The URL can be used to link to this page

Home My WebLink AboutZ-9375 FORM M S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. 1 Certificate Of Occupancy No. . . . . . . . . . . . . Date . . . . . January 5. . . . . . . . . ., 19. 79 THIS CERTIFIES that the building located at . .2595• •Peconic. Lan$. . . . . . &metxx Map No. .. . . . . . . . . . . . Block No. . . . . . . . . . .Lot No. . . . . . . . . REQUIREMENTS FOR ONE FAMILY DWELLING BUILT PRIOR TO conforms substantially to the CERTIFICATE OF OCCUPANCY dated APril 23. . . . . . . .1 19.57 pursuant.to which $ $g3B No. 29375 dated . . January 5 . . . . . . . .1 19. 79, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy.for which this certificate is issued is . . . . .Private. One, Family .Dwelling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . ,Joseph. Lizewski &, wf. (owner, Scam m�su c of the aforesaid building., Suffolk County Department of Health Approval . . . . . . . . . . . . Pre-Existing UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . . . . Pre-Existing HOUSE NUMBER . . .?595 , . , Street . . . . . . . . . . . . . Peconic Lane Peconi , N.Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .i. . . . . . . . . . . . . . Building Inspector County Tax Number 1000-074-5-4 r BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location -;i_ O/1//c ECG c number & street Municipality Subdivision Map No. Lots) Name of Owner(s) Occupancy /�/ Okac FiOlyi� /, type owner-t ant Admitted by: Accompanied by: Key available 1F77-1N CF2mjc�E- Suffolk Co. Tax No.`Qpd-OT,{-,5- 5Z Source of request �V % Date /Z, DWELLING• Type of construction /i(/oDO F104H #stories /wp Foundation, Zzffi� ellar // Crawl space tc. Total rooms, lst. F '`��,r;f,�i2 d. F _� 3rd. Fl Bathroom(s) /s�� / OH .Z, Toilet room(s) Q / Porch, typd-31 F[.a im Deck, type Patio, type — Breezeway -- Garage Utility room Type Heat Warm Air Hotwater Fireplaces) wo Qc> �i vA= No. Exits 3 Airconditioning Domestic hotwater Y�5- A// Fix Type heater . CAS F/2,&O Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description' Art. Sec. GG ,roc06y - o . /� c / is / Z- O 0r',-nr1A1t55 /k is Goa 7-iI Sz-S� •(�� Remarks: z,.; VC 01. aaK Inspected by: Date of Insp. Time start./0.3o '�'end ,//./ '�iY 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 . . . . . . . �.2C.. . . �`C _. . . . . . . . .� `- —- - - - - - - - - - - - - - - - - - - - - - - - - - - - House No. Street Hamlet Owner or Owners of Property . . . . . . . JV A. .. . . . . . County Tax Map No. 1000 Section . . . . . . . . . . . . . . . Block . . . . . . . . . . . . . . . Lot . . . . . . . . . .. . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Map No. . . . . . . . . . . . . . . Lot No. . . . . . . . . . i' Permit No. . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . .'5 �. . . . . . .`. eSc . . . . . Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . ... .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . . . . Fee Submitted $ . . . . L7 .. . . . . . . . . . . . . . . . . Construction on above described building a d permit lets all�a plicable codes and regulations. Applicant . . . . . . . . . . . Rev.10-10-78 g3 76 . A FORM:NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT . TOWN CLERK'S OFFICE. SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION p Date .............. .�...... ............... 19�4.. TO •FIB' (ow r or out ed agent f owner (address of owner or authorize�Ln'xt of owner) PLEASE TAKE NOTICE there exists 'a violation of: Zoning Ordinance -, ......:..:....... Other Applicable Laws, Ordinances-or Regulations .......... ................................ at premises hereinafter described in that ja,.a.7Z4-. • •- • • •• � r� tote cha�ract r o"V, olotion) ..,. .... .. ........................................ ........................................................................... in violation of ....... ...1 ��..". d.........:............................................................. ................ (State section or paragraph of applicable law, ordinance or.regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and. to remedy the conditions a . ve mentioned forthwith on or before the ....................7............................................... ................................. 19. .. day of ... L _ The remises 7tohich this RDERTO REMEDY VIOLATION refers are situated' at ..........County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply.with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. B ild• g .Inspector •FORM NO. 5 "TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S ..OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION late ... .........t/U....... .X'/Zt ................ 19 TO .. (owner or authorized agent of owner) (address of owner or auth rued agent of owner) : PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance . - / 1. r ...... Other Applicable Laws,.Ordinances-or Regulations .....:.......:......... ...:............... at premises hereinafter described .in that A..:.ra ...,j .1...!A'�'.. (state'character of violati6n) in violation of ........a1 ...Lao..-:e.0....................... .:.:.........:...:...........:.. .... .:..:.... .... ..... .... .,.. . . (State section or paragraph of...appIicable law, ordinonce or regulotion) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with. the law and to remedy the conditions above- mentioned.forthwith on or before the ............... .............................................. day of .:.....�!.c!i�./.G!/.�/ ................... 191/-2v The pre i es to which this 0 ER TO REMEDY VIOLATION refers are situated at _ . $ County of Suffolk, New York. Failure to remedy the conditions aforesaid and.to comply with the applicable provisions of low may constitute an offense punishable .by fine or imprisonment or both: Build g Inspector.