HomeMy WebLinkAboutZ-9260FORM NO. &
TOWN OF SOUI'HOLD
BUILDING DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificate Of Occupnncy
No... 29260 .... Date ........ 0ctoher ...... .19.. ·., lg..7.8
THIS CERTIFIES that the building located at 37.0. Pr. ira.re .Rd,..~..15..A. Street
Map No ............. Block No ........... Lot No ..................................
REQUIREIV~NTS FOR ONE FAMILY DWELLING BUILT PRIOR TO
conforms substantially to the ^-- ' ' ~ ~ '
Ch~TIFICATE OF OCCUPANCY
dated ...April...25 ......... , 19.57. pursuant to which~t No...Z9260
dated ...O.q$9.b.e.r. .....1.9. ...... , 19.7.8., 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 ............ ?.r.i.y .a.t.e...0~..e..F..a.~..i.ly...1~..e.l.!i.n. g ............................
The certificate is issued to ........... T.h..eg.d. qr. ?' .Z..mT. g' .&..w.f. ~ .......................
(owner, :tm~--~
of the aforesaid building.
Suffolk County Department of Health Approval ......... P~e.--Exist£11g ............
UNDERWRITERS CERTIFICATE No ................... P..r.e.-..E~..i.s.t.i.n.g ............
HOUSE NUMBER .... 3.7.0 ...... Street ....... pr.J,y~.t.e...R.d....~..15. %. .............
............................................. S.~utko~d,. N..Y, ..................
Building Inspector
HOUSING CODE INSPECTION
October 18, 1978
370 Private Road # 15 A
Southold, N.Y.
R-1
Tax Roll:
occupied:
Theodore Zang & wf.
owner
Upon receipt of an application for a Pre-Existing Certificate
of Occupancy, I made an inspection of the buildings at the above captioned
premises. I admitted myself to dwelling with key provided by owner and
began this inspection at approximately 11:20 A.M.
This dwelling is a once story wood frame structure constructed
on a cement block foundation. Foundation provides crawl space only.
The ground floor contains three bedrooms, a living room, kitchen and full
bathroom. A pne car garage is attached to the westerly side of building
by an enclosed breezeway. Heat is furnished to all rooms in the dwelling
portion of the building from a heat pump. The heat pump condenser unit is
located in the attic area. Duct work mains and returns and branches are in
the attic with heat outlets located in the ceilings of all rooms. Hot-
water is furnished to all plumbing fixtures within the dwelling from an
electric hotwater heater located in a lean-to enclosure on the front of
the building. This enclosure also contains the electric hotwater pump
and electric service panel for building.
The following violations of the Housing Code, Chapter 52,
Code of the Town of Southold, N.Y. were found:
Exterior - cornice and eaves and trim of windows - paint
peeling leaving wood unprotected. Article III~ Section 52-
31B.
Electrical a wall switch adjacent to the electrical panel
in enclosure has a conductor running from the bottom of the
switch, wires are exposed and left unprotected. Wall switch
in the garage that controls the exterior light over the garage
door is defective. Article V, Section 52-56 A 1.
Fire separation - no fire separation provided on the wall
dividing the garage and the breezeway. Article I, Section
52-15 (Reference New York State Building Construction Code
Section A 402-3.6 a)
Light & ventilation - bedroom on the westerly side of building-
window is approximately 2. 16 square feet short of natural
light required for room area. Article II, Section 52-24 C 1.
Emergencv exit - same bedroom as above - the window on exterior
wall is approximately 5' from floor to the bottom of window.
In addition the window is an awning type and the opening
required for emergency use is approximately 3 and one half feet.
Article II, Section 52-28 C.
-2-
Inspection completed at approximately 12:05 P.M. Key was
retu~ed to our office and placed in the file for this Housing Code
Inspection.
~W~ ~I~ERMANN
~ilding Inspector
FO~M 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 ~'~~e 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.
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 o~ 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
Da,e .....
New Building .................... Old or Pre-existing Building ............................ Vacant
Location Of Property ~/~/~j~b~~/~C~t~-~!~;~; ........................................
Subdivision ................................................................ Lot No ............. Block No ............. House No.i~. ........
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 $ ...~..;..0...o. ........................
...... ......................................................................
Sworn to before me this ~ // 1~3~
.... ~.~..... day of ......... ~.~ (stamp or seal) ~ ~
Notary Public ....... ~~ounty
]~m ~pi~es ~arch 30, ~7~