at ..1500 Bayshore Road 40tx
Map No.. , 1124 .. Block No........... Lot No. s .. , 96 - to N -05 -99
REQUIREMENTS FOR ONE FAMILY DWELLING BUILT PRIOR TO
conforms substantially to the
ERTIFICACY
dated ...April 23......., 19.57. pursuant to which ", T No g
dated ... November 2 19.78., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is .......Private, One. Family, ,Dwelling .................................
The certificate is issued to ......... Jos eph, Q R , $c. Catherine. E., Reimer ..........
( owner, p}►j�q
of the aforesaid building.
Suffolk County Department of Health Approval ......... Pre -Existing ............
UNDERWRITERS CERTIFICATE No . ................. Pre-EXi $UAg ............
HOUSE NUMBER . 1.500........ Street .......... )$wahQre. RQad................
GreorlR�..AT. X. ..............
......'................................
Building Inspector
HOUSING CODE INSPECTION
November 2, 1978
1500 Bayshore Road R-1
Greenport, N.Y.
Sub. Div.: Peconic Bay Estates, Map # 1124
Lots # 96 to N -.5 of 99
Owners Joseph G. Reimer & Catherine E. Reimer
occupied owner
Upon receipt of an application for a Pre -Existing Certificate
of Occupancy I made an inspection of the buildings at the above
captioned premises. Accompanied by Mr. Reimer I began this
inspection at approximately 10:15 A.M.
The dwelling is a two story, partial one story wood framed
structure. Foundation is poured concrete and cement block that
provides a partial cellar with crawl space areas. Heat is furnished
to all rooms on first and second floor from a steam heat, oil fired
furnace located in cellar. An oil fired hotwater heater in cellar
furnishes domestic hotwater to all plumbing fixtures within dwelling
First floor contains a laundry room, hallway providing rear entry
that leads to a full .bathroom, cellar and kitchen, a dining room, two
living rooms and a front entry vestibule. Second floor has three
bedrooms and a full bathroom. Stairway for second floor access is
located on westerly end of living room. A detached two car garage is
located in the rear yard of premises.
I found no violations of the Housing Code, Chapter 52, Code of
the Town of Southold, N.Y.
Inspection was completed at approximately -)10:40 A
Res&ctfuAyf submitted,
Inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Deportment
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 tom' 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 1,7
Date ...... .. d . ..�a..........
New Building .................... O)ldd or
Pre-existing/..�..
Building ...................... Vacant Land .................................. (/
Location Of Property !.�,/...`...!.......t
Owner Or Owners Of Property ...</.�.1(E��1..................................R ✓/� �• 4 ffT�YE!/NC E•
......
Subdivision/ .�� �.5��..!Q%f Lot No ............. Block No. House No.............
......... ............
Permit No................:r. Date Of Permit ....................Applicant..................................................................
Health Dept. Approval ............................................Labor Dept. Approval ................................................
Underwriters Approval ..............................................Planning Board Approval
........................................
Request For Temporary Certificate ........................................ Final Certificate ........................................,,
"
Fee Submitted $
........... 1.... ......................
Construction on above described building and perm' m ets all op able codes regulations.
Applicant ........ ,- ... /� A..fea�.+ .....y...................�.................
Sworn to before me this
i
................ day of ............................................
Notary Public .................................... County
(stamp or seal)
l/I2-17 S/
po Z q )
f K1
r
v#
` N
¢' `
s.. d a R a 7 0 " 55 ✓ i f Z7rr: r
L
Cie 7 � f 1c� �•� %,= a� �. �'' I �-. �,�