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Home My WebLink AboutZ-9042NO. · TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certific; te Of Occupnncy z 9o No. ~ ..... Date .. Jtme...2 ................. , 19...7.8 THIS CERTIFIES that the building located at . .~100. l~ng~d,ow. Lane ..... Street Map No ............. Block No ........... Lot No .................................. conforms substantially to the~~~~'o~,~L&~D_t~[.'~.~0RE QPA~IP_I~T~..O~ OCCUPANCY dated . .. Ap.~.l..1 .... 2] ....... , 19 57.. pursuant to which x~ozg0/4~... dated ... J~t~e....2. ........... , 19.?.8., 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 ... Pl~r~..ATE .0NE. ~AW~LY. D~ELLI]~G...(SE~.0N~I~ .0CCUPANCT.). .......... The certificate is issued to ...... J...P...Wickhsm ................................... (owner,~ of the aforesaid building. Suffolk County Department of Health Approval ......... Pre--~xts~,ng ............. UNDERWRITERS CERTIFICATE No .................. P~.e-.~z~L~t:~r~g ............ HOUSE NUMBER .. 3.'~00 . ..... Street ........ f. i?Bung~ow. L~X~(/ ............. ............................................... //. ? F~3;t:~tuck ,. ~e~ .Yo~k ...... Building Inspector Housing Code Inspection June l, 1978 3~00 Bungalow Lane Mattituck, N.Y. Tax Roll: J.P. Wickham seasonal occupancy Upon receipt of an application for a Pre-Existing Certificate of Occupancy I made an inspection of the dwelling on this premises. The building was left open for this inspection that began at approximately 2:00 P.M. This dwelling is a one story log cabin constructed on wood posts and contains four bedrooms, a full bathroom, kitchen, living and dining room with fireplace. The following violations of the Housing Code, Chapter 52, Code of the Town of Southold, N.Y. were found: Gas cookinE ranEe-no shut off valve at unit. Article V, Section 52-52 B.2. Electric hotwater heater- no safety relief valve on unit. Article V, Section 52-53 I.J. ~-to dining room, no means of controlling light in room int of entry. Article V, Section 52-56 B.2. Bedrooms-one bedroom used as passage way to connecting bedroom, and one bedroom is passage way to bathroom and bedroom. Article II, Section 52-24 D.2. Fireplace-lining of i~uer hearth, bricks disintegrating, joints open, missing mortar. Article I, Section 52-J4-reference to New York State Building Construction-Section A405-2. Bathroom-floor covering not tightly fitted, shower, no moisture resistant floor and wall covering. Article II, Section 52-26 A-4- Section 52-32 D. Inspection completed at approximately 2~ P.M. / // R~ c %~1~/~submitted, EDWARD F. ~INDERMANN Building Inspector 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-0 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings end 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 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 New B~ilding ................ Addition ................ Old or Pre-existing Building .......~. ....... Vacant Land .............. Location Of Property ........ [~t~t~, .~......~..'T~...~..~...~.........~...°..i..~.~....':~. .......... ~,~,..~.~'~..~..~Tw'~...~....~ ......................... Owner Or Owners Of Property ....... ~...,....~.,~.rZIz..~........~....!...c~. t;~....~ ........................................................ Subdivision ................................................................ Lot No ............. Block No ............. House No~./..~/ Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approvnl ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ......... ~ ............................ Fee Submitted $ ...L~.~,...~ .................... Construction on above described building and p~r_ eets all a~olic, able codes and regulations. Sworn to before me this Applicant ........ ~.~.f?:tcrl~s~..f,~-~,.~ ...................................................... ................ day of ............................................ Notary Public ................................... County (stamp or seal) ~-.~- 7~