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Home My WebLink AboutZ-5659NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy Date ............. N~' .... ~ ..... , 19.73. THIS CERTIFIES that the building located at .Hickory. J~ .Pin~ .AvL ..... Street Map No..O.o.o.$.e..B.&y Block No ........... Lot No..~9,50,6.T~52 ..... $o~t;ho~ .N.oYo conforms substantially to the ....... ~ "' · ~S~.. APl'il .~3. 19. ~.7. pursuant to whichj~~ ~ oeeupa~e), ......... ' · Z' dated ......... No~s~b®lr..~J., 19 73., 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 . Pxiva.te. one .family. ~l~elling ...................................... The certificate is issued to . C~eme~xt .&. ltarr~.al; .Ba~.~L£8 ..... ~.1 .............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . P.r.e.-. ~xis.t.ing ................... UNDERWRITERS CERTIFICATE No.. ~e-. exist.trig ........................... HOUSE NUMBER.. 7~.~ ........ Street .Hick:Qty. Av.e ............................ 6~ Pi.ne Ave Building Inspect~ HOUSING CODE INSPECTION November 21, 1973 ~775 Hickory Ave. & ~ 65 Pine Ave. Southold~ New York R-1 Sub. Div.- Tax Roll: Goose Bay Estates ~ 1176 Lots # 59-62 Clement-~. Baylis Upon request of the Southold Town Building Department I made inspection of this one story framed dwelling with finished attic and found the following violations of Chapter ~52. Housing Code, Town of Southold. I was admitted to front entry by Mr. Baylis who accompanied me during m~-inspection which begam at approximately t~%O A.M. Living Room- entrance-no switch to control light in room on entry. Section 52-26 B.2. ~ lamp cord outlet wire running from base outlet stapled around edge of doorway casing. Section 52-26 A.1. Dining Room- lamp cord outlet from base outlet stapled on edge of doorway casing. Section 52-26 A.1. ~tchen- gas range-no shut off valve at unit-Section ---~-~B.2. ~econd Floor-Stairway to finished attic-no means of control- ing light for safe ascent or descent. Section 52-26 ~2. Attic- finished-being used as sleeping quarters-does not meet requirements of Southold Town Zoning Ordinance- floor area livable. Chapter 100, Article I, Sec. 1OO-13. ~- rear of building-lamp cord plugged into outside upplying current to ft~od lamp on North West corner of building-Section 52-26 A.1. Chimney for gas hot water heate~ located in cellar~ runs through foundation wall e~d terminates fourteen (1~) inches above ground level-subject to blecking -Sec. 52-53-E.3. completed at approximately ll-~lO A.M. Building Inspector FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Clerics 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, end 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 D te ....... New Building ................ Addition ................ Old or Pre-existing Building ..... ;[ ........ Vacant Land .............. ~[Qrth~rly e£dll off I~ckory Avenue & Westerly Bide L~ n ~xne Avenue ~ho~ at o Of Pr~erty ................................ t .................................................................................................... ~'/~ner Or ~nem ~ Pro~ Clement S. B~li~ ~d ~iet R. ~lis Permit No ..................... Date ~ Permit .................... ~plioant .................................................................. Health ~pt. Appr~al ............................................ Labor ~t. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate~.....,~...9..-.e.,,X~..~..~.~...~....~...e.].l:L~ Fee Submitted $ .~.......0~... .......................... Construction on above described building and permit meets all applicable codes and regulations. ....................... z ..................................... Sworn to ~fore me /~ ~/~ (stump or sea~.~ ~ ~ 7 ............ .., day of ............................................ Nofa~ Public ........................ Term 9'9 ~,4 Y~,,'IEI, V STATE OF NEW YORK COUNTY OF SL~FFOLK SS: says: Clement S. Baylis, being duly sworn, deposes and That I reside at Hickory Avenue, Southold, New York and I am one of the owners of the premises known as Lots Nos. 59, 60, 61 and 62 on Map of Goose Bay Estates, Southold since July 30, 1971. That the said premises had been owned by Elizabeth Hansen since April 2, 1937 and had been used end occupied as a one-family dwelling since that time. That the building erected on the said premises is and has been in good condition and suitable for occupanc~ as a one-family dwelling. Clement -S. Baylis ~ Sworn to before me this 16th day of November 197~ ~ual~fied ~ S~f~oTk ~un~