HomeMy WebLinkAboutZ-9688FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No Z9688 ........... Date .....September .21 1979.
THIS CERTIFIES that the building ................................................
Location of Property ."8q ........ i� assau F!oint. Road s ......... Cutabogue0 .I�je, ,y*
House No. Street Hamlet
County Tax Map No. 1000 Section ..119. ...... Block ... 01 .......... Lot ...019.......... .
Inc.
Subdivision XWIP}i .POLY +4 . C10 . P'o.R e , ..Filed Map No. ..156A .Lot No. . 86 .........
Requirements for a one family dwelling built prior
conforms substantially to the
Certificate of Occupancy
.. April. 23, •/ . • • • , 19 57 pursuant to whicNo. 29688 ..............
dated ... S,eptemher. . 21., ......... 19 i9. , 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 .........
............. One. .:ram�)Y .0011tng............................................
The certificate is issued to ...George .L.. & .Muriel. Re -Schwab .......................
(owner, j
of the aforesaid building.
Suffolk County Department of Health Approval ...... N( n
..................................
UNDERWRITERS CERTIFICATE NO ............. N1.................... >........... .
Rev 4/79
to
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location — C;
num
Subdivision
Name of Owner(s)-
Occupancy%
F&
sc szree-c) ,kC
rl"'e j/�a_� Map No.
Lot(s)11
-A AC /CC
type/) k own er-
Admitted by: lLI kn::: p HIc-s Accompanied by:
Key available Suffolk Co. Tax No .1c)f}Q
Source of request /�1(clgA2® / CJN Date- /
DWELLING•
Type of construction 0,0 F/Z,4 "'E #stories (j,u&
Foundation /�L��� Cellar � Crawl space Z,,4/_.���
Total rooms, 1st. F107;z5s 2nd. Fl 3rd. Fl
Bathroom(s) '7 Toilet room(s) �dvG
Porch, .typeS�5 d�� )Deck, type Patio, type
Breezeway Garage Utility room
Type Heat rc v6— Warm Air Hotwater O/c_
Fireplaces) ��,�� No. Exits Airconditioning
Domestic hotwater Type heaterlfAK,_La�S__
Other
ACCESSORY STRUCTURES:,
iX)6'
Garage, ,type const. &Loc , , Storage, type const.
Swimming pool Guest, type const._
Other
VIOLATIONS: Housing Code, Chapter 52
Remarks:
Inspected by:
Date of Insp. tQ//z�J�79
Time startL/` /%end.L�.'p6 r '
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Clerks Office
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
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 disposol—(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 $5.00
3. Copy of certificate of occupancy $1.00 Se... tember 13 1979
Date...P........................................
New Building .................... Old or Pre-existing Building ......... X................ Vacant Land ............................
Location Of Property Nassau Point Road, Cutch ue �Mo
oPy ............... .......................................................... ...................................
Owner Or Owners Of Pro erty ... George L. Schwabe Jr,.,..and Muriel H. Schwab
....................................................
Nassau oint Club
Subdivision .XF!?Pert�e§.,...Inc. �5��� ,Lot No. 86 Block No. House No .............
............ ............ ............
Permit No. Date Of Permit ....................Applicant ,Richa.rd...J.Cron
... .. att.o..r..n...e.y
Health Dept. Approval ............................................Labor Dept. Approval ................................................
Underwriters Approval ..............................................Planning Board Approval ........................................
Request For Temporary Certificate ...................... . Final Certificate X............................................................
Fee Submitted $ ...5.00
.......................
Construction on above described building and pe a icoble, nd regulations.
Applicant
a tt ney f=or George
Sworn toybefore me this S ab, r. d 3.el H. Schwab
da of
Se tember 1979
...r(..7..... y................................�... (stomp or seal)
Notary Public ......... uffolk County
-� JANE FLATLEY
1� < NOTARY PUBLIC, State uf of New Yorl1
S
No52.4665418, Suffolk County
Commission. Expires March 30, 19.0