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HomeMy WebLinkAboutZ-10731 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . . . . .Z 10731 . . . . . Date . . . . . Oc,tober 14. . . . . . . . . . . . . . 1W. THIS CERTIFIES that the,building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . .4290. A9PPEs .Aver!1J9. . . . . . . . .S.QVt hQld,. AQW. X,ork. . . . . House No. Street Ham/et County Tax IN-lap No. 1000 Section . 55 . . . . . . . .Block . . ?. . . . . ... . . . . .Lot . . . . . .13 . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . .. . .Lot No. . . . . . . . . . . . Requi ents for. a..Prva�e One-F • 8telUH B ilt£tpi-cr conforms sus antrmto the-fPplca QXQ14 a ar-9 Qu s.oei Q Certifiicate gf ccupancy Z10731 .4pr;L.1, .23. . . . . . . . . b r�tt . . . . . . . . . . . . . . . . . . . . . dated . . . .October 1.4 . . 19P 1 . , 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 with Accessory Structure(3Car Garage) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . Jtid�.h .Rub.i,ri . . . . . , . . (owner, sgmritomig) of the aforesaid building. Suffolk County Department of Health Approval . . . N/R . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERNYRITERS CERTIFICATE NO. . . .I4/R. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev. 1/81 1 BUILDII:G DEP.�P -!ENT TO1',TT OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 4200 Youngs Avenue - Southold , "New- York number & street :(Municipality) Subdivision Map No. Lot(s) Name of Ovmer(s) Judith. Rubin Occupancy R-1 Unoccupied " type owner-tenant Admitted by: self Accompanied by: '..Self: Sharp Realty - 55-2=13 - - - - Key available Suffolk Co. Tax -No Source of request Gary Flanner Olsen Date 9/23/81 .. Dl-=LING Type of construction Wood Framed -stories 2 Foundation Poured Cement Cellar Partial Crawl space Rest Total rooms, lst. Fl 5 2na. F1 4 3rd._71 Bathrocm(s) 2 Toilet. room(s) 1 R�ar Wo d Porch, type Side-Roof ov �c-k;-�ype--- Glassed in Patio, type- Breezeway Garage Utility room Type Heat Oil Fired ' Warm Air Steam Fireplaces) No. Exits III Aircondition.ing Domestic hotwater Yes Type heater -Gas Other Wood Burner. in Living.. room ACCESSORY STRUCTURES: Garage, type const, wood-3Car Storage,. -type const. Swimming pool Guest, type const.- Other VIOLATIONS: Housing Code, Chapter' 52 Location Description Art.. Sec. Kitchen Gas Stove no shut off' V 52-52-E6 Bath , down No Ventilation 52-26-B-A Front of D elling Broken window sash III . 52-30-C Front , Rea & -Sid.e All need repairing III 52-30.-A c L1 es Stairs Down Open side to stairway II 52-27-B Wood Burner To close to combustible material IV 52-41 -A.. 3 Car Garalge Needs major repairs I-II 52-30-A Remarks: -2,/ Inspected, by a� '' � 1�/).1r'�C��r-v Date of Insp l0/1.4/81 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 . . . . !�'`1 . . . . . . . . . . . . . New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . . . . .. . . Vacant Land . . . . . . . . . . . . . Location of Property . . . . N .e�"`R- {. f�` ,d\ . . . . . . . . . House No. Street Hamlet Owner or Owners of Property � : �. . . � J 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section . . . . . . . . . . Block . . . . :-? . . . . . . . . Lot . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . hh Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . 1� Underwriters Approval . . ... . . . . . . . . . . . . . . . . . . . .Planni Board Approval . . . . . . . . . . . . . . . . . . . .I Request for Temporary Certificate . . . . . . . . . . . . . . . . . . .Final Certificate .�. . . . . . . . . .` . .1l . . top L 0 I Fee Submitted $ .0. :>LT . . . . . . . . . . . . . . . . . . �o Construction on above described building and per it Bets all a ,licable cod and regulations. Applicant. p �� X `. . . . . . . . . . . . . . . . . Rev.10-10-78 'gip. . Box 3 8 ° P-111a.r a Read k, 113-52 {COLOR TRIM 414 .r� I M. Bldg. j I ! Extension /;� � = v ado � zo j I Extension Extension --------------------------- ja Foundation ! Bath e AIc Dinette 1 Perch I � � � � x IFD 7 Basement ` Floors 0 / I K. j Porch I Ext. WaIIs $ V Interior Finish NA+S-1CA, LR. Breezewa y I ;Fire Place Heat Al t ra DR. Garage /P X': _ -3;''1 e Type Roof ! Rooms 1st Floor BR. Patio } Recreation Room Rooms 2nd Floor FIN. B O. B. --j Dormer Driveway Total r TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER OU STREET VILLAGE DIST. SUB. LOT 9ER OWNER % 1° a E, ACR, � � ��-t-^�ewe:� / �-.4_,�--,.,.ems • s D S W �, TYPE OF BUILDING SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP.- TOTAL DATE REMARKS Z.S"ya � � 3 a i/ ?/ �Ple� � �`f�� 23 7 0 /az 7 5,�Z? /fr dui r , AGE "BUILDING .C.ONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable "FRONTAGE ON WATER Woodland FRONTAGE ON ROAD. Meadowland DEPTH House Plot BULKHEAD Total . :tea ' DOCK