HomeMy WebLinkAboutZ-17114FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
OF OCCUPANCY
No PRE CO Z-17114 Date JULY 25. 1988
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 2305 HARBOR LANE CUTCHOGUE N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 136 Block 1 Lot 17
Subdivision Filed Map No. Lot No.
conforms substantially to the/
REQUIREMENTS FOR A PRIVATE ONE -FAMILY DWELLING BUILT PRIOR TO
APRIL 23, 1988 pursuant to which
CERTIFICATE OF OCCUPANCY
xxxxxxxxxxxxxx No. Z-17114 dated JULY 25, 1988
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 ONE FAMILY DWELLING & WOOD FRAME SHED
The certificate is issued to HELEN SYRACUSE
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD -PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD -PRE EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD -PRE EXISTING
4a,w � 6 -
Building Inspector
BUILDIiIG DEPARTINENT
MiN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 2305 Harbor Lane Cutchogue, New York
number & street Municipality)
Subdivision clap No. Lot(s)
Name of Owner(s) HELEN SYRACUSE
Occupancy ONE FAMILY DWELLING
type owner -tenant
Admitted by: LEWIS REAL ESTATE Accompanied by:
Key available YES Suffolk Co. Tax No. 136-1-17
Source of request GATZ,ARNOFF & CZYGIER Date 61/17/88
DUELLING:
Type of construction WOOD FRAME ¢#stories 1
Foundation cement block piers Cellar Crawl space
Total rooms, lst. Fl 5 2nd. Fl x 3rd. Fl x
Bathroom(s) 1 partial Toilet room(s) 1 -water closet only
Porch, type FRONT (ENCLOSEDbeck, type NONE Patio, type_ NONE
Breezeway Garage Utility room
Type Heat KEROSENE Warm Air Hotwater
Fireplace(s) No. Exits Airconditioning
Domestic hotwater ELECTRIC Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const. 1 SHED WOOD FRAME
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention
T..� �___ '_ -
Location
Descrintion -
�Art.l
Sec.
Kerosene heater and single wall pipe
1191.1
4
Unsafe set of steps in rear of house
1244.1
C
Smoke detector
Remarks: House in need of repair
Inspected by:/ Date of Insp. 7/22/88
Gary F sh Time start 10:30 end 10: 50
1J-6-v� .
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted w 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 surrey of property 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory ,$ 10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Undated C.O. $ 50.00 Date ....�ii�.?/r ........
NewConstruction ...... Old orPre-ex istingBuilding .... V ant Land ..
6 0 � k r.- � nG7`--ifs ` 0
Location of Property ....... .. .
House No. Sheer Ham/et
Owner or Owners of Property ...... ... .. �:✓. , ff.. I C' v -r� ..........
County Tax Map No. 1000 Section ....�. 3 4 ..... Block ...../.......... Lot .. .7......... .
�u 117,118,119,120
Subdivision .................................Filed Map NoAw�*
.....Lot No. ............ .
nPermit No. .......... Date of Permit ..........Applicant . . ! . ..... �! C- U .... .
Health Dept.Approval ........................Labor Dept. Approval ........................
Underwriters Approval ........................Planning Board Approval ......................
Request for Temporary Certificate .....................Final Certificate .......................
Fee Submitted $.50.00 .............
Construction on above described building and pe mit meets all plicable codes and regulations.
Applicant . . ..................
Rev. 10-10-78
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CERTIFIED TOS
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TITLE NO. 3/32
ROBERT SEELEY
BARBARA SEELEY
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CONSENT
TO
INSPECTION
do(es) hereby state:
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
, -.vhich is shown and desiKnated on the Suffolk
County tax map as District 1000, Section ___O_6 Block �Lot
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
PRE-EXISTING USE
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to det--rmine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: June Q qr 1988
V J
s
i tacu
Hel-Asyrse
(print name
ignature
print name
BUILDING DEPARTMENT
TON OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPOR
Locationzos " G�
(number do streei)
Subdivision 3 ce Mate
Name of Omer(s)
OccupancyQ
A
11 V / /downer-tenan
A,',mitted by: ? u / ,�_
Key available UU p��� ' Suffolk Co. Tax No.
Source of request Date 7a,t
parity
No. Lot(s) % 7
D?'IELLI'I\ 1G :
Type of construction
#,stories
Four:dation� -�,:- - CellarCrawl space
Total rooms, 1st. F1 2nd. Fl X 3rd. F1 "'Ic
Bathrooms) Toilet room(s)
Porch, type Deck, type tio t
yp e
Breezeway arage ilJ, 2._ Utility room
Type Heat 4_ 'alarm Air Hotwater
Fireplace(s) �-�----
No. Exits Airconditioning
Domestic hotwater—E& Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type ype const.��
Swimming pool Guest type const.
Other
Remarks: G"A oAf_ IEF'�. _ _ J.
Inspected by: C-:�qO44 f
Da o Insp. 7 �
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