HomeMy WebLinkAboutZ-9333 FORK NO. S
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z9333 . . Date . . December. . . . .8. . . . . . . . . ., 19. . 78
THIS CERTIFIES that the building located at . 4905. . Pequash. Ave. . . . . . akq
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Map No. . . . . . . . . . . . . Block No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Q T &TS F, 0 FAfM LY D N ,B R TO
conforms substantially to the r
OCCUPANCY
dated . .April 2a. . . . . 1 19.57. pursuant to which ffiffiN&F0. Z93333. .
dated . .De.c ember. . . S. . . . . . . ., 19.7$., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . . . . Private One Family Dwelling with Accessory structure
Henry Ruh & others
The certificate is issued to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(owner, 9� tta
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . . . . . . Pre-Existing . . . . . . . . , . .
UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . . . . Pre:-Existing. . , . . . . . , . .
HOUSE NUMBER . . 4905. . . . . Street . . . . . . . .L'ggqash Ave. . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . q tQh®gueq. N•.Yr. . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . ', ! . : '.. . . . . . . .
Building Inspector
County Tax Map Number
1000-119-4-1
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 4905 Pequash Avenue Cutchogue
number & street Municipality
Subdivision Ravatone Realty Corp lap, No. Lot(s) 45+1/2 -44
Name of Owner(s) Henry Ruh &Others
Occupancy R-1 unoccupied
(type) own er-tenant
Admitted by: Mr. Nolan Accompanied by: Mr. Nolan
Key available Suffolk Co. Tax No. 1000-110-4-1
Source of request Richard J., Cron, Esq. Date December 5, 1978
DWELLING•
Type of construction Wood framed #stories 1 1/2
Foundation cement block Cellar partia]Crawl space rest
Total rooms, lst. Fl 5 1/2 2nd. F1 1 3rd. Fl
Bathroom(s) Toilet room(s)
Porch, type closed in Deck, type Patio, typ e
Breezeway Garage X Utility room
Type Heat Oil fired Warm Air X Hotwater
Fireplace(s) X No. Exits 3 Airconditioning
Domestic hotwater X Type heater Gas
Other
ACCESSORY STRUCTURES:
Garage, type const. Wood Storage, type const.
Swimming pool Guest, type const.
Other One car with attached shed.
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. 1 Sec.
Rear of steps and landing in very poor shape III 52-32 A
House
Grounds in very poor shape VI 52-61 D.E.
Front Ceilings meed repairing, roof leak _ III 2- 2 C
Room
Remarks:
Inspected by: Date of Insp. December 7, 1978
Curtis Horton Time start 3:P•M• end 3:30 P.M.
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Clerks Office
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
Inspector 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
installations, 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 property 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 in-
formation 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 December 5, 1978
................................................
New Building ................ Addition ................ Old or Pre-existing Building .....`......... Vacant Land ..............
Pequash Avenue, Cutchogue, New York
LocationOf Property .....................................................................................................................................
Owner Or Edwin Bad eker and Grace B e
O s Pf �4R9 t .. .g.............................a.nd...onem-ha.'9144......................................
Ka va tone Re.a ty Corporation 45 /
Subdivision ................................................................Lot No. ............ Block No. ............ House No..V6jP r
Richard J. Cron, Esq.
Permit No. .................... Date Of Permit ....................Applicant .................................................................
Health Dept. Approval ............................................Labor Dept. Approval ................................................
Underwriters Approval ..............................................Planning Board Approval ........................................
Request For Temporary Certificate ........... Final Certificate
............................. ..........................................
5. 00
Fee Submitted $
Construction on above described building and permit ee s I : ap Qdes r la ' ns.
Applicant ....... .. fr: ... .......................
Sworn to before me this
5th December, 1978 (stamp or seal)
.......... ..... day of ........................................
Suffolk
Notary P IIC .................................... County JANE FLATLEYNOTARY PUBLIC, State of New York
No. 52-4665418, Suffolk County
QmRiissio_n Expires March 30, 19" U
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