HomeMy WebLinkAboutZ-10561FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No..... 210561...... Date ........... July► .?............... 1981.
THIS CERTIFIES that the building ................................................
Location of Property.. 1,979, Your}glr ,(R� ,]�r4 a.).AYpnyQ,.... 400Aold.p..Now..Xork
House No. Street HN"let
County Tax Map No. 1000 Section .... 63 .....Block ........... 9 ... Lot ...9..... ..... .
Subdivision ...............................Filed Map No. ........Lot No. .............
re u r mea uilt
conforms substantially to the
prior o
pril .,
. , 195.7. pursuant to which "MAerP . Occupancy Z10561
dated .. Ju l y . 7 ................... 19 . S 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 .........
Private One -Family Dwelling with Accessory Struc_ture(One Car Garage)
The certificate is issued to ...... , . ora O . 8 to 11
1own6�JacNti6i iatl-
of the aforesaid building.
Suffolk County Department of Health Approval ...... NAR ................................
UNDERWRITERS CERTIFICATE NO... NVR ...........................................
Building Inspec r
Rev. 1/81
BUiLDI2.1G D EPAPTi•2 I•IT
TOP,'TI OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 1970 Youngs (Railroad) Avenue, Southold, New York
number & street) Municipality
Subdivision clap No. Lot(s)
Name of Owner(s)_ Cora G. Stoll
Occupancy R-1 Unoccupied
type owner -tenant
,Admitted by: Mary Tangney Accompanied by: Same
Key available Suffolk Co. Tax No. 63-2-9
r R. G.
Source of request � Terry,Jr. Date June 30, '81
DWELLITIG:
Type of construction_
Foundation Hollow tile
Total rooms, 1st. Fl_
Batilrocm(s) 1
Porch, type Glassed in
Breezeway
Type Heat Gas
Fireplace(s)
Domestic hotwater Yes
Other
ACCESSORY STRUCTURES:
Wood framed u 2
nstories
Cellar Full Crawl space
3 2nd. F1 3 3rd. Fl
Toilet room(s) 1
Deck, type
Garage
Warm Air Central
No. Exits 3
c
Garage, type const. Wood one car
Swimming pool
Other
VIOLATIO,;S :
Patio, type
Utility room Pantry
Hotwater
_Airconditioning
Type heater Gas
Storage, type const.
Guest, type const._
Housing Code, Chapter 52
Location
Description.
Art.1
Sec.
Kitchen
Gas Stove no shut off
V
52-52-B�
Chimney
Masonary joints outside need to pointed u
III
52-32-B
Front ste
sSome of them need to be replaced
III
52-30-A
rotten
III
52-31-B
Garage
Mppds p;�Jnt and roof leaks in is
III
52-31-C
Remarks:
Inspected by:OAA—A6;'Date of Insp. July 6, 1981
Time start 2:30 end 3:00
Curtis W. Horton
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 surrey 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
A
Date
New Building ............. Old or Pre-existing Building . ?C ........ Vacant Land ..............
Location of Property .....49.7.0 ...� , W.
r
.... ........ ..........
House No, ;;at Ham/et
Owner or Owners of Property .. �T' L� &r
/ .......................q..........
County Tax Map No. 1000 Section ..... �? 3 ...... Block ...... Z...... Lot ..... I .........
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 ....................
—�c 4
Fee Submitted $ .. �..........................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant ...........1.
Rev. 10-10-78 �•
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ST12A 5 SEC.c
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ty L 0
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• - +.J - ' I VNAUOgRIZM ALTERATION OR ADDITIp
I � _ 70 THIS $IHVIY IS A VIOLATION OF
SECTION 7209 Of THE NEW YO9R STAT(
EEWRAIION LAW.
CQM OF IMS SURVEY µA9 NGT SEARING
SUK. VEY�rJ r--vA-. 7•Mu. nEAE SURVEYOR'S INAX SEAL 09
'.....5S® SEAL $HALL NOT RE CONSI,,RLD
_ �-•� _ '/O RE A VAUD ISUE COW.
r GUARANEEES IMCAIED HEREON SHML RUN
-- - .- - .. pNLY TO IM FUSON FOR WHOM THE SURVEY
�T E PREPARED, AND ON HIS BEHALF TO IYH
PER COMPANY, GOVQVMENTM AGENCY ANI
( OiNG WSUTUTION USTEp H.SRON. ASU
FJO THE ASSIGNEES Of THE LENDING INS,
_ WTNkL GUARANSEES AU HOL kMWIAA.
:'1(�%Y. IO ADDITWEW WSATUTIONl09 SU610w
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