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Home My WebLink AboutZ-7971TO~N OF $OWrHOLD BU~.B1NG DEPARTMI~T Town Clerk', O~ie~ Sou*hold, K Y. Certificate Of Occupancy .............. Date ...........0~..t...$.~ .......... ,197Y.. THIS CERTIFIES that the building located at . 5ound~i®v -Ave ........... Street Map No. xx BI kNo xx LotNoxxx ~outhold N ¥ conforms substantially to ther f 1 code e_®r~ific&te of occupancy dated ...........0. .c .t. . . 2.1. .... , 19..7.7., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is .Private one ~'s~nily dwelling issued is ............................. The certificate is issued to Alfred J', Bartosiewicz & w.~fe .~..e.r.~ (owaer, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Approval .. pre-. ex,~stir~g .................. UNDERWRITERS CERTIFICATE No..]~'.e.-..~.~g ............................ HOUSE NUM]3ER .... ~ 79.1. ~ .... Street .. ~.o.~u~l..V.~ew. AY9 ....... ~.o~k~ld ...... FORM NO. $ TOWN OF SOUTHOLD 0 Building Depmtment Towu 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 New Bu~ilding ................ Addition ................ Old or Pre-existing Building ..... .X.. ........ Vacant land .............. Location Of Property ~.~..~.~.~,...~.~..~..~ .................................................... Owner Or Owners Of Property ...... ...~:..~.~...e~....~:....a~....~..~..o~..~.~..~. .................................................. 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 ........................................ FinaJ Certificate .... ~, ................................... Fee Submitted $ ...~..-.[~[~ ......................... Sworn to before me this ...... day of ...OC~;c~be~',,.. ].9] ] ............... (stamp °rz--~) F:~" ? ' ~ ['~t ~(~/'-~"1,~ ' Notary Public ~;,~Q~'~ ...................... County HOUSING CODE INSPECTION October 19, 1977 17915 Soundview Avenue R-1 Southold, N.Y. Tax Roil: Alfred J. Bartosiewicz & wf. Occupied: Owner Upon receipt of an application for a Pre-Existing Certificate of Occupancy, I made an inspection of this one- story wood framed dwelling. I was admitted to building by Mr. Bartosiewicz and began this inspection at approximately 3:00 P.M. The building was constructed on a cement block founda- tion that provides a full cellar and one-car garage on east end of building. The first floor contains three bedrooms, living room and dining, kitchen, and a full bathroom. Heat is furnished to all rooms from an oil fired hot water furnace located in cellar. The following violations of the Housing Code, Chapter 52, Code of the Town of Southold, New York, were found: Stairway - stair to cellar within dwelling requires handrail on open side, Article II, Section 52-26 B. Electric wall outlet - on west wall near garage door entry requires plate, Article V, Section 52-56 A 1. Fire safety - one-car garage within dwelling directly under bedrooms at east end of building. There is no fire resistant separation provided between habitable area. Garage is not partitioned from cellar portion of dwelling which requires fire resistance rated parti- tion. Heat producing equipment in cellar subject to heavier-than-air flammable vapors, Article I, Section 52-1~ Reference to New York State Building Construction Code (Sec. A 402-3 6 aob.c.) Inspection completed at approximately 3':20 P.M. Re~ct~l~ s./mitted, Building Inspector EH:med