HomeMy WebLinkAboutZ-7473FOILM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificnte Of Occupnncy
No. Z?~?3 ....... Date ............ ~T.~ ..... ~. ~ ..... , 19 ~..
THIS CERTIFIES that the building located at .C~..~.t.K.~,dd. D.F ..&. ~.~e.~..D.I* Street
Map No. CaP~..~. d.d .HJ~ck No ........... Lot No.. J.6.~ .......... .}~.~.t.~ .t~..o.k....]{...Y.,
conform~s substantially to the o ·
oe~tifio&~o of oe .e~p~ney
b~a~etd bef0.re .... APr...23..., 19..~.7. pursuant to which ~ No.Z~a~?3..
dated ........ Ja.~. .... 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 is
issued is ......................................
The certificate is issued to ...V :~: .~..b.e?.t..i ........ ~.m. er.. 9.f.. ?f~.c.o.r.d. ...............
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . .~.!r.e.-, ..................
UNDERWRITERS CERTIFICATE No. ~.r..e.-..e..~..s.t.~.n.~ ............................
HOUSE NUMBER ..... 1~20 ...... Street ...C:ap.~...K.ifl. d...D?.i..~. ......................
60 l~let Drive ~attituek N.Y.
HOUSING CODE INSPECTION
January 18, 1977
420 Captain Kidd Drive
60 Inlet Drive
Mattituck, N.Y.
Sub. Div.:
Tax Roil:
Captain Kidd Estates, Map %1672;
County Tax Map %1000-106-3-23
V. S. Alberti
Lot %165
On Tuesday, January 18, 1977, the office asked me to make
this inspection. The house was unlocked and so I admitted
myself, as directed, at approximately 1:30 P.M.
This is a one-story, framed house with an enclosed porch,
living room, kitchen, bathroom, and two bedrooms. It has a
crawl area foundation in which there is a vertical oil-fired
hot air heater. There is no door on the access opening.
The foundation needs to be ~ight.
A gas hot water heater is located in the bathroom, but
has no shut off valve near the unit.
The two bedrooms have only flexivent windows, the sill
of which are all 59" above the floor. Their storm sash are
sliding windows.
Some of the sheet rock, particularly in the closets,
has deteriorated. There are also holes in the sheet rock.
There is an illegal hedge (over 6' in height) on the
corner of Inlet Drive and Captain Kidd Drive.
I closed up the house and completed this inspection at
approximately 1:50 P.M.
Respectfully submitted.;
George H. Fisher
Building Inspector
GHF:med
FORM NO. 6
TOWN OF SOUTHOLD
, Building Department
Town Cle~ 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, street~, 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 fram 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
formation required to prepare a certificate.
C. Fees:
i. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $,5.00
3. Copy of certificate of occupancy $1.00
Date ~an 17 1977
New Bt4ilding ................ Addition ................ Old or Pre-existing Building ...~...~...~....... Vacant Land ..............
Location Of Property ..C~,.~..~.~I.~,..~'.~.y.~....~..,~-,~,~..~...~,T.~.y.~. ............ .~..~,.~..t.~..t...u...~...~. ...........................
Owner Or Owners Of Property ..~r.~s.~..Aq ]le,:~.~ .......................................................................................
Subdivision ...~..a.p..~..~..~.fi~..a.~..e.,s. .................... Lot No...~...6.~..... Block No ............. House No...~..2..O....~
60 ID
Permit No .........z~... Date Of Permit ..... ~ Applicant x_x~c
Health Dept. Approval ....... ~.?..e...-:.e...~.~..s.~.~ ....... Labor Dept. Approval N.R.
Underwriters Approval ......... .~.:~.~..-....~.~.$.~g.....Planning Board Approval ...... N.;.~.: .........................
Request For Temporary Certificate ........................................ Final Certificate .....~ ............................
Fee Submitted $ ..~.......0~.. ........................
Applicant ......~.. (~(~,~S~,,:~ ...... /~.~ ....................
Sworn to before me this / / /~"/~Z
................ day of ..... .d-...~,.~.......~..~.?.~. ................. (sKimp or ae~l) ~ /.Z.~ ~, 7
Notary Public ...~.IR~.~..~.~. ................ County