HomeMy WebLinkAboutZ-9940 FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y:
Certificate Of Occupancy
No. Z9940 . . . . . . . . . . Date . May. . . . . . . . . . . . . : . . . . . . 1984
THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property 170 Fletcher Street Orient
House No. 2 Street PartOf 12 Hamlert:
County Tax Map No. 1000 Section . . .•. . . . . . . .Block . ... . . . . . . . . . . .Lot
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No.
requirements o c.e o st tur g bU It 1r r #o
.conforms substantially-to-t4i& Opp ie-atHm-- 0mg-�€ ��#e e- d-i -t f se- to
A ril 2 �-7 ertif cafe of ,Occupancy
P . . . . . . . . 10 pursuant to which rzrls�mg t°Ni) .
dated . .Mai .l. . . . . . . . . . . . . . . . . . . . 19 8D was issued, and conforms to all of the'requirernents'
of the applicable provisions of the law. The occupancy for which this certificate is issued'is r
i5t t•
Tw® Accessory. x'�to Uri . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . • •Regens International
It ,
(owner,1606616P' h'a]3PJ
of the aforesaid building.
Suffolk County Department of Health Approval . . . . •NR: . . . . . ... . . . . . . .
r i i
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . .
Bui di g Inspector
Rev a/7a
i
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 170 Fletcher Street Orient
number & street Municipality
Subdivision Map No. Lot(s) `
Name of Owner(s) Regens International Corp.
Occupancy P-3
(type) owner-tenant
Admitted by: Mr. Cohen Accompanied by: Mr. Cohen
Key available Suffolk Co. Tax No. 25-03-12
Source of request Richard F. Lark Date
DWELLING:
Type of construction #stories
Foundation Cellar Crawl space
Total rooms, 1st. F1 2nd. F1 3rd. F1
Bathroom(s) Toilet room(s)
Porch, type Deck; type Patio, type
Breezeway Garage Utility room
Type Heat ` Warm Air Hotwater
Fireplace(s) No. ''Ex'its Airconditioning
Domestic hotwater Type heater
Other Inspection of accessory structures Only
T
ACCESSORY STRUCTURES:
Garage, type const. 4rar wood Storage, type const. Small, Wood
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. 1 Sec.
4 Car Needs Roof, Floor, Doors Fixed III 52-31-A,B,C
Storage Needs various repairs III 52-31-A B,C
Remarks:
Inspected b ,� ,� ��., Date of Insp 4/2$/80
Time start 9:45 'end 10: 15
� � v
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-
torwith 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
April 21, 1980
Date . . . . . . . . . . . . . . . . . . . . . . . . . .
X
New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . . . . . . . . . . Vacant Land . . . . . . . . . . . . .
Location of Property Fletcher Street, Orient, New York
House No. Street Hamlet
Owner or Owners of Property ,Regens International Corp.
' . parTo t'
County Tax Map No. 1000 Section . . 04- . . . . . . . . Block .3. . . ... . . . . . . Lot . . . (.9 . . . . . . . .
Subdivision . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . I . . . .Lot No. ... . . . . . . . . . . .
Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . I. . . . . . . . . . . . .
Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . .ii. . . . . . . . . . . . . . . . . . . .
Underwriters Approval . . . . . ... . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . .
Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . X . . . . . . . . . . . . . . . . .
Fee Submitted $ .5. . . . . . . . . . . . . . . . . . . . . . . . . .
Construction on above described building and pe ets all plicab%e0de nd regulations.
Applicant
. . . . . . .
'R hard . ' ark; ' attornby 'for' 'Bernard' and
Rev.10-10-i8 Phoebe Cohen , Contract Vendees with Regens
International .Corp.