HomeMy WebLinkAboutZ-10739FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
Tills CERTIFIES that the, building .......................... ......................
Location of Property ........ .8.8. 5...B.a.y....Ay.~.n.u. ? ........... C..u.t.c.~o..g.u.o.,., .N?.~..~ .o.r.k .....
House No. Street Hamlet
County'Tax Map No, I000 Section .... c)7 ...... Block ........ .~ ......Lot ..... .5. ..........
SubdMsion ................................ Filed Map No. ' .Lot No ..............
.. Req~irements_f. Or. a~OnerFamil~y Dwelling Built Prior
conforms substantially to me
...................... re w h i cth~ i~ ~,'~ }*~-v.o~ re.i-t-No ......... .".'.~..~ ........
April 23 ,19 .5.Ypursuant'CoPt f c ,t.e ~of Occupancy ZlnV~o
dated .... 9.c.t.o.b. 9 r..2.3. ............ 19..8 .1, was issued, and conforms to all of the requirements
of thc applicable provisions of the law. The occupancy for which this certificate is issued is .........
.......... P~.iv a.t.e. One.-.F. am;flY. ................................................
The certificate is issued to Robert E. Sayre, Sr.
rowner,
of the aforesaid building.
Suffolk County Department of Health Approval ....... N/.-R ...............................
UNDERWRITERS CERTIFICATE NO .... ~./.R ..........................................
to
Building Inspector
Rev. 1/81
Location
Subdivision
Name of
BUILDING DEP;~.Tr~NT
TO¥~ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
885 Bay Avenue,
(number & streeZ)
Cutchogue~ New York
(Municipality)
Map No. Lot(s)
Robert E. Sayre, Sr.
Unoccupied
Occupancy R-1
(~p~)
Admitted by:
(owner-tenm~t)
Accompanied by:
Silleck Agency
Key available
97-4-5
Suffolk Co. Tax No. '.
Source of request R. G. Terry, J~.
Date
Oct. 20, 1981
DYfEI,LING:
Type of construction Wood framed
Foundation Cement Block
Total rooms, 1st. F1
Bathroom(s) 1
Porch, type
Breezeway
~,pe Heat Oil Fired
Fireplace(s)
Domestic hotwater Yes
Other
#stories
Cellar Full Crawl space
2nd. F1 3rd. F1
Toilet room(s)
Deck, type
Garage 2 Car
Warm Air x
No. Exits 2
Type heater
Patio, type
Utility room
Hotwater
Airconditioning
Gas
ACCESSORY STRUCTURES: NONE
Carage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Location I Descriotion Art. Sec.
Kitchen Gas Stove no shut off V 52-52-E6
Cellar No rail cellar steps II 52-27-B
Remarks:
Inspected by: ~D~.~ ,~_ ~,_/ .~_ .~~ DZ~te of Insp. October 22, 1981
T~me startlo: 45' end 11.; O0
cur~tis w. Horton
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 featu res.
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 unusual 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.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
Date . . ~~..% .\ .~ .~. ! ....
New Building ............. Old or Pre-existing Building ..... ~:N~'. .... Vacant Land .............
Location of Property .?.~:~.~..~. ' · '~' ' ' ' '~' · '7 '~:~' '~ ............... '~' '~~ &/7'
Owner or Owners of Property . . .' ."~../Y.'~..x~...~.:.. ~ .... ~.~ ~ .~)-. ~. '~/
County Tax Map No. 1000 Section . ..<~..~.7...(~~. .... Block . .(:~t .~..~..'~. .....Lot....(~..~. ~...O..~..~.
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 ....~.'. .................
Fee Submitted $ ~-~. ~
7 e~,s ~p_l~,a and~u lations.
Construction on above described building ~,~rm~i bio codes .~,..~
Applicant ~'..'~V .~,C~..%e .... ,. ~.~ . . .~. .~...
R~. 10-10-78