HomeMy WebLinkAboutZ-93331~0w-~ NO. 4
TO~FN OF SOUTHOLD
BUrLBING DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificate Of Occupancy
No...Z..9.5.5.5. .... Date ...D.c..c.e.m.b.e..r ..... .8 .......... , 19...7.8
THIS CERTIFIES that the building located at . .~.9.0..5...P.e. 9.u.a.s.h...AXe. ......
Map No ............. Block No ........... Lot No ..................................
P~EQUIREME~S_FO~ ONE FAMILY DWELLING BU~LTPRIOR TO
conforn~,s substantially to the ' ·
~o OCCUP~CY
dated ...Ap.r.i.l. ......2~ ......., 19.5.?. pursuant to which · Z933~' ·
dated . .D.ecemb.e~... 8 ........ , 19.78., was issued, and confornm to all of the require-
merits of the applicable provisions of the law. The occupancy for which this certificate is
The certificate is issued to ........... .H.e...nz~y...R..uh...&...o.t .h.e.r.s. .......................
of the aforesaid building.
Suffolk County Department of Health Approval .......... .P~..e.-..E~. ~s..t.i.ng ...........
UNDERWRITERS CERTIFICATE No ................... . .P~..e.-..E~.i..s.t.i.n.g ...........
HOUSE NUMBER .. ?.90~ ....... Street ........ .P.e. qu..a.s.h..A.¥.e .....................
.............................................. .c~. ~ .ho~n,,..N.,¥, ................
.... ........
Building Inspector
County Tax Map Number
1000-11~- !'~== 1
Location
Subdivision
Name of Owner(s)
Occupancy
Admitted by:
Key available__
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
4905 Pequash Avenue
(number & street)
Ravatone Realty Cor~ap No.
Henry Rub & Others
R-1
(type)
Mr. Nolan
Cutchogue
(Municipality)
Lot(s)45+1/2 -44
unoccupied
(owner-tenant)
Accompanied by: Mr. Nolan
Suffolk Co. Tax No. 1000-110-4-1
Source of request Richard J. Cron, Esq.
Date December 5, 1978
DWEJ,LING:
Type of construction
Foundation cement block
Total rooms, let. F1 5 1/2
Bathroom(s)
Porch, type closed in
Breezeway
Type Heat Oil fired
Fireplace(s) X
Domestic hotwater
Other
Wood framed
#stories I 1/2
rest
ACCESSORY STRUCTURES:
Cellar partia~rawl space
2nd. Fi I 3rd. Fi
Toilet room(s)
Deck, type Patio, type
Garage X Utility room
Warm Air X Hotwater
No. Exits 3 Airconditioning
X Type heater Gas
Garage, type const. Wood * Storage, type const.
Swimming pool Guest, type const.
Other * One car with attached shed.
VIOLATIONS:
Location
Rear of
House
Housing Code, Chapter 52
Description
steps and landing in very poor shape
Art. Sec.
III 52-32 A
Grounds in very poor shape
VI 52-61D.E.
Front
Room
Ceilings meed repairing, roof leaks
Garag& ~n poor shape
III 52-52 C
III 52-B? A
Remarks:
Inspected by: ~.~~~
Curtis Horton
Date of Insp. December 7, 1978
Time start 3:P'M'end 3:30 P.M.
FORM NO. 6
TOWN OF $OUTHOLD
, Building Depe~tment
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 December 5, 1978
New Building ................ Addition ................ Old or Pre-existing Building X Vacant Land
?equash Avenue, Cutchogue, New York
Location Of Property .....................................................................................................................................
Edwin Badeker and .Grace. Bedeker
tt~ Corporation 45 /
Subdivision ................................................................ Lot No ............. Block No ............. House No..~ff.~/.J--
Permit No ..................... Date Of Permit .................... Applicant Richard J. Cron, ~sq.
Health Dept. Approval ............................................ Labor Dept. Approval ................................................
Underwriters Approval .............................................. Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Fincd Certificate X
5.00
Fee Submitted $ ....................................
Construction On above
described building and permit ts ' ~od~s r la' ns
App cant ................ " " .~' . ....................
Sworn to before me this
~Ir~n
5th December, 1978
................ day of ............................................
Suffolk
Notary Pgl?lic .................................... County
(stamp or seal)
JANE FLATLE¥
NOTARY PUBLIC, State of New York
No. 52-4665418, Suffolk County
Commi~ion Expires March 30,