HomeMy WebLinkAboutZ-5689FOEM NO. 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No..Z~.6.89 ...... Date ........... .D~..~ ...... .1.l ..... , 19..~.~.
THIS CERTIFIES that the building located at E/~..F&C~0~.Y ~Ve .......... Street
Map No...~ ....... Block No.. ~ ..... Lot No.. ~... ~tt!~.~...N~Z.~ ......
re~re~ent~ fo~. ~ f~lly .~1~ & cottage
conforms substantially to the~~~~
dated ......... De~ .... .1.~..., 19.~., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate
issued is .~!~a~e. 9n~. f~$y. ~[ .&. ~C t&~.~t~age .....................
The certificate is issued to . ~a~r!~. ~ ...... ~ ......................
(owner, lessee or ten~t)
of the aforesaid building.
Suffolk Cowry Department of Health Approval P~. e~!l~[ .....................
UNDERWRITERS CERTIFICATE No. ~ree. e. xss~!nl ............................
Building Inspector
TOWN I-IF SI-IUTHOLD
E]FFIC:E OF BUILDINB INSPEOTOR
TOWN F:.LERK'S OFFIE:E
SOUTHOLD, N. Y. 119'71
TEL. ~65-2660
HOUSING CODE INSPECTION
December 7, 1973
#1470-1480 Factory Avenue R-1
Mattituck, N. Y.
Tax Roil: Letitia Yarrusso
.One family dwelling with cottage.
Upon request of the Southold Town Building Department, I
made inspection of these premises and found the following
violations of Chapter 52, Housing Code, T own of Southold.
Tenants occupy buildings and inspections were made on two
different days due to availability of tenants.
On November 30th at approximately 3:15 P.M. inspection was
made of cottage, one story framed on slab. Tenant's name
is William De Dolchow who accompanied me during inspection.
This building consists of living room and kitchen combina-
tion, bedroom and full bathroom. Building is heated with
gas space heater.
Kitchen: Gas Range, no shut-off valve at unit.
Sec. 52-52 B.z.
Bathroom: Missing windowpane, plywood nailed over outside
of window frame. Sec. 52-31 B.
Electric service is supplied from service box located
in cellar of main building. Conductor passes overhead from
main building and is a #14-2 wire intended for interior
wiring. Sec. 52-56.
A.t(National Electric Code - Article 230 - Services-
230-3-4-5-23) Inspection completed at
approximately 3:35 P.M.
On December 7th at approximately 9:35 A.M.inspection was made
of one story framed building on front part of lot. Tenant
is Leonard Green. Mr. Green accompanied me on inspection.
Building consists of two bedrooms, living room, bathroom and
enclosed front porch which is divided into two sections:
Housing Code Inspection
December 7, 1973
South end of porch is being used as sleeping quarters.
Building is heated with a forced warm air furnace located
in full section of partial cellar w/ one floor register
in hall.
Living Room: Lamp cord outlets. Sec. 52-56 A-1.
Porch: Section used as sleeping quarters
outlets. Sec. 52-56 B.2o
lamp cord
Bathroom: Water supply pipe to toilet leaking causing
wet spot on bathroom flooring. Sec. 52-51 A.2.
Cellar: Bottom step of stair loose and deteriorating.
See 52-30 A - Gas Hot Water Heater- smoke pipe runs through
hole provided in wood structure of building. Sec. 52-55 A.
Leak in hot water pipe at elbow over and to left of hot
water heater. Sec. 52-51 A.z. Electric switch above doorway
to front section of full cellar, no switch plate. Sec. 52-56 A-1.
Drains from kitchen sink and washing machine (laundry) connected
to plastic pipes and run through foundation wall to cesspool-
no sewer line or water seal. (Mr. Green commented: on one
occasion cesspool backed up into laundry washing machine).
Sec. 52-51 D-1 D-1.
Entire building contains odor associated with cesspool.
Sewage lines in crawl space portion of foundation - no evidence
of house trap.
Exterior: east (rear side) of building: siding does not
cover structural frame members on foundation wall. Some
sections of plate rotted. Sec. 52-30 C.
Accessory Building in rear: roof not completely shingled.
Inside roofer boards show signs of deteriorating. Sec. 52-31 C-
52-62 B.
Inspection completed at approximately 10:10 A.M.
Respectfully submitted,
EH :mm
Edward Hindermann
Building Inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Delm~tmont
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 triplicate to the Building
Inspector with the following; for new buildings or new use:
I. 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 ar 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 195;7), 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
$5.00
Date ....~. p...y.e....ml~....e..~.....]:.6. ,.....1..9..7,.3. ....
New Building .................... Old or Pre-existing Building ....~ ................... Vacant Land ............................
Location Of Property V./.,S...~.ac.t;o~Y...~.E~u.e.,...~t£.tu, c~e...NP-w...~or~ ......................................
Owner Or Owners Of Property ~.A~.~.C~.~A~A~..A.~]~"~.~S~Q~(~t;~e~TLa~.t;~~C~)~ .......
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 ........................................ %~al Certificate X×
pre- exis ~'~'~"~'~ ~'"~'"~'~'"i 2 )
Fee Submitted $~^.0.0 ............................ /' rental buildings
Construction on above described building and permit/rj~y~'.lJ-applica~,ej.,~;zkJ, es,and reg,/lotions.
pp ................... ..................... .
- William ~ic~Ham ' atty for Own~ ,~a ~
Sworn to before me this //'~ /~] ~
...l.(~.t,~... day of ...... b]O.~..eEkb~.~,..~9.~..3 ..... (stamp or seal)
Notary~ Public ..... ~,,.U ~, ~03~ ........... County