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HomeMy WebLinkAboutZ-9754FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No..... Z:M� ....... Date .......November .19 ............. 19 .79 THIS CERTIFIES that the building ................................................ Location of Property... Aogg� . Mein. Road ......................... Cutchc$uo.9 r!•X. House No. Street Hamlet County Tax Map No. 1000 Section ....t?g .....Block ..... PN ......Lot ...Pt, X11 ....... Subdivision ............... .. ....Filed Map No. ........Lot No. ............. requirements for a one family dwelling built prior to conforms substantially to the Certificate of Occupancy A1 rIl..23........ , 1S5.7.. pursuant to which 0 M1811111111111SX01KNo . .......Z97'54....... . dated .. N V000r .19 ............. 19 .7.9 , was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ..........#4. X/tw►0..G4>:'. 44ra e. (detached) ............... The certificate is issued to ............ IlArtha .$'toja t .................... . (owner, of the aforesaid building. Suffolk County Department of Health Approval ............... N�...................... . UNDERWRITERS CERTIFICATE NO ....................... N/R.......... I ............ Building Inspector Rev 4/79 0 N3 NO 0 ° 0 �D 9rern Faose��(1 U O /59.4/ v p ti S.35002'05"W. 2 v 53500205"W 226.83' y ti o 7.3 MA/1V fi. for. RETAINED PARCEL 0 LB59 ACRES f /e.we ZXherie /60.00 I205'(V 230.04' 534005'05 ROAD H U a U m o W o Z" m o 653T� W. 255.37 %Zq Z -r --j59 e -. "E (N.Y.S. R1,9 -25) �����ei9no -tie N� FORM NO. 6 \ TOWN OF SOUTHOLD Building Department Town Hall 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 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. 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 Q q Date .��.�/.... �� ./.... . New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property,3.6./. ,Q ._�r.......e.n. ................. House No. Street Hamlet Owner or Owners of Property JC[ .. ...:.1�.(/ ..`................................. . S I/ / County Tax Map No. 1000 Section ............... Block ...... ........ Lot ... ©.� ....... . Subdivision .................................Filed 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 ....................... rt�r Fee Submitted $ .. �S ��%?%................. r Construction on above described building and permit meets all applicable codes and regulations. Applicant. ,........... ..........,.j..... . Rev. 10-10.75 3-4 rl FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No...... 297.31 ...... Date ......October. ?6 ........ • ....., 197.9. THIS CERTIFIES that the building ................................................ Location of Property.36925.. I'�a� n - - Road........ Cutchogue, . N�sY. . House No. Street 1i V6 County Tax Map No. 1000 Section ... 085 ...... Block ... 002 ......... Lot ... pt. ..011...... Subdivision ...............................Filed Map No. ........Lot No. ............. Requirements for a one family dwelling built prior to conforms substantially to the Certificate of Occupancy .... Ami l...;-)3...... , 19 5.7 pursuant to which B 11 . .... Z.9.7.31 ........... dated ... October. 26 ............. 19 79 , 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 ......... ..Onp.Ym;Uy. Pwelling.v/.Two. C.Ar. Garage /Dwelling. Unf it. for. Human. Habitation The certificate is issued to .............. Martha . Sto jai. ..................... (owner, Titer of the aforesaid building. Suffolk County Department of Health Approval .................... N/R .................. UNDERWRITERS CERTIFICATE NO ............................ N/R ........... ...... .... ........... Building Inspector Rev 4179 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 36925 Main Road Cutchogue, New York number & street Municipality Subdivision Name of Owner(s) Martha Stojan Map No. Lot(s) Occupancy Unoccupied (type) owner -tenant Admitted by: Helen Brown Accompanied by: Helen Brown Key available Suffolk Co. Tax No. 085-002-32t. OV Source of request, Helen Brown. Date Oct. 239 1979 DTrIELLING: Type of construction Wood framed #stories 2 Foundation Stone Cellar partial Crawl space rest Total rooms, 1st. F1 6 2nd. F1 4 3rd. F1 Bathroom(s) 2 Toilet room(s) Porch, type beck, type Patio, type Breezeway Garage Utility room Type Heat oil fired ilt okiw Steam Hotwater Fireplace(s) No. Exits Airconditioning` Domestic hotwater Yes Type heater Tankless Other ACCESSORY STRUCTURES: Garage, type const. 2 car/wood Storage, type const. Swimming pool Other Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. Floors sagging badlyIII 2- OA JDsta Upstairs Walls need repairing in various places III 52-32C Upstairs Windows need repairing--- 52-31B Thru out Electric wiring needs to be checked - out; various fixtures hang loosely V 2- 6A-1 Living Rm, Termites & dry rot have caused the TTT 92-30A floor joists to be almost completely rotted away causing- the area to be - unsafe to walk on. This dwelling is unfit for human habitation until Remarks: the floor joists are repaired. (Art.VIII 52-80B) Inspected by:- Date of Insp.•Oct. 24, 1979 Curtis'Horton Time start10_00 end 11:00 .2 FORM NO.6 TOWN OF SOUTHOLD Building Department Town Hall 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 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. 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 /q Date../..,9 . . New Building ..........//...?,-2 Old or Pre-existing Building .... X...... Vacant Land ............. Location of Property � � . /. � ............. !'L. /A ........ ��-.Z:. House No. Street Hamlet Owner or Owners of Property .... .. ............................. . County Tax Map No. 1000 Section .. 0.'p5...... Block ..Q'y. ©. ...... Lot .D.. 0 ./.i.... . Subdivision .................................Filed Map No. ..........Lot No. ............. PermitNo. .......... 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" permit meets all applicable codes and regulations. 4' Applicant Qin' .... .... �. y31 Rev. 10-10-78 IP �(p3