Loading...
HomeMy WebLinkAboutZ-10489 ' FGRM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate . Of Occupancy No. . . . Z 1.0.489. . . . . . . Date . . . .May. .1.3 . . . . . . . . . . . . . . . . . . . . .. M.I. THIS CERTIFIES that the building. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 4025 Great Feconic Bay Blvd. t Laurel , New York House lllo. Street Hamlet County Tax Map No. 1000 Section . . 12.8 . . . . . .Block . . . . . . . . . . 3. . . .Lot . . . . .1.3 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . requirements f��Qgr one family dwelling built prior to conforms substantially to the .,Aj)pUcatiea-f©r--Building. �r �l�er�tof®ram f lid. r�- l s �o€face-dated- 0489 . . . . . . 9 Ar.11. 1. . . . . . , 19 .5 7pursuant to w utf ch i iMg- erfts I a.c u p . . . . . .1. . . . . . . . . . . . dated . . May . 13 . . . . . . . . 19 .8 ,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 . . . . . . . . . . . . . . . . . . . . . . .P.r�vatE .Orin.-Faia? jy. Dwg1.jinF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . D r F h i l 4. R . Z i r i n . . (owner,,lessys.or.tenani�-.-- of the aforesaid building. Suffolk County Department of Health Approval . . . . NR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . id/R Building Inspector Rev.1/81 BUILDIIdG DEPART'P ENT TO1-,TT OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 4025 Great Peconic Bay Blvd el New York number & street Flunicipality Subdivision clap No. Lot(s) Name of Ovm er(s) Dr . Philip R . Ziring Occupancy R-1 . Unoccupied type (own er-tenant Admitted by: Mr . Moore Accompanied by: 'Mr . Moore Key available Suffolk Co. Tax No. -.128-3-13 Source of request Dr . Philip R . Ziring Date May 3 , 1981 VVMLING Type of construction Wood nstories. 1 Foundation Cement Rlnck Cellarp,rt.; al Crawl space RPGr. Total rooms, 1st. F1 5 2nd. F1' 3rd4 Fl Bathrocm(s) 1 Toilet rooms) Porch, type Deck, type Patio, type Cement Breezeway Garage one Car. Utility room - Type Heat Gas Warm Air x Hotwate.r Fireplaces) No. Exits Airconditioning Domestic hotwater Yes Type heater. Gas Other Free standing wood burner , outside attached shower ACCESSORY STRUCTURES: NONE Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIOr:S: Housing Code, Chapter .52 Location Description. Art. Sec. Outsi.de Some Gutters- Bad. IIT 2-31 -B Remarks: /� Inspected. by v 1 Date. of Insp. May 6 , 1981. ` .Curtis :W Hortgn Time startl0: 45 end 11 : 00 j FORM NO.6 TOWN OF SOUTHOLD - Bu ilding'Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must belfilled 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 ... . .. . . . . . . . . . . . . . . . . . . ... . . New Building .. . . . . . . . . . . . Old or Pre-existing Building . . . . . . . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ho.u usese �No. Street t Ham/et Owner or Owners of Property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .I. . . . . . . . . . . . . . . County Tax Map No. 1000 Section . . . . . . . . . . . . . . . Block . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . . 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 . . . . . ... . . . . ... . . . . . . . . . . Fee Submitted $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Construction on above described building an er -t mee all- licable co es and regulations. pp , . . . . . . . . . . . Rev.10-10-78