HomeMy WebLinkAboutZ-5017FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
Date ........... Fsb... 2~ ...... , 19~3 .
THIS CERTIFIES that the building located at tlest' C~ek 'Ave .......... Street
Map No .... ~ ...... Block No..:~t ....... Lot No. ~.. Otltchogue- - .N,¥, .........
conforms substantially to the ' ' i - code
~""lll~t befor..Ap,.il.. ~3, 19.~. pursuant to which" "" '~~l~fo.~;oU~lm'~'
dated ....... ~b' ': ' 28 .... , 19~3.., 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~ivate. one -family. dwelling ....................................
The certificate is issued to . .l~:l.~lred' {}& · I~ow®l' ..... 0~iol, ......................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval · .Pro- -existing ..................
UNDERWRITERS Ct~RTIFICATE No.. p~_o~.,.l..eting ..................................
ItOUSI! NUMBI!R... ~9~0 ..... Street .... ~ost. Crook. A-~e ............................
· xeeptione..to- hous~n~ -eodel .....................................................
~2: Enteranee - 8/8, no electric ~witeh atpoint of entry 529b
Xitehen~ no shutoff at gas range ~08~
No window o~ nechanical ventilation 21 ~d ........................
.~, ~teraneo- ~/E~ no electric switch at point of e~i~[~n~ector
~. be~o~- l/8~ ~e~aize (less th~ 80 ~qft fo~
one occup~t)
HOUSING CODE INSPECTION
February 27, 1973
#2950 West Creek Avenue
Cutchogue, N.Y.
Tax Roil: M.G. Brewer & A.W. Griffin
Unoccupied - R-1
Upon request of the Southold Town Building
Department, I made inspection of this one story, framed
dwelling and found the following violations of Local Law
91, Housing Code, Town of Southold.
I was admitted to south entrance by Mrs. Brewer
beginning inspection at approximately 1:05 p.m. South
entrance enters to heated sun room, remainder of dwelling
consists of living room, three bedrooms, small kitchen in
center of building containing sink and gas cooking range,
Dining room, with kitchen sink and refrigerator in north
end of room and bathroom. Each room is supplied with a
heat outlet from gas fired forced warm air furnace in cellar.
Entrance: south side, no electric switch to
control light in room on entry - Section 529b.
Kitchen: Gas cooking range, no shutoff valve
at u---~ - Section 508b. No window, and no
mechanical means of ventilation - Section 215d.
Outside Entrance: Northeast side of building,
no light switch to control light in room on
entry - Section 529b.
Bedroom: east side, containing upper and lower
bunk beds. Room size 7'6" x 8'9" totals
approximately sixty-seven and one half square
feet. A built in closet occupies approximately
fourteen square feet, total floor area approximately
fifty three square feet. Does not meet minimum
of eighty square feet for one occupant - Section
203a.
Inspection completed at,proximately 1:50 p.m.
/
Ro~.~fully suB/~ted,
Building Inspector
EH:tle
FOB, Bi NO. S
TOWN OF SOUTHOLD
Building Department
Tow1 Cledm Offlee
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
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.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey o~ 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
Date . ~..~.~'.~ fi~..7.... ~.~...~.., ... ~.~..~.
New Building .................... Old or Pre-existing Building .....]~... .................... Vacant Land ............................
West Creek Road Cutcho .~..e~ T/o Southold
Location Of Property .................................... ~ .............................................................................................
Owner Or Owners Of Property ..~...~.~.~.~.~.....G..-.....~.~..`e..¥..e.~.~....~....~....e.~....~.~..~..~..e..~..~...S.~ ..............................
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. ...........................
Construction on above described building and ,permit meets all applicable codes and regulations.
Applicant .~~.....~.,:....~ .....................
Sworn to before me this
NOTE: Closing Friday March 2nd, 1973
J
N / O/ F EDWARD C. ~ BETTY d. HAS$1LDINE
N. BleD0' OO"E. 2OO. OO'
,~'1
0
~ ' '
.. ~' 'DAN G.
BRAUTIGAM
' ,.?el $. ~1.00,00" ~. ~00. O0
~q~ ~/o/e s~szz ELLEN G. BR~UTI6AM
i
CERTIFIED TO: SUFF(.,LK COUNTY N.Y.
WEST ROAD /ooo- liD - O5 - 06
FIRST AMERICAN TITLE
INSURANCE COMPANY
ELLEN M. BRAUTIGAM
PECk' ENGINEERS. P.C.
F 0. BOX 909 - ~ ~ ~ by h ~ Y~ S~b ~nd
MAIN ROAD TM ~.
SOUTHOLD , N.Y. ,971