HomeMy WebLinkAboutZ-10992FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No..Z J.0.9, 9.2. ...... Date ..... ~lay..1J~ ..... .............. 19.82
THIS CERTIFIES that the building 3. · .(.2 ) .........................................
Location of Pro perty . .665 ................ kl J..cl.d ~. 9 .t.o~. 1~ O/a.d. ............. 9.r.e.e.n.p.o?.~..
House No. Street Ham/et
County Tax Map No. ]000 Section D.4.0 ........ Block . ~..5. ........... Lot . . .q 1. .6 ...........
Subdivision. F. lee l;£.ie ld .................. Filed Map No..1.3.5 .1...Lot No.. ~ ...........
Requirements for a private one-family dwelling built prior to
conforms substantially to th~
Certificate of Occupancy
·.. A~r. i 1.23 ........ , 19 5.7. pursuant to which llaildingd~em~'~ No... 7. J D.9.92 ............
dated .... g,a. 7.. J .8 ................. 19 .8.2., 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 .. e ......
.pri.v.a t e..one .-£.amlly..dw~llJ,~g..&. o~.c.~.~ 9r.Y.. 9.n.e.-.c.a.F..ga.r..a~... .............
The certificate is issued to ..... g±nar..U, nan~.e.r.. ~..w.~.f, ..............................
(owner, ~
of the aforesaid building.
Suffolk County Department of Health Approval ...... .n/.r. ................................
UNDERWRITERS CERTIFICATE NO .............. .n/.r. ................................
Rev. 1/81
Building Inspector
Location
Subdivision
665
BUILDING DEPARTMENT
T0%'~ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Middleton Road
Greenport
(number & street)
Fleetfield ~
(Municipality)
Map No. 1351 Lot(s) 9
Name of Owner(s) Einar Unander & wife
Occupancy R-1
(type)
Admitted bY:,Mr. Kiski
unoccupied
(owner-tenant)
Accompanied by: same
Key available
Suffolk Co. Tax No. 040-05-016
Source of request
Samuel J. Glickmah
Date 5/14/82
D~;fELLING:
Type of construction
Foundation cement block
Total rooms, 1st. FI 4
Bathroom(s) 1
Porch, type
Breezeway
Type Heat oil fired
Fireplace(s)
Domestic hotwater
Other
wood framed
Cellar full
2nd. F1 2
Toilet room(s).
Deck, typq
Garagq
Warm Air
No. Exits 2
yes
#stories 2
Crawl space
3rd. F1
Patio, typq__
Utility room
He~wa~er steam
Airconditionin~
Type heater tankless
ACCESSORY STRUCTURES:
Garage, type const, one-car wood
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
--Location Des criDtion Art. Sec.
_kitchen fas stove--no shut off V 52-52-E .6
~r door door sill rotten III 52-30-A
~,arage overhead do.,or & side door needs
repairin~ or replacing III 52-31-B
re
Remarks:
Inspected by: ~x~_. ~/ ,~-~ Date of Insp. 5/17/82
Curtis W. Horror[ -Time start. 9:00 end ~:30
'FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N,Y, 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
Ao
This application must be filled in Wpewriter 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.
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, pr other pertinent informa-
t/on required to prepare,,a certificate.
Co
Fees:
1. Certificate of occupancy $5,00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
New Building ............. Old or Pre-existing Building(~:) . _,-~ .... =/Vacant Land . ~.,. .........
· M-/ ~,'~-Y' '~ ''' , -
o, ................ .. .....
Nou~ NO,, Street
...... .... qLG ......
Subdivision· ~ .............. ~. ............. Filed Map No../~ ~ ~ / Lot No .......... .~.
Permit ~o... ~. ~ate of ~ermit .......... ~pOlicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval .........................
Underwriters Approval .................... . ....Planning Board Approval......,y,,....... _.~ ..,
Request for Temporary Certificate ..................... Final Certificate ..' '~...-' ' ' '" '" -
Fee ~ubmitted $ ..... ~--~....~.-~. ~....~'/'. ...... .~x,~}
Construction on above described building and per, meets all app~cabt~odes and regulations.
v~~
Applicant ''"''~'~~'./' - z "~ ......................