HomeMy WebLinkAboutZ-9397FORM NO, ~
TOWN OF SOUTHOI.r~
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No...Z959.7. .... Date ...~.e-!~.u..a~r....1.9. ............, 19.7.9..
THIS CERTIFIES that the building located at ~.~.5...S.o..u13..d. ,Aye. ............ ~
Map No ..... '[ 1 ? ..... Block No ........... Lot No ...... .1.6. .........................
conforms substantially to the 0 F ~Y~ I) . B ILT RIOR TO
CERT17ICATE OF OCCUPANCY
dated . .. April... 2.5 ...... , 19.57. pursuant to which~'No. 'Z9597'
dated . J..a~.~...a+-~..1.9 .......... , 19..7.~., was issued, and conforms to -]1 of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is ........ P~.f,v~.t.e. O~.e..F~IF. Dwe~,ling ...............................
The certificate is issued to .... Ilwing .&. Nlldrad. Sporn .........................
( owner, ~)
of the aforesaid building.
Suffolk County Department of Heaith Approval ........... .P.V..e."..E~..~.s.~.~.n. g ..........
UNDERWRITERS CERTIFICATE No ..................... .P,.~.-...l~J...s..~:..rig. .........
HOUSE NUMBER ...365 ........ Street ........... $.o,.a~..d...Ay.? ....................
................................................. ?.e.c.o.n.t. ..........
Building Inspector
County Tax l~p humber
1000-067-02-005
Location
Subdivision
Name of Owner(s)
Occupancy
Admitted by:
Key available__
365
(number & street)
Source of request
R-1
(type)
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Sound Ave (Private)
Map No. 117
Irving & Mildred Sporn
Tenant
Peconic
(Municipality)
Lot(s)
Tenant
(owner-tenant)
Accompanied by: Mr. Sharp
16
Suffolk Co. Tax No. 1000-067-02-05
James A. Schondebure
Attorney At Law
Date January 19, 1979
DWELLING:
Type of construction wood
Foundation cement blocks & Pierscellar
Total rooms, 1st. Fi 4 2nd. FI
X
#stories
Crawl space
3rd. F1
Bathroom(s) 1
Porch, type closed in
Breezeway
Type Heat electric
Fireplace(s)
Domestic hotwater
Other
ACCESSORY STRUCTURES: NONE
Garage, type const.
Swimming pool
Other
Toilet room(s)
Deck, type
Garage attached
Warm Air
No. Exits 2
yes
Patio, type
Utility room
Hotwater
Airconditioning
Type heater electric
Storage, type const.
Guest, type const.
one
VIOLATIONS:
Location ,
Cellar
Housing Code, Chapter 52
Description
Ceilings beams not big enough
Insulated in cellar should be co~ered
with ½", fire-rated gypsum wallboard
on an equivalent thermal barrier
providing a finish fire rating of 15
minutes or more.
, Art. Sec.
52 30
Remarks:
Inspected by:~~ ~~---~
CURTIS HORTON
Date of Insp. January 19, 1979
Time start 10:30 end 11:15
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.
Bo
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 unusua~ 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.
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.' '~'~'~F- · '//'~/. .~' '~' ~' .'~
New Building ............. Old or Pre-existing Building ..../~.. ...... Vacant Land .............
Location of Property. _~.'~'.. ~c~'..~..,~..~. ~..~. ~¢~.~....~..~: ~.,¢~..~.~__~..,~..~..~./.~x..~.~..x~. ~ ....
House No. Street Hamlet
Owner or Owners of Property .~..~. ~,/./.~{ .~....~. ~"~./.Z. ~..~./4~-~_. ~ .... .~...~'~..'x~. ................
County Tax Map No. 1000 Section ...~.~.~.; .~.d. ..... Block ...~.: .~.q ...... Lot. ~. ~..-~.'.~.~..~. ....
Subdivision ................................. Map No.. ~'//..?. ....... Lot No..~..~. .........
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate ... ~ ..............
Fee Submitted $ ~ ~''~ ~
Construction on above described building and p~ermit meets all aj3~plica~le ~des and regulations.