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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 �• -76 r, 3 5 0 t ,:�,? -/7 9-% q Th C c -.,,,h ST12A 5 SEC.c I'I r i j Y/ _ _1 ty L 0 ;r J r ! - - LI • - +.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 tai 1ii4NWjy[_E( ..]A Ill7e .t.��r:`7+,•,; ' ._. :�:rr�r'+"i C_�7n•'� SUYYV �O[':,