HomeMy WebLinkAboutZ-10423FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
NO. .. Z-1-042-3 ........ Date .... Fle•rch- .1.9 i .................. 19 S1
THIS CERTIFIES that the buildings ...............................................
Location of Propertyl �°77 FF Sound Jiew, Ave: Southold • •
He No. Street Hamlet
County Tax Map No. 1000 Section . 5.1 ......... Block ... 1 ............ Lot ... .............
Subdivision ...............................Filed Map No. ........Lot No. .............
REquirements for a Private One family dwelling built
conforms substantially to the A:nnlicatinn for RnilAing Permit heretofore filed in this office dated
Certificate of Occupancy
Prior. -to. il•pril• •2.3; ...... 19 57. pursuant to which Building Permit No. ........Z 104.23..... .
dated ... Mel rc•b • 1 9•,• • • • • • • • • • • • • • . 19S.. , 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 oi2e family daelli ng with- h a• detached. •gara•ge • and• •a• s•wimmi•np; • pooh• • • • •
The certificate is issued to . Bru e e • -T-u r n e•r, • a n d• •w i f e• • • • • • • • •
.......................
(owner, ka m-vo temRO
of the aforesaid building.
Suffolk County Department of Health Approval .................M s A.......................
UNDERWRITERS CERTIFICATE NO.........................M : A.......................
* Swimming pool, Richard Addy
Building Permit# 6634Z, C.O. Z5996
Building Inspector
Rev. 1/81
3
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 17555 Sound Vie
number & street Municipality
Subdivision _ Map No. Lot(s)_
Name of Owner(S) Bruce Turner and Wife
Occupancy R-1 unoccu ied
type own er- t en arit
Admitted by: Mr. Ti11;n€rhnat Accompanied by: Mr. Till}n hos
Key available
Source of request
DWELLING:
Suffolk Co. Tax No. 51-1-2
Edward John Boyd
Date March 4, 1981
Type of construction Wood framed with brick ven,,p stories 2
Foundation Cement Block Cellarpartial Crawl space rest
Total rooms, 1st. Fl 4 2nd. F1 3 3rd. Fl
Bathrocm(s)_P___ Toilet room(s) 1
Porch, type
glassed in
Deck, type
Patio, typeslate
Breezeway Garage Utility room
Type Heat gas Yarm Air Hotwater
Fireplace(s) 1 No. Exits 3 Airconditioning
Domestic hotwater yes Type heater gas
Other
ACCESSORY STRUCTURES:
Garage, type constBrick
Swimming pool
veneer?ca age, type Const.
Guest, type const.
Other Swimming pool with fence
VIOLATIONS•
Housing Code, Chapter 52
Location
Descri pt4on
Art.
Sec.
cellar
cellar ste
II.
2-2 -A+B
ipstairs
part of stairs has no r
2-27-B
permit for Swimming pool issued June 5, 1973 B.P. 66342
Remarks:C/0 issued July, 10, 1974-,755g6
Inspected by:�A(-,:Date of Insp. 3/18/81
Curtis W. Horton Time start 2:15 end 2:30
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
Date ...3I�Ig� ............. .
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
Location of Property . J7SS S .......*WWWO.. JlVeAa AW4 yr 30d 0-wdo . o
House No. Street Hamlet
Owner or Owners of Property 70.4
County Tax Map No. 1000 Section ....... SI..... Block ....... ...... Lot ... 2.......... .
Subdivision ........ .......................Filed Map No. ........Lot No. .. 07........ .
Permit No. .......... Date of Permit .........Applicant ..................................
Health Dept. Approval ........NR ...........Labor Dept. Approval ..........
..............
Underwriters Approval .......N. p............Planning Board Approval ... AIA .............
Request for Temporary Certificate .....................Final Certificate .......................
0
Fee Submitted $ ...... �! C ................ .
Construction on above described building an per eets appli ble codes and regulations.
Applicant......................: .................
Rev. 10.10-78 ,�j•�� -7 /3-1 }
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7O THIS SURVEY IS A VIOLATION D5pflt
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e
-TO BE A VALID
if..U: Copy. DEp85
!` ; iil `' • # 0UARAhTEES INDI;;
AT0
T!::2ON SHALL-A+JN:
ONLY TO TH: r,,SOra iCR v! M iKL
�;i '{ � �• i!! IS PRM ARED, A -Z JI. H.S C $UP,Vi'i
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