HomeMy WebLinkAboutZ-5898FOEM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificnte Of Occupnncy
No. Z.5898 ...... Date ................ ;'~lr...10 ...., lg.
THIS CERTIFIES that the building located at . Hobart .Rd. & .Landon. I~. Street
Map No.l~o~l. eI'~. ~k~[~No ........... Lot No. ~.9..&. 2.0... S.o.~thol. d.. N...Y. ~ .....
conforms substantially to the ' d~ · - cod®
..................... Ae~l~i~ate, cf occuvency
d~.lt before Apr. 23., 19.57. pursuant to which ~O[~o. 'Z~8~B
dated ........ ~ ..... 10 .... , 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 ... priva~;e, one..family, d~elling ..........
The certificate is issued to . .Ruth .Bedall ..... Owner ..............................
of the aforesaid building.
Suffolk County Department of Health Approval
(owner, lessee or tenant)
.pre.-.exis.~ing .....................
UNDERWRITERS CERTIFICATE No .... pre.-..e~st~g .........................
HOUSE NUMBER .... 172.5 ..... Street .... ~toba~.t. Road ........................
Building Inspector
HOUSING CODE INSPECTION
May 10, 1974
#1725 Hobart Road
Southold, N.Y.
Sub. Div. - Founders Estates #834
Lots 19 and 20
Tax Roil: RUTH F. BEDELL
Unoccupied
R-1
Upon request of the Southold Town Building Department
I made inspection of this two story framed dwelling and
found the following violations of Chapter 52, Housing Code,
Town of Southold:
I was admitted to the building by Mrs. Eckert who
accompanied me during inspection which began at approxi-
mately 9:15 A.M.
On entering the building an odor of gas was noticeable.
With the approval of Mrs. Eckert, who left to pick up a
pair of pliers at her home, I turned off the shutoff valve
at the kitchen gas range and house main valve in the cellar.
The first floor consists of a kitchen, breakfast eating
area, half bath off hallway, dining room, living room and
sun parlor. The second floor has three bedrooms and one full
bathroom off hallway. All rooms are heated from oil fired
hot water furnace in cellar.
Cellar:
Open electrical junction box on girder to
right of stair. Article V, Sec. 52-56 A-1.
Open junction box fastened to the one remain-
ing furnace cabinet side - Article V, Sec. 52-56
A-1. Furnace cabinet disassembled leaving
furnace equipment unprotected against damage -
Article I, Sec. 52-15 (State Building Construction
Code) - Part 5 - Sec. 501 - H.
Accessory Building - two car garage door frame and trim
rotted at lower left side, exterior. Article III,
Sec. 52-30 C.
Inspection completed at approxi~m~ely 10:00 A.M.
- ~ec t~l ~Y~mitted,
EH:r~m 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
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 $§.00
3. Copy of certificate of occupancy $1.00
Date ~....~..~..~.2..~.....
New Building ................ Addition ................ Old or Pre-existing Building "2 ......... Vacant Land ..............
Location Of Property Hobart Road & Landon Lane Southold, N.Y.
Owner Or Owners Of Property ..~..~..~...h.~,~.~...Q~..e..]:..~. ............... ~. ..................
- .......................
Subdivision ...~.,.o....l~t...~e..~..~....~...s..t..a...t..e..~.....~...~..~'....~.......Lot No ............. Block No ............. House No..J2~..
Hobart Rd
Permit No...~ ........... Date Of ' ~ '
Permit .................... Apphcant ..................................................................
Health Dept. Approval ..?.?..?..-....?.~..t.~..~.~ ........... Labor Dept. Approval ........ N,.,:,R.: ..............................
Underwriters Approval .~..~.?...-.?...~.~?...t.~..~.~ ................ Planning Board Approval NoRo
Request For Temporary Certificate ........................................ Final Certificate
Fee Submitted $ ~o00
Construction on above described building and peri, it meets all applicable codes and regulations.
.......
Sworn to before me this
........... ...... ....... .............
Nota~ Public .................................... County
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