HomeMy WebLinkAboutZ-5796FORM NO. 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificnte Of Occupnncy
THIS CERTIFIES that the building located at .. I.slar~d .V~.e.~.( ~x.t.)...La.n.~. Street
Map No .... ~ ....... Block No...~ ...... Lot No. g;r;x....~.r.e.e.n, pp,$ ,..N. :¥: .........
requirements for one family dwelling built
conforms substantially to the ~~
Certificate of occupancy
dated .b.e.fo.r.e.. ~.~p.r..2.3 ...... , 19..~7 pursuant to which 1~~o. Z~795.
dated .......... ?.e.b .... 1~..., 19.7..1~., 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 ... ~?.~.vf? .t.e..o.n..e..f.a.~!~.~.t.y...d.w?.].l. ~.n.g...(.s..u~. f:e..r..o.c. 9 .up.a.n.c. ~.) .............
The certificate is issued to . .George .c. Lore.t.~a. B.auch$er. .... ~.~ners .............
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .P. re.-..ex~ s.t~ng ....................
UNDERWRITERS CERTIFICATE No..p.r..e.-..e.x..~.t%.z.~g ............................
HOUSE NUMBER ...~.33~ ....... Street ....~.~:~a~.d..V~:~...L.a~e. ...................
Building Inspecto/
HOUSING CODE INSPECTION
February 15,1974
1335 Islandview Lane R-1
Greenport, N. Y.
Tax Roil: George F. Bouchier & Wf
Seasonal
Upon request of the Southold Town Building Department, I
made inspection of this one story framed dwelling and
found the following violations of Chapter 52, Housing
Code Town of Southold. I was admitted to premises by
Mr. and Mrs. Bouchier who accompanied me during inspection
beginning at approximately 10:05 A.M.
The building consists of one bedroom, full bathroom,
and one room for kitchen equipment, eating and living area.
Buildin~'s foundation is cement block piers and
requires enclosing. Article VI, Sec. 52-63 B.
Entrance south side; no electric switch or means to
control light in room on entry. Article V, Sec. 52-56
B.2.
Kitchen - gas range, no shutoff valve at unit. Article
V, Sec. 52-52 B.2.
Water pump located in kitchen base cabinet; ordinary
two wire pigtail plugs into wall outlet, no common
ground. Article V, Sec. 52-56 A.1.
Occupancy from May 1st to October 31st only. According
to Mr. and Mrs. Bouchier, gas wall heater in living room
does not heat entire building adequately. Article V,
Sec. 52-53, A.1.
EH:mm
Inspection completed at approximately 10:25 A.M.
Respectfully submitted,
Building Inspector
FORM NO. 6
TOWN OF $OUTHOLD
Building Deportment
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 $5.00
3. Copy of certificate of occupancy $1.00
Date ....
New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land ..............
Location Of Property .....~:.3...3.~....Z.'?.]:~.-n..d.....V..~..e..w.....L.'9"n..'e.~....G.?..?.?...n.~...~..~.~.~.~..~.~.~. ...........................
Owner Or Owners Of Property
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 $ ....~.,.Q.0. ......................
Construction on above described building and permit meets all applicable cOfdes and. regulations.
Applicant '; [ ~ Q~ '- '~ ', - '[- /
Sworn to before me this
...~.]r..~.h..... day of ..~...e.b.~..u.~..~.k'...~....~..c).7..4...* ......
' Kind~,,
/