HomeMy WebLinkAboutZ-10651FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
210651 September 1 1
No. ................. Date ................................,198...
THIS CERTIFIES that the building ................................................
Location of Property ......1,530 Sigsbee Road,Laurel, Hew York
House No. Street Hamlet
144 01
County Tax Map No. 1000 Section ............Block ....... .......Lot .. 008
Mattituck Park Prop. 80131
Subdivision ...............................Filed Map No. ........Lot No. .............
RequiremgntLfor Is 0 e Family Dwj„jlirig �uiat Prior to
conforms substantially to the ieatiotr--8i�l-drng r31it4w etefofe. t�►-i}i�s-e ieaAated--
A ril 23 57 cc9 tt11'>jjcat�e o QQccu ancy
April ........... , 19 ... pursuant to wlucrlr�ur1r1r11g4 iso--......... Z 10b 51 . _ _ .
September 1 81
dated ............................ 19 .... 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 .........
Private One -Family Dwelling
................................................................................
The certificate is issued to . John L. Salmon
....................................................
(ownwxbexwiox wxwjd
of the aforesaid building.
Suffolk County Department of Health Approval ....17
....................................
UNDERWRITERS CERTIFICATE NO... !�R...........................................
......................................
Building Inspector
Rev. 1/81
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
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 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.
B. 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.
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 $1.00
Date ...August, ?As. T991 ., , , ,
New Building ............. Old or Pre-existing Building ... X........ Vacant Land .............
i S 5d Si sbee Road Meek
Location of Property.........................6................................
House No. Street Hamlet
Owner or Owners of Property ......John .L.. Salomon ....................................
County Tax Map No. 1000 Section ..1-44.. Q0, , , , , . Block .... 00, , , , , . Lot .. 00$,000
Amended Map of Mattituck
Subdivision . Tark Xrope•xt7 pe..............Filed Map No. ..801 ....Lot No. , , 31 .
Permit No. .......... Date of Permit ..........Applicant ..............................I .... q
Health Dept. Approval ........................Labor Dept. Approval
Underwriters Approval ........................Planning Board Approval
Request for Temporary Certificate .....................Final Certificate
Fee Submitted $. . 5.00 ......................
......................
.................... kk
!O� . ........
.
Construction on above described building and permit meets all applicable codes and regulations.
Applicant .... J S.alomnn ...............................
Rev. 10-10-78 by A:rhe%
y�
NAIL IN
LOT • 30
(G ALL 2GUE0. )
F DOUBLE OAK 71LEE N. J LL' Yu - L. — 143. bJ
i\ ► CONC. 1 9PICK HALL AT LiNE
ELECiRtt PALE c
SERVICE
aI `
T Lu r
Of La Q
Cl Q m
~�
L 0 T 31 4
N
O
o �
r v �
a
FENCE V N00.Tit OF LIN6
1
r rw• nn•nw+.. �I9 0�
\TJ. V.
(SULOIND N)
L OT •-32
SuRviyEn FOR
J 0 L . 5�L0IA0H
SITUATE AT
LQ�+R�z
TOWN OF SOUTWOLP 1 N.Y.
5c2Lt • 201= I„
G1 ;A0HJtAENT
o = MON F!PE
• NOTE
LOT Nl)M16EA6 S140WN lk&FE-X TO "Q;AENnEO /AQP
OF FROPERTY OF (AATTITLICK PARK PQOPS., INC."
FILED IN T4k SUFFOLK COUNTY CLFFtK'S OFFICE
nc mnn Ira 4nr TITi C M1764G45
-p
C
u
\
I
I
I
a
1
c
0
d
L_Li
w
cc
Ln
c_n
TL
CIUG2AHT[kD TO %i T.TLE GVO2aNTcE CO.
sup'VEYED • JULY 15, 1969
VDD TUYL SON
LICENSE!) ANn $UAMOm
('.REENFORT - NEW YORK
BUILDING DEPARTMENT .
TOWN OF SOUTHOLD,'N. Y.
HOUSING CODE INSPECTION REPORT
Location /�.- oro' , G 16
number & treet Municipality
Subdivision 1,7
iR10 Map No./ liot(s)_
Name of Owner(s)
Occupancy k'- / t -WC A
type owner -tenant
Admitted by:Azu z,-�Accompanied by:
!e ��
Key available Suffolk Co. Tax No. -g'/ -0a
i
Source of request~ Date ?<r_ �15e/
DWELLING:
Type of construction L//aT�� �,dk-fes #stories oi�,c
Foundation ,, sY° Cellar Crawl space
Total rooms, lst. Fl -z Ods 2nd. Fl 3rd. Fl
Bathroom(s) Toilet room(s)
Porch, type Deck, type Patio, type
Breezeway Garage Utility room ,0l2/T
Type Heat 5' ,AcWarm Air'C���, Hotwater
Fireplace(s).No. Exits Airconditioning
Domestic hotwater }� Type heater 7=l��z2
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage,
type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Remarks:
Inspecte
Time startMooRIVend