HomeMy WebLinkAboutZ-9555FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No..` 9555.......... Date ..... June... `. . . . . . . . . . . . . . . . . .. 19 .79
THIS CERTIFIES that the building ................................................
Location of Property ....2 65„ .. $ay„Ave ...................... . . . .,wgt„Mcar;Lon, . Mew York
House No. Street Hamlet
County Tax Map No. 1000 Section .. 031 ......Block .... 1.7. ........ Lot ......... 05..... .
Subdivision ........:{ ..............Filed Map No. .. =..Lot No. ....XXJtXXSOG
REQUIREMENTS FOR ONE FAMIBLY DWELLING BLIT LT PRIOR TO
conforms substantially to the
CERTIFICATE OF OCCUPANCY
....Tpril ... 7.3 1957. pursuant to which 3j �,g bio. .. Z9555• • •
dated ..... J�e..8................ 19 !j, 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 .........
............ ]Pr..vate..0xie. F=Ljy .1?We1.1Tig ...................................
The certificate is issued to ..........Wille) A'11AP .G.. JS.21nt.......................... .
(owner, {k9newmThc
of the aforesaid building.
Suffolk County Department of Health Approval ....... Pr,,1bdsting.................... .
UNDERWRITERS CERTIFICATE NO...............fre—Existing
�_kr...........
Building Inspector
Rev Ona
Fron
Fron
Fron
Bach
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 2165 Bay Ave
number & stre
Subdivision
Name of Owner(s)
Map No.
Wilhelmine G. Saint
East Marion, New York
Lot(s)
Occupancy R-1 Seasonal Occupancy only
(type) owner -tenant
Admitted by:_ self Accompanied by:__ self
Key available Rudolph H. Bruer Suffolk Co. Tax No. 1000-031-17-05
Source of request Rudolph H. Bruer Date May 25, 1979
DtiVELLING :
Type of construction wood framed #stories one
Foundation wood posts Cellar Crawl space
Total rooms, lst. Fl 5 2nd. Fl 3rd. Fl
Bathroom(s) 1 Toilet room(s)
Porch, type screened in Deck, type Patio, type
Breezeway Garage Utility room
Electric'Only
Type Heatliving ro()m Warm Air Hotwater
Fireplace(s) 1 No. Exits 2 Airconditioning
Domestic hotwater yes Type heater electric
Other
ACCESSORY STRUCTURES:
Garage, type const.`
Swimming pool
Other
Storage, type const. metal shed
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Location
Description
Art.
Sec.
doorBad
shape
III
52-30
;-steps
Starting to rot — _
III
52-30
porch rooff
Needs more timber, sagging badl
III
2-30 1
room
Floor sagging badly —
III
52-32
Remarks:
Inspected by:���_—Date of Insp. June 7. 1979
CURTIS HORTON Time start 3.35 end 3'50
FM PM
FORK 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 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.... IaX..25.r.... 1979...............
New Building ................ Addition ................ Old or Pre-existing Building .... X......... Vacant Land ..............
Location Of Property ....... Zi/S... MY..lAVAMA11w...els. ..117C ,4?i�....�i .. 4 k....................................
Owner Or Owners Of Property ....Wilhelmina ain
G.,,,St„
Subdivision................................................................Lot No............. Block No............. House No.............
Permit No..................... Date Of Permit ....................Applicant ... A1.ilh@.l1 in.9...................
HealthDept. Approval ............................................Labor Dept. Approval................................................
Underwriters Approval.............................................. Planning Board Approval........................................
Request For Temporary Certificate........................................ Final Certificate..... X..................................
Fee Submitted $.5a.00..........................
Construction on above described building and r 't4etslpl' le s regulations.
Applicant .. ...,.. .. . .Ru for Wi h ineG. Sworn to before me this 9
l
25th 1979of ....M.
(stamp or seal)
Notary suffol"k County
Nota Public ........................ .....
q GRACE R. EDSON
NOTARY PUBLIC State of New York /
Na. 52-1077UoU, Suttolk County `
30�
Term Expires March
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COPIES OF THIS SURVEY MAP NOT BEARING
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TO BE A VALID TRUE COPY.
GUARANTEES INDICATED HEREON
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UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
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COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND 5UBVEYOR'5 IN;:_D SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
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TO BE A VALID TRUE COPY.
GUARANTEES INDICATED HEREON
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UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND 5UBVEYOR'5 IN;:_D SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
'4'�`-^.
TO BE A VALID TRUE COPY.
GUARANTEES INDICATED HEREON
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SHALL RUN
'- ! '•-" ONLY iG TNi PER50II FOP V%'.OM THE SURVEY
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15 PREPARED, AND 01, HIS DhUlf TO THE
TITLE COMPANY, GOVER}:MEMTAL AGLMGY AND
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LENDING INSTITUTION L1STEi NiUON, AND
TO THE ASSIGNEES OF lNY Lfto#4 #6116
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TUTIOI - GUARANTEES ASE NOT TNAMFMAW
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Back
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 2165 Bay Ave_
number & stre
Subdivision Map No.
Name of Owner(s)
Wilhelmine G. Saint
East Marion, New York
Munici-Dality
Lot(s)
Occupancy R-1 Seasonal Occupancy only
(type) owner -tenant
Admitted by: self Accompanied by: self
Key available Rudolph H. Bruer Suffolk Co. Tax No. 1000-031-17-05
Source of request Rudolph H. Bruer
DWELLING:
Date May 25, 1979
Type of construction
wood framed
#stories one
Foundation wod.d posts
Cellar
Crawl space
Total rooms, lst. Fl
5 2nd. Fl
3rd. Fl
Bathroom(s) 1
Toilet
room(s)
Porch, type screened
in Deck, type
Patio, type
Breezeway
Garage
Utility room
Electrics
52-32 1
Type Heat living room
Warm Air
Hotwater
Fireplace(s) 1
No. Exits 2
Airconditioning
Domestic hotwater Vel_ Type heater electric
Other
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const. metal shed
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Location
Description 'Art.1
Sec.
door
Bad shape
III
52-30
ste-ps
Startin to rot
III
52-30
- orch roof
Needs more timber, sagging badly -III
52-30 1
room
Floor sagging badly
III
52-32 1
Remarks:
Inspected by: � ,� Date of Insp. June 7, 1979
CURTIS HORTON Time start end 3.50
FM PM