HomeMy WebLinkAboutZ-11324\ FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of . Occupancy
No. 11,1.324.......... Date r.6 ................1 19 .$2
THIS CERTIFIES that the building ................................................
Location of Property540 ........... Mechanic, Street.......... . Southold
House No. Street Hamlet
County Tax Map No. 1000 Section ... 4 ......Block .0. 4 ...........Lot ... Q 1 �.......... .
Subdivision ....... X ......................Filed Map No. X ......Lot No. X .............
Requirements for a private one -family dwelling built ppior to
conforms substantially to the ApoQatio4i-fo; Elated -
Certificate of Occupancy
Ap r i .. 2........... 19 5.7 pursuant to which -Gilding -Permit - No. ..Z.1.1-324 ............
dated ... D p.c. e m b e.r .6 ............. 19 $ �. , 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 .........
... a..private. one7fatj 7 y..4gi?l.ingr.........................................
The certificate is issued to .........I'? R G A R l T SMI T 11
(owner, lessee o�terraat�
of the aforesaid building.
Suffolk County Department of Health Approval ..... u/.r................................. .
UNDERWRITERS CERTIFICATE NO ............. n/.r.................................
i
I
Rev. 1/81
Building Inspector
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No...1.i.3-R.......... Date .... E� QQ,9dT:"..r. F ................. 19.;.12
THIS CERTIFIES that the building ................................................
Location of Property..N
:3............1,ecy:;,aric."traet ti-ott"old
House o. Street Ham/et
County Tax Map No. 1000 Section ... 1......Block . C.4 ...........Lot ... 12 ...........
Subdivision ....... ?: ......................Filed Map No. A ......Lot No. $ ............
Requirements for a private one -family dwelling built ppior to
conforms substantially to the AppUQation-"-B-u44dkW41.e4�it4wfotefoFo- dated-
Certificate of Occupancy
?w......
" 19 .. pursuant to which-Bilding-PerntibNo. ..Z.1.1-324 ........... .
dated ... .6 ............. 19 r;?. , 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 .........
'..�riv?.t o,=:e-fa;ily,dsllinr.........................................
The certificate is issued to ..........° t, � .A. F 7 T. I T
(owner, leswe or.tonana
of the aforesaid building.
Suffolk County Department of Health Approval ..... n/.r................................. .
UNDERWRITERS CERTIFICATE NO ............. r-, /.r .................................
Building Inspector
Rev. 1/81
BUILDING DEPARTMENT
T0, -TINT OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 640 MECHANIC STREET SOUTHOLD
(number do street) (Municipality)
Subdivision x MaD No. x Lot(s) x
Nage of Owner(s) Margaret E. Smith
Occupancy R-1 owner
(type) owner -tenant
Admitted by: Mr. Smith Accompanied by: same
Key available ' Suffolk Co. Tax No. 061-04-012
Source of request Margaret E. Smith Date 11/5/82
D',IELLING:
Type of construction wood framed #,fstories 2
Foundation cement block Cellar partialCrawl space rest
Total rooms, lst. Fl 4 2nd. Fl 3 3rd. F1
Bathroom(s) 1 Toilet room(s) 1
Porch, type Deck, type Patio, type
Breezeway Garage one -car Utility room x
Type Heat oil fired 'alarm Air Hotwater x
Fireplace(s) No. Exits 4 Airconditioning
Domestic hotwater yes Type heater tankless
Other foyer, greenhouse
ACCESSORY STRUCTURES:
Garage, type const._
Swimming pool
Other
NONE
Storage, type const.
Guest, type const._
VIOLATIONS: Housing Code, Chapter 52
Location
Description
jArt.1
Sec.
kitchen
I as stove --no shut off
V 152-52-B,<
Remarks:
Inspected by: �✓ %� Date of Insp. November 23, 1982
Curtis W. Horton Time start 11:30 end 12:00
FORYI NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 1 197 i
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. 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
naturl or t000craohic festures.
2. Final aoproval of Heaith 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.
B. 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 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 informa-
tion 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
DDaaLe W/0
New Building ............. Old or Pre-existing 3uiiding(Y) 'Vacant Land ..............
Location of Property
House /%'o. srreer Hamiet
Owner or Owners of Property�,t /¢ipe ... �k . T/ ....................
County Tax Map No._1000�(Section ....4?../......... Block ....`y ......... Lot ...........
5 Subdivision ...-T7 ....... . .....................Filed iblap No. ...........Lot No. ............. ,
v
Permit No. .......... Date of Permit ..........A�1ic nt ... ............................ .
ti -
Health Dept. Approval ........................Labor Dept. Approval ... ................... .
Under' -writers Approval ........................Planning Board Approval .................. ,
Request for Temporary Certificate .....................Final Certificate ...................
Fee Submitted S .............................. .
Con uction on above described buildin ,I permirmeeis all applipabl odes and aulations.
n�—C '
<,3�a�4 Aprli`�n _ ......., ........ .
Rev. 10-10.76 0�0"n l79 l �p C 'ta ®
i��F f d r �1T/Y� i✓T' To N S Pt c -r - a,
01444 - 74S j3iy7 bw /I! S'rvt j -f l
1,36n _ G /-- -,/ /� TOWN OF SOUTHOLD
�1
PROPERTY RECORD CARD
OWNER
STREET
VILLAGE
DISTRICT
SUB.
LOT
FORM OWNER
N ;'
,
E ,�-
ACREAGE
S
W J`
TYPE OF BUILDING
RES.
�i SEAS.
VL.
FARM
COMM. ',� IND. CB. � MISC.
REMARKS
LAND
IMP.
TOTAL
DATE
Z460
oo
y�l
ovo
3fro 0
X800
AGE
BUILDING
CONDITION
NEW
NORMAL
BELOW
ABOVE
Form
Acre
Volue Per
Acre
Value
Tillable 1
i
Tillable 2
Tillable 3
Woodland
Swampland
Brushland
Tctal
i
I
/ r '
M. Bldg.
3 y 73
N J O
i
I
Foundation
Extension
Y _ '
Interior Finish
Basement
Extension
16 x L/ _ j
r� GU
--
frig �tf 7-7
Ext. Wolfs
Extension
2 L 2.
b
�s
Fire Place
-
Rooms 2nd Floor
Porch
, . ,. Porch
Breezeway - - Patio
Garage 3�a `-�( --/C� Driveway '--
O. B.
7 a V�,
%11
C ez,, .
k��44•1 ut-,t
Fes;
C fj
Both
- -
FU j
Floors
Interior Finish
Heat
r� GU
--
frig �tf 7-7
Attic
Rooms 1 �t Floor
-
Rooms 2nd Floor
i.stis-� fi /tea