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Home My WebLink AboutZ-5137FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Cleric's Office Southold, N. Y. Certificate Of Occupancy No. . Z5137 .... Date .............May ...... 8 ... ., 19.73. THIS CERTIFIES that the building located at ..gI.g . paklayn..AVG ..... ... Street Map No. .. XX........ Block No. . xx ...... Lot No. i= .. Southold ... N 0X............ . conforms substantially to the ui .s t r one foxily. dwellin & HousingCode Builter j.fi ate , of occupancy 7 - before. April • •23 , 19..57 pursuant to which No. .151'37 dated ......... May ... 8 ...... 19.73. , 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. (2).11main .House" . 4&NQttage".. & .accessory building The certificate is issued to ..Charles. & Katheryn... 4anDuzer .....Owme7es ......... ( owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Pro-!-. sxisting. (2) ............... UNDERWRITERS CERTIFICATE No... Prew.Bxisting .(2) ........................... HOUSE NUMBER .... liO35 ..... Street ... Oaklawn. Ave ..... (main .House ) .............. 1115 " " (cottage) ................................................................................. Excsption to housing codes �- Main Houses No light switch at point of entry 528b Cellar- open elec. June. box 52 a . /4143' -ti .. {•.-:�' Cottages No pressure relief valve on water heater 52%'lllill" 11'spector HOUSING CODE INSPECTION May 8, 1973 #1035 & 1115 Oaklawn Avenue Southold, N.Y. Tax Roll: Charles F. & Kathryne Van Duzer #1035 Main House - occupied #1115 Cottage, rear - unoccupied Upon request of the Southold Town Building Department, I made inspection of these dwellings and found the following violations of Local Law #1, Housing Code, Town of Southold. Main House - two story framed dwelling with partial cellar and crawl space, central heating system. I was met by Mr. Van Duzer in driveway and was accompanied by him on inspection, which began at approximately 2:05 p.m. FIRST FLOOR Front Entrance: to living room, no light switch or means to control light in room on entry - Section 529b. Cellar: Open, square, electrical junction box - Section 528a. First floor consists of kitchen, family room, living room, dining room one bedroom and full bath. SECOND FLOOR - three bedrooms and one full bath - no violations. Heat is supplied to each room of this building. Accessory Building - garage with green house attached no violations Cottage - rear of premises. This building has foundation with crawl space. Rooms consist of kitchen, living room, one bedroom, full bath and utility room. Utility room: Hot water heater does not have r&lief valve - Section 521a. Free standing gas heater is located in living room, 45,000 BTU, source of heat for dwelling, adequate for size of building. Inspection completed at(,approximately 2:30 p.m. 'Respectfully ubmitted, Edward Hindermann Building Inspector EH:tle 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 s, Dote ....... .... �7:../..�-............. .... New Building .................... Old or Pre-existing Building .... , ............. Vacant Land .......%.9............... Location Of Property ....... yJ. J ��L.,e........�( `P./1... �..W ,,7......f 7;.ry 1..."`..r'J ...... .... ......... Owner Or Owners Of Property..0 f �• :�f.... .....D1....!r.4./(.!l .f fet. .fie... .....%�g..!�..." .2.. ` Subdivision .............1..................C...........................Lot No....l.\... Block No ..... House No............. Permit No. ...... % .......... Date Of Permit ... ..........Applicant �.a. )....' ....... ....... Health Dept. Approval ........R.t.... G` x�STi IU6 Labor Dept. Approval ............1..'.'..: 2' Underwriters Approval p�.......... t �.S T//U6 Planning Board Approval .....(".� �2 ........... ............................ Request For Temporary Certificate ........................................ Final Certificate ...... LI................. FeeSubmitted $................ ................................... Construction on above described building and permit meetsallapplicable codes and regulations. Applicant ............... . f" .... ......... ............................................. Sworn to before me this ....�........ do of......(�i.......�..Lq..:..... (stamp or seal) / 3 Notary Publi County c7,. -7 7 6 TERRI LEE FLAK �Lf/ NOTAR7 PUBLIC, State of New York No,. S�- ','?235 Qualif ,ec County Commimon Lx :ro.. ,..ich 30, 19� Qy J NO -0,W. M -j - W m % I M " A -, M-", m /. InA e � 6L .......... o' /oo- 14 -4' --P ap