HomeMy WebLinkAboutZ-10560FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No ..... .g .1.0.5.6. 0. ...... Date ........ ~.~1 Y. 6., ................ ,196 ].
THIS CERTIFIES that the building ................................................
705 Town Creek Lane, Southold, New York
Location of Property ht3~s~ ~/oi ....................... 'S't/e3i ....................... h~/n/e~
County Tax Map No. 1000 Section ... 6..4 ....... Block ....... 1 ........ Lot .... ! .2 ...........
Subdivision ............................... Filed Map No ......... Lot No ..............
requirements fg, r. a ~one familM dw~e~lin.~ b~L~lt.pr~or to
conforms substantially to the .A;ptxlk:alkm_fox axtm~i~.e, ezrait .l~r~tafor. e,. mca ..ia.t~ muc~aa.~e.a. ....
.... ~C~c.tlKl~l~, flf Occupancy Z10560
.... ?.p.v..:[ .1..2. 3. ....... , 1 ¢5.7.. pursuant [o wmcn-mmt~mg-r~mr no ......................
dated ....d.u.l.y...6 .................. 19..8.1, 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 .........
.................... l~r.t,~ro.~.e..0,e..F.e~;tly.. Dw.e. ll~ng ...........................
The certificate is issued to Kathryn T, Salmon
.................... .....................
of the aforesaid building.
Suffolk County Department of Health Approval ..... ~./.R. .................................
UNDERWRITERS CERTIFICATE NO. N / ~
Building Inspector
Rev. 1/81
Location
BUILDING DEPARTmeNT
TOI~ OF SOUTHOLD, N.
HOUSING CODE INSPECTION REPORT
705 Town Creek Lane
Southold, New York
(number & streeT)
Subdivision
Map No.
N~me of O~a~er(s)
. Kathryn T. Salmon
(Municipality)
Lot(s)
Occupancy R-1
Admitted by: Kathryn Salmon
.Owner
{owner-tenant)
Accompanied by: Same
Key available
Suffolk Co. Tax No. 64-1-12
Source of request
R. G. Terry, Jr.
June 20, 1981
Date
DWEJ,LING:
Type of construction
Foundation Brick
Total rooms, 1st. FI
Bathroom(s) 1
Porch, type
Breezeway
Type H~at oil Fired
Fireplace(s)
Domestic hotwater
Other
Wood framed
3
Deck, type
Garage I car
Warm Air
No. Exits
Yes
#s~ories 2
Cellar ~artial Crawl space Rest
2nd. F1 3 3rd. F1 ~
Toilet room(s).
Patio, type Brick
Utility room B,t]~ra P~try
-~wa~eF-- Steam
~ Air¢onditioning
Type }]eater Gas
ACCESSORY STRUCTURES:
.Carage, type const.
Swimming pool
Other
NONE ~
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
~Location Description Art. Sec.
Cellar No Hand rail cellar steps .. . IT ~P-27-~.
Cella~ Some floor joints dr~ rotted
Breezeway & Carage .Sills bad - sidewalks bad, roof
bad , B,C.
A-C~
Remarks: Owner says garage and breezeway is going .to be torn down and
Inspected by: ~~//. ' Date of Insp.7/1/81replaced'
Curtis W. Norton TJme start2:30 end' 3:0_0
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 unusua~ natural or
topographic featu res,
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
..... ........
New Building ....... . ...... Old or Pre-existing Building .../~ ...... Vacant Land
Owner or Owners of Property .... ,
County Tax Map No. 1000 Section ....../'L~..~, ..... Block ....... ! ....... Lot .... [ .~.,-~ .......
Subdivision ................................. Filed Map No ........... 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 c----'
Fee Submitted $ .~.~
Construction on above described building and permit m_eets all applicable codes and regulations.