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HomeMy WebLinkAboutZ-9535 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . . . z9535. . . . . . . . Date . . . . . . KV. . . 23. . . . . . . . . . . . . . . .. 19 79 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . . . . . JrtghthQUs.e .Rd.. . . . . . . . . . . . . . . . .Southom House No. Street Hamlet County Tax Map No. 1000 Section .Q5Q- . . . . . .Block . .00,3­- . . . . . . . .Lot . . . . J010. . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . REQUIRMUNTS FOR ONE F'A.MILY MELLING BUILT RRIOR TO conforms substantially to the � � � CERTIFICATE OFR OCCUPANCY April... . . . . . . . . . . . . 1957.'pursuant to which: hjWjjtgCt No. . . . . . .Z95'35. . . . . . . . . dated . . . . 114Y. • 23. . . ... . . . . . . . . . . 19 .79,was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for whidh�thi's certificate is issued is . . . . . . . . . . . . . . . . . . . . . .Private .One Family.Dwelling .vi`uh .Accessoxy. .Structure . . . . The certificate is issued to . . . . . . . .Robert. Rockpf-911er. .&.` f.. . . . . . . . . . . . . . . . . . • . . Owner�e��3X of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . !rP7;t 4 St kng. . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . .Pre--FXISt;Lng. . . . . . . . . . . . . . . Building Inspector Rev 4/79 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 2955 LightHouse Rd. Southold, New York number & street Municipality Subdivision Map No. Lot(s) Name of Owner(s) Robert Rockefeller ". & wf. Occupancy R-1 owner type owner-tenant Admitted by: Helen Brown Accompanied by: Helen Brown Key available Suffolk Co. Tax No1000-050=003-010 Source of request Helen Brown Date May 239 1979 DWELLING: Type of construction Wood #s-tories two Foundation wood posts Cellar Crawl space Total rooms, 1st. Fl 4 2nd.. Fl 4 3rd. Fl Bathroom(s). 1 Toilet room(s.) Porch, type cement with Deck, type wood Patio, type Breezeway roof over deeaI,age Utility. room Type Heat space heater Warm Air Hotwater Fireplace(s) 1 No. Exits 2 Airconditioning Domestic hotwater yes _Type heater gas l Other ACCESSORY STRUCTURES: Wood Garage, type const. 1 1/2-car Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. Outside Chimney needs repairs III 52-30 B Living room Gas heater unvented V 52-53 H- Stairway - up Very narrow, rail not right II 52-27 A & B Back porch Sills & deck rotten III 52-31 B Front Porch Cement breaking up III 2- 1 A Remarks: Inspected by: �� �t Date of Insp. May 23, 1979 Time start10:00 end 10:30 am am 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 surrey 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 . . .e.,�:O ,J. . . . . . . . ./—. /?,///. . !. . . . . . House No. Street Hamlet Owner or Owners of Property . . . . . . G ``.6 • • o4. � . . . . . . . . . . . . . . . County Tax Map No. 1000 Section . r. . . . . . . Block . . . . . . . . . . . Lot . . . . . t.Q . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .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 building and permit meets all applicable codes and regulations. Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . Rev.10-10-78 I[Q�J C7 71 �0 " �J �/ per► s/00/9-7