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Home My WebLink AboutZ-5113FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Offie'e Southold, N. Y. Certificate Of Occupancy No. Z51 I a...... Date ............ Apr.il ....3p .... , 19-73. THIS CERTIFIES that the building located at W13. .1,,lamnum - ?-Jay ........... Street Map No. WVP.PZ QIP4. .4a]Mkk No. .......... Lot No. .20 ......Southold . 311.Y ........ raTuirements 4-0 02:1-e- fap:*,�y d all ,rpt, code I - . e, E conforms substantially to the b before *fp�'cat f occupancy Z - '51-13 - to ....... be?i UiWo WL A -il 19.57. pursuant to which dated ....... AP r-1-1 .... 30 - - - - 1973 - ., 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 Pili.vate. ojae - family. Avrelling ....................................... The certificate is issued to Richard �-'uriel -winters ....•0"M. er.s. ............... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval prQr. gxisting ................... UNDERWRITERS CERTIFICATE No..P3.?e.--%.ex is.ttng ................................ . HOUSE NUMBER.. 50 ......... Street. . lilampun, Jiay .................................. Exception to Housing code 1. hain , Enterance hall- no light siritch at point of entry 529b 2* Several missing 9%!,ritch plates and loose recepticals 528x® Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Deportment 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. 65. Submit Planning Board approval of completed site plan requirements where applicable. 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 3. Copy of certificate of occupancy $1.00 New Building .....................Old or Location Of Property ....rl /J`.... i Owner Or Owners Of Property .. Subdivision Permit No ..................... Date �Off��Permit .......... Health Dept. Approval ... .1//.��!!.'"-... Underwriters ApprovalV� F�....� ................................... Request For Temporary Certificate .................. Fee Submitted $ .... 5 .:. ...................... ra $5.00 Vacant/ Land ................. i Date ..........................I ................................................ .......Lot No ............. Block No.o........... House No............. .......Applicant .. ....(�...... (tl..[I.%�.s............... Labor Dept. Approval ............... ....2....................... .......Planning Board Approval ...... J......!2:- ...................... ............... Final Certificate .......... ... ..... ...... Construction on above described building and t eets all a plica I cod and regulations. Applicant ....... .. ..(.....�............ ................... Sworn to 4efore me this qq day of ....... .. ....... ........./..1.7 . Notary Public ...... ... County (/ MAOELYN M. BAKER NOTARY PUBLIC, 5fafc o5 New York No. 52-0138300 - Suf'dk County Jam Expires March 30, I97S yG rs7jy ZSI l3 (stamp or sea[) PcA.,,� ),235 �YIUri-e` Vl11('l rUi01 – cro pf4m i SPJ – Ab $ -ZA "Z'I HOUSING CODE INSPECTION April 26, 1973 #50 Wampum Way Southold, N. Y. Subdivision: Nunnakoma Waters #5126 Lot 20 Tax Roll: Richard A. Winters & wf Occupied: Muriel Winters Upon request of the Southold Town Building Department, I made inspection of this two story framed dwelling and found the following violations of Local Law #1, Housing Code, Town of Southold. I was admitted to the Laundry Room entrance by Mrs. Winters and began inspection with this room at approximately 9:50 A.M. FIRST FLOOR - Main entrance hall: exterior doorways north and south side - No light switch to control light on entry - Sec. 529 b. Two electric wall switches No plates - Sec. 528 a. Living room: electric wall switch - No plate - Sec. 528 a. SECOND FLOOR- Hallway: ceiling fixture - light socket not securely mounted - Sec. 528 a & b. Electric wall switch - No Plate - Sec. 528 a. Bedroom: Northwest;electric wall switch - No Plate, switch loose - Sec. 528 a & b. Bedroom: South; electric wall switch - No Plate - Sec. 528 a. Base outlet - No Plate - Sec. 528 a. Master Bedroom: No plate on electric baseboard outlet - Sec. 528 a. No Plate on electric wall switch - Sec. 528 a. Dressing Room: Open electric box on wall - Sec. 528 a. Ceiling electric light fixture not securely mounted - Sec. 528 b. CELLAR Furnace,blower motor, electric junction box - No Cover - Sec. 528 a. BX cable running from 1?kw-motor to stack switch draped over me#.e-jF- shut-off valve on furnace - Sec. 528 a & b. Main electric fuse box - panel off - Sec. 528 a. Open electric Pg. 2 - Housing Code Inspection April 26, 1973 junction box over main electric fuse box; open electric junction box on girder northeast end of cellar. Sec. 528 a. Inspection completed at approximately 10:40 A.M. Re ctfully su fitted, dwa� 1 Z manna Building Inspector mm