Loading...
HomeMy WebLinkAboutZ-9670 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No... . 7,9670. . . . . . . . . Date . •September. •12. . . . . . . . . . . . . . .11979 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . . . $65. .Seeond. Street. ._ . . . . . . . . . . . . . .New• •Sihff�oflk House No. Street am e County Tax Map No. 1000 Section . . 1.17. . . . . . .Block . . . . .8 . . . . . . . . .Lot . • •10• Subdivision . . . . . . . . ... . . . . . . . . . . . . . .. . . . . . .. .Filed,Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . R q reme tS f, o e f it dwe 1' to conforms substantially to the April .23. . . . . . . . . . , 1957. puru�anttt ► i l � y. . . .Z96'70 . . . . . . . . . . . dated . ...SQPt.6 lber. 1.2 . . . . . . . . . . . 1979• ,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 Malinowskl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ownera(e s Qrjtwrwt) of the aforesaid building.. Suffolk County Department of Health Approval . . . . . . . .A?/R . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . .N/R . . . . . . . . . . . . . . . . . . . . . . . . . . Buildifig Inspector Rev 4ns BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location ,�� number & street),, Municipality Subdivision Map No. Lot(s) Name of Owner(s) 4/A-,,Ou/,5j,(i Occupancy .�F_ ei type owner-tenant Admitted by: Accompanied by: �-az_ i- Key availabl_e`A' ho6a o©EJ Suffolk. Co. Tax No. /d6o -//-7-ae o16 Source of-re uest q LD A—!L Date DWELLING Type of construction 60aop #stories o� Foundation Cellai77&t/ • Crawl space Total rooms, lst. Fly . o � 2nd. Fl 3rd. Fl Bathrooms) Toilet room(s) Porch, type - Deck, type Patio, type Breezeway Garage Utility room::/ Type Heat ���c���Cr ' Warm Air — Hotwater Fireplace(s) No. Exits 1`Lc�a Airconditioning — Domestic hotwater Type heater _7_=-4_Zc Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. 1 Sec. �� r to !J7! lUSCr lleFN/ E ,G l Remarks v& L / sLL �lyOiiz �C - mE�a C•C� `/�/ Inspected by: Date of Insp. Time startZ�ZaP_4/.end Z: A-� . 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 . . . . .I. . . . . . . . . . . . . . . . . . . . . New Building . . . . . . . . . . . . . Old or Pre-existing Building . .X. . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property . . . . . . . . . . . . . . . . . . SEccy�kt. . I. . .oc,:z l. . House No. " A Street Ham/et voN� Iv\fl�►,3o�SK\ Owner or Owners of Property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 buildi all app icable codes and regulations. Applican . . . . . . . . . . . . . . . . . . ... . : . . `�N+��o`tfl LA . Rev.10-10.78 �ci� Q�sNcP� e� MAC»o113SK� r. FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No... . 7.9670. . . . . . . . . Date . .Septigmbar. .12. . . . . . . . . . . . . . .. 1979 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . . . 5. . �..nd.. 3t;reet. . . . . Ic House No. Street �f1amle County Tax Map No. 1000 Section . . .1.17. . . . . . .Block . . . . .8 . . . . . . . . .Lot . . . . . .10• • • Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . P� quj remerts f. o e f ilty- die l'.rs �- p-. ' r to conforms substantially to thepA�;catlfBu3 } g� er�rliera,003egi1. t1 �0 tc � Pri1 •2 7. . . . . . . . . , 1957. pursuant bfz ffi�l�i'-& Sgpg i n;f1�T�y. . . Z. r7a . . . . . . . . . . . dated . . . . . . . . . . . 1979. ,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 eegily, .Dtivellin . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . .John. . . . . . . . . . . . . . . . . . . . . . . . (owner,-(es�,seet- r-e8an.0 of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . .W/R. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . .N/R . . . . . ' . . . . . . . . . .. . . . . . . . . . . . . wilding Inspector Rev 4/79 .uri..wn....:.S..W+.-....«^Rn�v�.....,..nTi...w.wrr.•rr.aA-Wr�x•.n.✓i�nwe+^^w+'+ima:re:..-++++.a._w»nw.,:m.,wvM1ryYmre^.+-nitw�bef+c-iY-T-`-ue,.P.aetia'u-.:.v��+aen'P 'M4'.+wcm•,._ i N BUILDING DEPARTMENT TOWN OF SOUTHOLD, N.. Y. HOUSING CODE INSPECTION REPORT Location C7 0 'Z-572c�1 number & .street . Municipality Subdivision Map No. Lot(s) Name of Owner(s) jo/-//y Ali /-/4,6>Z,b�S i Occupancy (type) . owner-tenant Admitted by: �;F7Z-F- Accompanied by: =5-az-F Key avail abl e-z:�o6Z- CP Suffolk. Co. Tax No. /odo-IIZ:- Source of- request p__!L Date <? 7 Z D1,IELLING• : Type of construction . 661bop #stories D Foundation Cellarf-&//.- Crawls ace g ,- _ -,Total rooms, lst. Fly- 2nd. Fl 3rd. Fl Bathrooms) - ��� Toilet rooms) .. Porch, ,type - : Deck, : type Patio,::.type - Breezeway Garage Utility room�.o,c�i2 Type Heat Z-,--fit C- .. Olarm Air — Hotwater Fireplace(s) No. Exits /w Airconditioning — Domestic hotwater Type heater a�Zc G Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code,,-Chapter 52 Location Description Art. Sec. Remarks: �./� i���� 1t�a God C . - ,U ' C'-Cj Inspected by: Date of Insp: Time start2'Z�end Z= 1?4:5-R A-1 -