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Home My WebLink AboutZ-12938 FORM NO.4 . TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY Certificate Of Occupancy No. Z1,2g38 . . . . . . . . . Date . . . ,October. 2.9 . . . . . . . . . . . ., 1984. THIS CERTIFIES that the building . . , ,One family .dwelling Location of Property 50930, Main Road Southold H ouse No. Street .Hamlei County Tax Map No. 1000 Section . .7 9. . . . . . . .Block . . . . 0 2. . . . . . . . .Lot . . . . 0 9. . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . Requirements for a private one-family dwelling built prior conforms substantially to the Y p#7,4tjoxixf 0x ftft ag ftnKil UWXOOM i d IN Ahu XdffiMdftff(X to April 23 .57 Certificate of Occupancy . . . . . . . . . . . . . . . . . . . . . . 19 . pursuant to which fujddkzg� i1KN0X . 11Z60Q8 . dated . . . All ly 1.9 , , , , , , , , , , , , , , , , 19 7.4 ,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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . John M a v r o v i c . . . . . .. . . . . . . . . . . . . . . . of the aforesaid building. ' Suffolk County Department of Health Approval . . . . . . . . . . . . N./A. . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . N/A. . . . . . . . . . . , , . . , , , . . , , , , . . Also Building Permit #7749Z with . a C . O . #Z6545 dated 6/20/75 this is for an accessory building , this is not to be used. as separate dwelling unit and to have no cooking facilities . Building Inspector Rev.1/81 C` FORM NO.6 TOWN OF SOUTHOLD Building Department Town Hall Aouthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submittedp4eat*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 land use "F're-Exis ting C . 0 . $ 15 . 0.0 3. Copy of certificate of occupancy $1.00 Vacant''land C . O . $ 5 . 00 Date . . . . :.qT. . . . . . New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . . . . . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property . . :O �.3�. . . . . . 1�MI. . :.��D• . . .�D�B�'.d House No. Street •Hamlet Owneror Owners of Property . . .:��N. . . . . . . . y c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section .X.x . . . . . . . . . Block . X .h. . . . . . . . . Lot . . X A A. . . . . . . . Subdivision . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . Permit No. . . . . . . . . . . Date of Permit zeApplicant . .� Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . : . . . .Planning Board Approval . . . . . . . . . . . . . . . . ... . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . . . . Fee Submitted $ •i�•�/ . . . . . . . . . . . . . . . . . . . Construction on above described building and per it meet all applicable codes and regulations. LO?,1.2°�3� 2(QD�� Applicant . . . . . . . . .- - -. . . . . . . . . . . . . . . . . . . . . c.&A-, ice_ Rev.10-10-78 . � � 11 I � n� FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy Z6008 No. . . . . . . . . . . . Date . . . . . . . . . . . . 3 �. . . . . . . . . .Mai , 1� . . THIS CERTIFIES that the building located at E/S . . . .. Road . . . Street Map No. xxx . . . . . . . . Block No. . . . . . .Lot No.xxx. . Southold$ N.Y.. . . . . . . . . . . e e n • fo one _f 1 dwe & rIousi code conforms substantially to th Iz�do wma ►i built before Apr 23 57 f occupancy dated . . . . . . . . . . . . . . . . . . . . . .. 19. . . . pursuant to which No.Z.60A8. 71+ dated . . . . . . . . .. .l. . . . 1 . . . . ., 19. . . ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is (N.0 .)One family duelling issuedis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to DeWitt & Vary Guilbert Owners (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval pre— existing UNDERWRITERS CERTIFICATE No. pre.—existing HOUSE NUMBER . . .50934 Street . Main Rd (old 8880) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspecto FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office 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 Inspector with the fol.lowing; 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 installations, 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 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 in- formation 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 ................. Addition ................ Old or Pre-existing Building .....k.... Vacant Land .............. Location Of Property En.� NA�7 �� .�'�U L� /�i, a21.71.. ........... ......../..... �......,......... �...... Owner Or Owners Of Property .. .��.�� `� ° 1 /2 ...�.7 �/!' �............. . ............................................................... Subdivision .................... ...................................Lot No. ......`... Block No. ..x....... House No..�� Permit No. ..........�.... Date ®Of Permit ......S...........Applicant .................................................................. Health Dept. Approval .....r, C. ....................Labor Dept. Approval W.. ...........,....,..,,,,,..,. Underwriters Approval .......... .0.....................Planning Board Approval ..... .................... Request For Temporary Certificate ........................................ Final Certificate ........�.................. Fee Submitted $ ('�.) Construction on above described building and rmit meets all applicable codes and regulations. Applicant ........ .... ......... ...... ..... ...... Sworn to before me t is ......... .L. day of .... .. 1. ...!. /.. (stamp or seal) o� Notary Publi County ...... C. Inspection report, July 19, 1974 50930 (revised#) Main Road, Southold, N.Y. Tax Roll: DeWttt Guilbert & Wife , owners Upon receipt of application for pre-existing certificate of occupancy I made an inspection of this one and one half story framed dwelling and found the following violations of Chapter fifty two (52) Housing code of the Town of Southold. I was admitted by Mrs Guilbert and was accompanied by Mr Guilbert and Mr. J. Baker on the inspection which was begun about 9:05 AM. The first floor consists of front enterance vestibule, utility room, dining room, living room, full bath room, kitchen and enclosed rear porch, access to partial cellar through trap door in porch floor. 1 . Living room: Lamp cord outlets on north wall baseboard Art V Sec 5,3-56 Al 2. Rear porch: no means oflight controll at point of entry " " 52-56 B2 3. Cellar(partial) : water pump electrical connection & hookup needs junction box & connected to pressure switch wnclosed " " 52-56 Al 4. Second floor consists of four rooms, three used as sleeping quarters and one storage room. 5. Storage room: lamp cord outlet " " 52-56 Al 6. Bedroom on north west used as access to bedroom on N/East " " 52-24 D2 Heat is furnished to all rooms from gas fired hot water heater in utility room. Exteriote and open space are in good condition Inspection completed about 9:30 A.M. Respect submitted r' Edward in erman Housing & Bldg Inspector