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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