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HomeMy WebLinkAboutZ-9618 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . .Z96.1.8 . . . . . . . . . Date . . . . . .AUg'uSt. .7. . . . . . . . . . . . . . . . .. 19 .79 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 3.075. . . . . . . • • . . .Indian. Neck. La. . . . . . . . . . . . .Perconic. . . . . . House No. Street Hamlet County Tax Map No. 1000 Section . .86. . . . . . . .Block . .05. . . . . . . . . . .Lot . . .0.14 . . . . . . . . . . Subdivision . . . . . XX . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. X. . . . . .Lot No. X. . . . . . . . . . . . REQUIREMENTS FOR ONE FAMILY DWELLING BUILT PRIOR TO conforms substantially to the� ra7�'x�i i�� 'ea'YfX CERTIFICATE OF OCCUPANCY April. .23. . . . . . . . . , 1957. pursuant to which)9QflM r 1No. . . . . . .Z961.8. . . . . . . . . dated . . . . . . . . . . . . . . . . .August .7• • 19 .7.9,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 . . . . . . . . . . . . . . . . . . . . .Pre-•Existing .Dwell:Lngr— --:---%-7UIVFZT .FOR .HABZTATI.QN. . . . . . . . . The certificate is issued to . . . . . Richard.A.o. Kull. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner �tl of the aforesaid building. Suffolk County Department of Health Approval . . . . . . N/R. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . .W/R . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a � ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev 4ns 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 . . . . .. . . . . . . . . . New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property ?5. ����l.�f�l! . . � � �`� V, r,�; , , . . • • • , , , , . . . . House No. Street Hamlet Owner or Owners of Property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section . . . . .. 6. . . . . . . Block . . . . . . . . . . . . . . . Lot . . . . .�.G� . . . . . . . r Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Map No. . . . . . . . ./. . . . . . Lot,(N�o. . . . . . . . . . . . . . . Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant .. !.4��7Y. . . ✓.� : . . K.��.:. . . Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . ". . . . . . . . . . . . . . . . . Fee Submitted $ . . .✓., 0. . . . . . . . . . . . . . . . . . . . . . . Construction on above described-building and permit meets all applicable codes and regulations., Applicant . . . . .•. .. . . . . . . . . . . . . . . . . . Rev.10-10-78 C.o • z q l�IDS - g��/79 (iA-CD) BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location In Municipality —39-number & street Subdivision xx Map No. x Lot(s) x Name of owner(s) Occupancy - owner-tenant typ e Admitted by: Accompanied by. Tvrr Key available Suffolk Co. Tax No. 86-05-014 Source of request Mr Kull Date JjL-L;�0, 1979 DWELLING Type of construction Woad fr—� _ stories twD__ Foundation rr;c k Cellar rr;al Crawl space_a t Total rooms, lst. Fl_ 5 2nd..'Fl_ 6 3rd. Fl _ Bathrooms) Toilet room(s) nnne Porch, type Deck, type Patio, type Breezeway Garage Utility room Type Heat pipPl Pss Warm Air Hotwater Fireplace(s) 1 No. Exits 3 Airconditioning Domestic hotwater none Type heater 1 Other ,v _ ���.,., ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. - Other VIOLATIONS: Housing 'Code, Chapter 52 Location Description Art. Sec. 2- 2-C 1 . up II 2-27-B 2. s.tairs oin no hand rail I 2- 2-A C D 3. 1st fl 4. rest o holes ' the P] ^+ter was & re;l;n III 2- 2-A C 5. o ts'de ste s bad III 52-30-A 6. dwellin has no bathroom V 52-51-A-1-0 Qz . 1 ,4,6,7,8 t r cold runningV 52-51-D 1 ,2 7. 8. dwellin as nQ refrigerator sink. .or: stove V 52-57-1 g. ou 'de a rac; needs __ ;'y'.: III 52-30-A,C barn r f bad doors sills sidewalk need lots III 52-30-A,C 10 2- 1-A B of repair work 5 3 , Rcmarks: Ti a d 1'n is 't for human habitation. VI II 52-80-A.B.0 Inspected by Date of Insp. �1,Iy 23, 1979 Time start 3a__end 11 .45 -