HomeMy WebLinkAboutZ-7027FORM NO.!
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. 2.7. C?7. x:....12 ..... , 19.76
..... Date May
THIS CERTIFIES that the building located at Robinson .a. Basin. Road .. Street
Map No. =C......... Block No. ..7= ..... Lot No. X= .Parade.se..Pt*$Southold...1 Ye
conforms substantially to there r e t f . P 1 del & u code
built occimancy
dated .befnre . A1,.T:.23......, 19.5'7.. pursuant to which Z7027. .
dated .......... 1,ay...1.2...., 19.E 6., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is .PX unite . on3 . M.LAl; ..avel IJ Y, g .. with 1 &C . prtvste..BaraRe .......
The certificate is issued to . JobrL .6.. Joan.. Sinning .... Oumers....................
( owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval Rxo-• OXiatiue....................
UNDERWRITERS CERTIFICATE No. 1.res. existing ............................
HOUSE NUMBER ....1655...... Street ... Robinson • itoad . (Pvt • Rd l- • A,/X/A• Paradise
point Road extention
................................................................................
Y.
Building Inspector
HOUSING CODE INSPECTION
May 12, 1976
#4655 Paradise Pt. Rd. R-1
Private Robinson Road
Southold, N. Y.
Tax Roll: Garret Sinning
Seasonal Occupancy
Upon receipt of an application for a Pre -Existing Certificate
of Occupancy, I made an inspection of this one story framed
dwelling and premises. I was admitted to building by John
Brown who is helping Mr. Sinning with an addition to this
dwelling under Building Permit #84912. Inspection began
at approximately 1:10 P.M.
Dwelling consists of three bedrooms, a full bathroom,
living and dining room combination, and a kitchen. Heat is
furnished to all rooms except two bedrooms on west side of
building from an oil fired forced warm air furnace located
in full cellar of cement block foundation. A two car wood
framed garage is located in the front yard.
I found no violations of the Housing Code, Chapter 52,
Town of Southold, New York.
Unattached garage located in front yard violates Zoning
Ordinance, Chapter 100, Article III, Section 100-32 in that
accessory structures are required to be located in rear yard.
Inspection completed at approximately 1:30 P.M.
;it
fully submitted,
EH:mm Edward Hindermann
Building Inspector
C - 76 s - /S-SSy� ,
0-1 pt_ y-� ..
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 DUPLICATE 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 $5.00
3. Copy of certificate of occupancy $1.00
Date ...:�..� `.2'..I.� ..................
New Building ................ Addition ................ Old or Pre-existing Buildi CCg .....1�....... Vacant Land .............
Location Of Property �.. N �J
Qt3!.N S.° ............... .... ............................ �........
\ ` \ NrJ1&3 G
Owner Or Owners Of Property ...... omi 2..........JOA!?........................................................................
Subdivision.......................P!�12�hDtsr..p.�.............Lot No. ......'-.. Block No. .'-........ House No.............
Permit No. ........ Date Of Permit ...Applicant
............ ...................................................................................
Health Dept. Approval ..... ............Labor Dept. Approval ............ N.'. re.:.......................
Underwriters Approval .....�J!! ..- "' .Planning Board Approval �oiCo
............................ .....................
Request For Temporary Certificate .........................
Fee Submitted $ ....................................
Construction on above described building
Sworn to before me this
qva
......... (r.. 2'. y of ................
Notary Public ......
............. Final Certificate......2�............................
licable codes and regulations.
FvwbK�Q-i Foe
...............................I ...........................
(stamp or seal)
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