HomeMy WebLinkAboutZ-10782 FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. . . .Z10782 . . . . . . . Date . . . . .rlovember 1.8 . . . . . . . . . . . . . 19 .81
THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property . , 54455 County Rd. 48 Greenport, New York
House No. Street Hamlet
County Tax Map No. 1000 Section . . . . . 5. . . . . .Block . . .•. . . . . . . . . . .Lot . . . . . . . . . . . . . . . . .
Subdivision . . . . . . Young ,& , Goodale . .Filed Map No. . .585 .Lot No. 1 & 2
Requirements for a One Family Dwelling Built Prior to
conforms substantially to the Arppheation-for$aiicting TernriT 1mreTMre'filccj in"tFu's office da'IFcr
Certificate of OccupancyZ10782
Apr i 1. .2 3. . . . . . . . ) 19 .5?pursuant to which 43tii1ding Fernrit-Na--. . . . . . . . . . . . . . . . . . . .
dated . . November 18 81
. . . . . . . . . . . . . . 19 . . . .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 . . . . . . . . .
Private One Family Dwelling
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . . , , , . John T. Mackie
Xt�d�tXx X . . . . .
(owner, z*Xbrr
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . Al R. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS.CERTIFICATE NO. . . . . . N R . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Building Inspector
Rev.1/81
BUILDING DE.PART1, ENT
TO1','N OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 54455 County Rd 48 Greenport , New York
number & street) riunicipality
Subdivision Young & Goodale Map No. 585 Lot(s) 1 + 2
Name Of 01m er(s) John T . Mackie
Occupancy R-1 Owner
type (owner-tenant
Admitted by: self Accompanied by: self
Key available Ndrth Fork Agency Suffolk Co. Tax No. 52-1 -8
I .
Robert W. Gillis.pie III 10-29-81
Source of request Date
DI,=,L I I I'd G
Type of construction Wood Framed , Brick Veneer rstories 2
Foundation Cement Block Cellar Full Crawl space
Total rooms, 1st. Fl 5 2nd. F1 1 3rd. F1
Bathro;:m(s) 1 Toilet rooms)
Porch, type Deck, type Patio, type
Breezeway Garage Under Utility room
Type Heat Gas Warm Air X Hotwater
Fireplace(s) 1 No.. Exits 2 Airconditioning
Domestic hotwater YeS. Type heater Gas
Other
ACCESSORY STRUCTURES: NONE
Garage, type const._. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Loca .ion Description Art. 1 Sec.
Kitchen No shut off gas stove V 52-52-B2
Remarks: -
Inspected by: a Date of Insp. 11/16/81
. Curtis W. Horton Time start 3 : 00 end 3 :30
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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 . . /0 2 CS
New Building . . . . . . . . . . . . . Old or Pre-existing Building(X) rVacant La cl -
Location of Property ;5 J,7- . . ��j ._Ai6 . .
House No. Street Hamlet
Owner or Owners of Property . . . 0.0w
County Tax Map No. 1000 Section . . -dock . . . !. . . . . . . . Lot . . . O8 . . . . . . .
Subdivision W,H- J,G.0.0vHZC. . . .Filed Map No. 4,.-,g.S . . .Lot No.k.
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 rm bets II ap ' abl des and regulation
A4
Applicant . . .
U�
Rev.10.10-78