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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 J 0 z