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Home My WebLink AboutZ-4911FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z .1+9t.1 ...... Date .......... Novembel' .... 22 · , 19.72 THIS CERTIFIES that the building located at . East' Rca5 ............... Street Map No... ~ ....... Block No...~X ...... Lot No.. ~... ~teho~ .... N.Y., ...... ......... ~$~.~o of occup~cy ~ef°~ 'April' ~ ., 19.~7. pursuant to which ~~ ' Z' ~9ti' dated ....... N~o~or '22 -., 19.~., 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 .. ~.tvate .one..~tl-y. dw~ll~g ...................................... The certificate is issued to Helene. We.~er ....... ~e~ ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Pro-. existing .................... UNDERWRITERS CERTIFICATE .No .... pre-. oxistl~g .............................. ItOUSE NUMBER... {~0 ...... Street.. 'Ealti'~ 'Road ................................... Exceptions I t~ Cz,.,':(. ~M,,~ Kitchen - no light switch at point of entry %29b bedroom - elee hotwater heater in bedroom 2~6 .... ¢~ ~ floor. Ba~roo. - no t~ or shower ~0~ Bui,dins ,nspector ~o heat~g eq~p~nt - I~er ~cup~cy o~y ~ ~eteriorat~g electric box & ~se ~der bldg %28a ~ouse on premises 60~b HOUSING CODE INSPECTION November 20, 1972 860 East Road Cutchogue, N.Y. Tax Roil: Helene Wekler Unoccupied, summer residence Upon request of the Southold Town Building Department I made inspection of this one and one half story framed dwelling and found the following violations of Local Law #1, Housing Code of the Town of Southold. I picked up the key from the Fred Kaelin Real Estate office and started inspection at approximately 11:30 a.m. FIRST FLOOR Kitchen - No light switch on entry to control llg~n room - Section 529b. Bedroom - Electric Hot Water Heater in corner of room - Section 216 SECOND FLOOR Bathroom - No shower or tub - Section 505b. No heating equipment, summer occupancy only - Section 513a. No cellar, building supported on locust post, skirted with open lattice sections. In this area mounted under porch floor a fused electrical switch box is deteriorating due to rust - Section 528a. Accessory Building, rear of garage, dormant outhouse, rotted steps at entry - Section 603b. The water and electric has been turned off, building is not insulated and interior is unfinished. Inspection completed at approximately 12:00 aom. R~ectfully sTmitted,~ Building Inspector EH:tle FORM NO. 6 TOWN OF SOUTHOLD Building Deportment Town Cler~ Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of ail buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dispcsal--(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 .... 9.7. 2. ...... New Building .................... Old or Pre-existing Building ..... ~ .................... Vacant Land ............................ Location Of Property ~a~`~t:~--a~d~]:~e~e~s~.~e~c~;~c~c~gU:~~ ................. Owner Or Owners Of Property ......... ..~..e...]...~..p_...~.....~..e.~.~.e...~. .............................................................................. Subdivision ................................................................ Lot No ............. Block No ............. House 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 $ .....5..0.0 ...................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ...~ ....... ~.~ ..................................... Helene Welker (stamp or seal)