HomeMy WebLinkAboutZ-4719FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
Date ............. ~'laly .....26,.., 19.~.
THIS CERTIFIES that the building located at .. BI8-14&~- P~ad ...... :... Street
Map No. '~X ......... Block No~ ....... Lot No.. ~... Ma.t.ti.'611ek... ':~,][, ......
conforms substantially to the ~FO .~tr. ola~n~ ~' ~. w~ ? . .
~t. p~Or' 'tO .&pr4'l. 23 19.5~. pursuant to which ~~N~.~. .°C..e. uPane~'
dated ......... ~I~T ..... 26", 19.~2., 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 ... P~.ivat~ .one..fa~t.ly. ~.we!l.~g .....................................
The certificate is issued to . ~.'St&.t;e. Of. ~obe~..t .P,l~®nbu~gh .....................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval ....................................
UNDERWRITERS CERTIFICATE No .... pl'.O .OX:k~,.till~ ................................
HOUSE NUMBER..%~ ..... Street .... Main 'Ro~d' ..................................
Bxoopt4ona to hous~r,g eodet
No Bath ro~at some ropa~ro needed
to poroh & Walls
Building Inspector
Tax Roil:
Unoccupied
HOUSING CODE INSPECTION
7/26/72
#19450 Main Road
Mattituck, New York
Frank Billard Estate
Upon request of the Southold Town Building Department
I made inspection of this two story frame dwelling and
found the following violations of Local Law 91, 1967 Housing
Code of the Town of Southold. I arrived at approximately
9:10 A.M. and was given the key to padlocked rear door by
Mrs. John Flemming who accompanied me on the inspection.
No central heating Section 512, 513a
Kitchen - Unapproved cooking facilities, no refrigerator -
Section 530, 531a. No light switch at entrance door
from outside to control inside light - Section 529b.
Rear Stairway to second story - no light switch or light
for safe accent or decent - Section 215C.
No Plumbing Facilities - Section 505a, b.
Bedrooms, second story - Cracks in ceilings and holes
where plaster let go - Section 303c. Three rooms
second story ceiling under 7'6" (Violation Town
Zoning Ordinance, Article I, Section 101, definitions
floor area livable)
General interior condition unclean and unkept Section 603a.
No screens on windows and doors Section 604b, c.
Exterior - Front porch deteriorating, facia, and eaves
rotting badly need of painting Section 30lb, c.
Opening in foundation - Section 302a.
Inspection completed at 9:30 A.M.
~ .pectfu~l~s~itted;
Inspector
EH:tle
FOBBf NO. 6
TOWN OF SOUTHOLD
Building Depafl. ment
Town Clerks Office
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instmctionl
A. This application must be filled in typewriter OR ink, and submitted in triplicate 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 dispcsal--(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.
5. For existing buildings (prior to April 19§7), 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
3. Copy of certificate of occupancy $1.00
$5.00
New Building .................... Old or Pre-existing Building ........... ~ .............. Vacant Land ............................
Location Of Property ..SZ.~.....M..'.a~.....n...R..~'.a.~'d.~t.~.~'..a.~.~.~-?."u.~k.~..~'e...w'.~../..~.~ ..................................................
Owner Or Owners Of Property ~8~.~e~`~~e.~¥~g~r~~ ..................
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 ........................................ Final Certificate ................ .~.. .......................
Fee Submitted $ .~..:..0..0.. ......................... ..
struction on above described building an~p_9~ts all ~l~j~d~s~d regulations.
Con
Wickham & I rk-
Sworn to before me this
cloy of ...... ..............
Notary Public ....,~....~..[~....~..O..T.s~. ......... County
(stamp or seal)
JOk~ rt.C, Srote
~ ~;e~ ~0,