HomeMy WebLinkAboutZ-8942FORM K0.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. . 4042..... Date .. FebM4ZY. ?3 ............. 19...7.6
THIS CERTIFIES that the building located at .905. Cedar, Latae.......... Street
Map No ............. Block No........yy. .�Lot No................................. .
Y E I MELKNIf7i410I#� F FORE
conforms substantially to the
CE
OF OCCUPANCY
dated .. April .... 23......... 19.57. pursuant to which QRTIF CATE o..Z8942 .
dated .. Februamy. �3 ........ 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 .. PRIVATE .ONE. FAMILY. DWPI,LING• • • • • • ...............................
The certificate is issued to .... GEORCg .AND ANNE. SCHMIDT . • . • • • • • • • • • • • • • • • • • • • • •
(owner, lgV@LXKAMj
of the aforesaid building.
Suffolk County Department of Health Approval .... Pre+Existing.................
UNDERWRITERS CERTIFICATE No . ............. .................
HOUSE NUMBER ...965........ Street ...... Cedar• Lane. • • ... • ................ .
............................................ Southold, .N..Y....................
Building Inspector
Housing Code Inspection
February 22, 1978
#965 Cedar Lane R-1
Southold, NY
Tax Roll: George Schmidt & wf
occupied, Tenant, Mrs. Moses
Upon receipt of an application for a Pre -Existing Certificate
of Occupancy I made an inspection of the building on this premises.
I was admitted by Mrs. Moses and began this inspection at approximately
1:50 P•M.
This dwelling is a one story wood framed structure and contains
three bedrooms, a living room, bathroom, kitchen, front entry hall-
way and an attached one car garage. Heat is furnished to all rooms from
air oil fired forced warm air furnace located in cellar of buildings
cement block foundation.
The following violations of the Housing Code, Chapter 52, Code
of the Town of Southold, N.Y. were found:
Entry -hallway, no means of controlling light in room at point
of entry. Article V, Section 52-56 B.2.
Sewa a -waste line from laundry fixtures connected to sewage
drainage system on cesspool side of house trap. Article V,
Section 52-51 C.1.
Exits- Windows in two bedrooms at north end of building are
set to high from floor, and do not provide adequate openings
for emergency use since they are of the jalousie type. Article
V, .Section 52-28 A.B.C.
Inspection completed at approximately 2:10 P.M.
Respectfully submitted,
EDWARD HINDERMANN
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-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 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
Date ., Februarx 15J 1978
New Building ................ Addition ................ Old or Pre-existing Building ..... A....... Vacant Land ..............
Location Of Property westerly side of Cedar Lane, Southold, New York
prty .........................................................................................
George Schmidt and Anne Schmidt �r
OwnerOr Owners Of Property .......... – –.........................................................................
.
Described Property( _
Subdivision................................................................Lot No............ Block No............. House No...�4:..
PermitNo ..................... Date Of Permit ....................Applicant..............................................................
Health Dept. Approval ............................................Labor Dept. Approval ................................................
Underwriters Approval ..............................................Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate ..... .........X.........................
Fee Submitted $ ......5: 00,,,,...
Construction on above described building and permit meets,,1all applicable codes and regulations.
Applicant ...... GEORG.... . ..:a... .... ',�C1fN1IDT
.....................................
by as attorney
Sworn to before me this
15thFebruary, 1978
................ day of .......................................... (stamp or ssea[)
Notary Public..... Suffolk aunty I
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