HomeMy WebLinkAboutZ-6096FORM NO. t
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No..Z~O.'~.6 ...... Date ............. !~p.t...~. ...... ,
THIS CERTIFIES that the building located at . E~$. I~.Qi ~.a~. ,.'ky~...~. G.:R. ,~eet
Map No..:.c~/ ......... Block No..x-Z4c.. ....... Lot No. X~.... ~o.u. ~b,o.l.d... 2! ~-.Y., .........
~e~re_.~e~~~l~X_~ ~_I!g _ll~_n~e e~ o m .d. el & Ho code
~auilt before ,..c~r.$~yic~te o[occupancy
ted .......... J~pr,..2~..., 19.57. pursuant to wmcn
dated ......... .,q.e.p .t ..... 9..., 19.?.Iff., 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 .. p.r.l.¥a. ~;~..o..n.c..~$.1.1.3[..d),(e.1..1.in. g ......................................
The certificate is issued to . .R. 9.b.c.17..t..J.:. ti,~l.e.e. 1..e.r..4!'. ~:. !,".l.f.~ ...... J.~..~.e.r..s .........
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .p.r..e.-..~,i.s.~.ng. ...................
UNDERWRITERS CERTIFICATE No. p.r..e.-..e.x. 1..s.tj.n.g .............................
HOUSE NUMBER ...3. ~.0'.0. ...... Street .., .B.o.l..s.s.e.a..u. !\v.e. ........................
HOUSING CODE INSPECTION
September 9, 1974
3500 Boisseau Ave., R-1
Southold, N.Y.
Tax Roil:
Occupied:
Mary E. Wheeler
Robert Wheeler Jr., & wf.
Upon receipt of an application for a Pre-existing
Certificate of Occupancy, I made an inspection of this one
and one half story framed dwelling and found the following
violations of the Housing Code, Chapter 52, Town of Southold,
New York. I was admitted to building by Mrs. Wheeler who
accompanied me during this inspection which began at approx-
imately 10:35 A.M.
The first floor consists of a kitchen, full bathroom,
dining room, living room and two bedrooms.
The second floor consists of two bedrooms, full bathroom
off the West bedroom and a room on the North side, unheated,
that had been used as a library.
Bedroom: North wall light fixture, pull chain switch
broken. Art. V., Sec. 52-56 A.
Heat is furnished to rooms on two floors from an oil
fired steam heat furnace located in full cellar.
Cellar: Potable water supply from submersible pump
located in yard area. In the cellar--a series of
irrigation lines branch off the water main from pump
before entering water supply tank for building. The
water main from pump is lower than~the irrigation lines
which run through building's foundation for the under-
ground sprinkler system. There is a possibility of con-
tamination of potable water unless check valves are in-
stalled between irrigation lines and water main supply
line. Art V., Sec. 52-51 B-1.
Electrical hook up for submersible water pump=connection
Qf wires requires electrical junction box. Switch box
and water pump junction box not securely fastened to wall.
Art. V., Sec. 52-56 A l&2
Exterior of Building- Underside of roofing boards exposed
on eves, paint peeling in many areas exposing wood to
to elements. Art III, Sec 5R-30-C.
Accessory building, two car garage in rear yard area.
Inspection completed at approximately 11:15 A.M.
./~F~[~ fffd ~indermann
Building Inspector
EH:jk
FORM 1~0.
TO~/FI OF $OUTHO/D
I~n9 Department
Town Clerks Office
$outhold, 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
instalJations, 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
ate
New Building ................ Addition ................ Old or Pre-existing Building ../~ ........ Vacant land ..............
Location Of Property ...... ..~'~...~......~.~~.....~..~...~..~.........l~...:....~...L..~...'~ ...................
Owner Or Owners Of Property ..... ~..~..~......~.~..~~..,.~.....~ .............................
Subdivision ...... ~ ................................................... Lot No ....... ..~.... Block No....~. ....... House
Permit No ...... ~ ........ Date Of Permit ..... ~. ......... Applicant
Health Dept. Approval ..... /..~....~....~.~ ....... Labor Dept. Approval ........... /..~..-.!~ .....................
Underwriters Approval .............................................. Plann,ng Board Approval ...... J..~......~..; .....................
Request For Temporary Certificate ........................................ Final Certificate ......... ~. .............................
Fee Submitted $ ~'~ ~
Construction on above described building and,,~ermit_meets all applicable codes
Swam to before me this
.......... · [.... day of ....~,...,r ~..~..7... (stamp or seal) ~, ,~ ,
Notary Public ............