HomeMy WebLinkAboutZ-9913FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No ...... Z. 99.1.] ......- Date ..... .~p?.~.l., .h. ................... 19. ~0
THIS CERTIFIES that the building .(S ) .................................. ..........
Location of Property I:l[~se No. Street ....... Hamle~
County Tax Map No. 1000 Section ..... 145 .... BloCk ....1 ........... Lot ..... ./~ ..........
Subdivision ............................... Filed Map No ......... Lot No ..............
requirements for a one family dwelling built prior to
conforms substantially to the --
Certificate of Occupancy
....lp.r.l,!. ?3. ........ ,19~7. pursuant to which ~ ......... .Z.~.13. .....
dated ..... Ap.r..il../4** .............. 19.00, 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 family dwelling with accessory building with pre-existing seasonal
and family occupancy
The certificate is issued to ........ ~'~11117. M... 8¢!a~.~l?.$g. & .~.~ ........
[owner, ~ ...............
of the aforesaid building.
Suffolk County Department of Health Approval ...N./]~ ....................................
UNDERWRITERS CERTIFICATE NO ........... l~/R ....................................
Building Inspector
Rev 4/79
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 1595 Great Peconic Bay Blvd,
('number & street)
Subdivision Laurel Park Map No.
Mattituck, N.Y.
(MuniciPality)
212 Lot(s), 24
Name of Owner(s). Arthur M. Schwartz & wf.
Occupancy R-1
(type)
Admitted by: self
unoccupied
(owner-tenant)
Accompanied by: self
Key available Silkworth Agency Suffolk Co. Tax No. 1000~145-1-4
Source of request
Albert M. Swift
Date March 12, 1980
DWELLING:
Type of construction
Foundation cement slab
Total rooms, 1st. F1
Bathroom(s) 1
Porch, type
Breezeway.
Type Heat none
Fireplace(s)
Domestic hotwater
Other
REAR DWELLING
Wood
Cellar
1 2nd. Fi 3
Toilet room(s)
Deck, type cement Patio, type
Garage Utility room
Warm Air Hotwater
No. Exits 2 Airconditioning
yes Type heater gas
#stories
Crawl space
3rd. F1
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Location
Kitchen
Stairs
Description
Bath
Upstairs Windows too small
Gas stove - no shut off
Raid going UP
Bath : floor
i Ar~.I Sec.
I. V I 52-SP-R~l
'II1,52-2?-B
IV__y___ 52-32-D
II ~2-20-A
Roof
Outside
Leaking
Needs painting badly
'III
,52-~1-C
;52-,50-C
Remarks:
-- Curtis H5~t°n v
Date of Insp._ April 3, 1980
Time start 2:00 end 2:30
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 1595 Great Peconic Bay Blvd.
(number & street)
Subdivision Laurel Park Map No.
212
Mattituck, N,Y.
(Municipality)
Lot(s).
Name of Owner(s) Arthur M. Schwartz & wf.
Occupancy R-1
(type)
Admitted by: .self
unoccupied
(owner-tenant)
Accompanied by: self
Key available Silkworth Agency Suffolk Co. Tax No.1000-145-1-4
Source of request Albert M. Swift
Date March 12~ 1980
DWELLING: FRONT DWELLING
Type of construction~ Wood framed #stOries
Foundation brick & Block Cellarpartial Crawl space
Total rooms, 1st. F1 5
Bathroom(s) 1
Porch, type glassed in
Breezewa~
Type Heat gas
Fireplace(s) 1
Domestic hotwater yes
Other
Deck, typ~
Garag~
Warm Air
No. Exits
2nd. F1 3rd. F1
Toilet room(s)
wood Patio, type
Utility room
X Hotwater
2 Airconditionin~
Type heater yes
one
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
.Location Description.. Art. Sec.
~athroom Not waterproof III 52-~2 D
Rear deck No rails ... II 52r27-D
Cellar Cellar steps II 52-27rA
Foundation Wood posts - bad III ~
Remarks:
Inspected by:~Date of Insp. April 3, 1980.
Curtis Horton Time start 2:00 end 2:30
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 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.
Co
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
New Building ............. Old or Pre-existing Building . 0;[.d..~-dF~. Vacant Land .............
Location of Property . .~.e.c.o.n. $.c. ?.~. y..~.],y .d..~,c~. ~lg~.l;h..0.e, kwoD. d. Driv. e.. ~ure~,,,. N.,.~,
House No. Street Ham/et
Owner or Owners of Property . .A.r.~.h..u.r, .~.n..d..R.o.s.a..n.n.e...S.c.h.w.~..r~.z ...........................
County Tax Map No. 1000 Section ..... /..~.~'~-. ....Block ... ~. J ......... Lot .... ~--/~--~. ¥. .....
Subdivision ................................. Filed Map No. ~../. ~,,,...Lot No. ~.2~. .........
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters ApprovalF. O..r. .e.]=e..c.~.r.~..~..w.o.r..k...Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $..5'...q0. .......................
11948
Construction on above described building and pe~ it eets al app codes a d lations
~n~, ~ !~3,/~ codes a~ .
Applicant ..... (~4,~,~. ~., . .?'~ ....................
Arthur ~. Schwartz
Rev. 10-10-78 ~'~, Z~/~
o o o ~
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