HomeMy WebLinkAboutZ-9717FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No...~?3Z .........
Date October 18 19 79
THIS CERTIFIES that the building ................................................
Location ofProperty ...2.3.q75...s.o..~..d. Mx. e. w. . ?.v. e. .n.u.e. ................. s.o.u. .~.hq~. ~. :' ~ : ¥.
House No. Street Hamlet
County Tax Map No. 1000 Section .... .°.~.! .... Block ..... .05 ....... Lot ..... .0.1.7. ........
Subdivision ............................... Filed Map No ......... Lot No ..............
Requirementa for a one f~mily dwelling built prior to
conforms substantially to the~
Certificate of Occupancy
.... .A. pr.i.~' .2.} ........ 19.5.7'. pursuant to which:~il~l~i~J;l~No ......... .Z.97.1.7. .......
dated .. 9.~3°.~..er .!S. .............. 19 .7.9. ,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 .........
The certificate is issued to Carroll H. Schutze
..................... io¥,;~;~ .....................
of the aforesaid building.
Suffolk County Department of Health Approval ............ .N./.R. ..........................
UNDERWRITERS CERTIFICATE NO .................... ~[/.R. ..........................
Building Inspector
Rev 4/79
BUILDING DEPARTMENT
T0%'~ OF SOUTHOLD, N. Y-
HOUSING CODE INSPECTIONREPORT
21075 Soundview Avenue
(number & street)
Location
Subdivision
Name of Owner(s)
Occupancy R - !
(type)
'Aamitted by:_
Carroll H.
Mr. Hefferman
Map No.
Schutze
Southo] d_ New Vork
(1.~Unicip ality )
Lot(s)
Tenant
(owner-tenant)
Accompanied by:_ Mr. Hefferman
Key available Suffolk Co. Tax No. 051-04-017
Source of request'Rudolph H. Bruer, Esq. Date Oct. 16. 1979
D%TEI~ING:
Type of construction
Foundation
Total rooms, 1st. F1
Bathroom(s) I
Porch, type
Breezeway
: (DWELLING BY ROAD)
Wood framed ~storieS
Cement block - Cellarpartial Crawl space
· 6 2nd. Fi 5rd.' F1
Toilet room(s)
Deck, type Patio, type
'Garage Utility room
TyPe Heat gas/floor 'N~smmZAirFurnace Hotw~ater
Fireplace(s)_ No. Exits Airconditioning
Domestic hotwater Yes Type heater Gas
Other
ACCESSORY STRUCTURES:
Garage, type const'.
Swim~ing pool
Other
Storage, type co'st.
Guest, type"const.
VIOLATIONS: Housing Code, Chapter 52
Location -Description
Art. Sec.
Outside
Needs paint job
TTT 52-'~1-R
Cellar
Dangerous stairway
TT 5P-?7-A
Remarks:
Inspected by:.
Date of Insp.
Time start 4:00
Oct. 17, 1979
end 4:30 p.m.
BUILDING DEPARTMENT
TO%'fN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 21075 Soundview Avenue
(number & street)
Subdivision
Map No.
Southold, New York
(Municipality)
Lot(s)
Name of Owner(s). Carroll H. Schutze
OccupaucM
Admitted by: Mr.
Key available
Source of request'
R - 1
'(type)
Hefferman
Unoccupied
(owner-tenant)
Accompanied by: Mr. Hefferman
Suffolk Co. Tax No. 051-04-017
Rudolph H. Bruer,- Esq.
Date October 16,
1979
D~.LING: ~' MAIN DWF~,LING
Type 'of construction Wood framed'
Foundation Concrete&cement 5lock Cellar
Total rooms,.lst. F1
Bathroom(s) 2
Porchl type
Breezeway
Type Heat Oil fired
Fireplace(s)
Domestic hotwater
Other
-8
Deck, type
'Garage 2 car
"Narm Air
No. Exits 4
Yes
#sTories 1 1/2~ .
Crawl space rest
~rd.'F1
2nd. F1
Toilet room(s)
Open Patio, typ~
Utility room
Hotwater X
Airconditioning
Type heater (2) Gas & Electric
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type co'st.
Guest, type~const.
VIOLATIONS:
Location
Upstairs
Kitchen
Housing Code, Chapter 52
~Description
No rail/stairway
No shut off = gas stove
Art. Sec.
II 52-27-B
V 52-52-B-~
Rear deck Needs repairing
III 52-30-A
Garage
Garage
Broken sash
Left garage door
III 52-31-R
III 52-31-B
Remarks:
Inspected by:.
~_A~' ~~ Date Of Insp. October 17, 1979
Curtis Horton Time start 4:00 end 4:30 p.m.
APPLICA¥10N FOP. C~:RYiF~CATE O~F OCCUPANCY
A. This application must be filled in typewriter OR ink, and submitted in triplicate 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
3. Copy of certificate of occupancy $1.00
$5.00
Date ... Q.q .~.Ql~.e..~....1, fi.,...,1..~. 2 .~. ......
New Building .................... Old or Pre-existing Building ......... X. ................ Vacant Land ............................
Location Of Property ..... .~./...S.~..~..~..~..~..~...V..:j:..e.'~..~..~..V...e.~e.~.~..~.~..~..h..~'..]:.~..~.~. ..............................
Owner Or Owners Of Property ...... .~.~.~.~..[..],...,~.,...f~.¢.~;~.~ .....................................................................
Subdivision ................................................................ Lot No ............. Block No ............. House No .............
Permit No. ' Date Of Permit .................... Applicant ..~..q.s..a.~....~..e..~...e..]:...1. ...................................
Health Dept. Approval ............................................ Labor Dept. Approval ................................................
Underwriters Approval .............................................. Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate ............ ~ ...........................
Fee Submitted $ .... .5......0..0. .......................
· ~ me~s o~ apl~cq~gXc, e~s
Construdtion on above described building a and regulations.
Applicant .....................
Sworn to before me this l~rph H. B~/l~er, for Susan Sewell-
Notary Public ..'. ...... $.~.f.~Q.:k.k. ........... County BESSIE L. AUSTIN
Qualified in Suffolk County
Commission Expires March 30, 1981
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