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HomeMy WebLinkAboutZ-4791FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No..~..~F.~~. ..... Date ............. .~.~lg .... 3] ..... , 19. ~ THIS CERTIFIES that the building located at . [/~. I1~5i1~ .Neei~ .~ ..... Street Map No. ~ ......... Block No..~ ....... Lot No.. ~... ~,. ~.,~, .......... conforms substantially to the dated ....... ~.~g.. ~.] ........ , 19. ~, was issued, an~ conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. ~e. one. f~. ~e[1~g ..................................... The certificate is issued to ..D~d. & .~lom~. ['r.~ ....... ~s ................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .p~xi~i~g ..................... UNDERWRITERS CERTIFICATE No ..... pF~,..~.~ .............................. HOUSE NUMBER..~].~ ....... Street... I~ ~eCk. ~e.. ~ec~e ................ · ee T'eVeFle i~ldo., - · · 'f'f" ~' · · Building Inspector HOUSING CODE INSPECTION August 30, 1972 5160 Indian Neck Lane Peconic, New York Tax Roil: David U. Brink and wife Occupancy: summer tenant Upon request of the Southold Town Building Department I-made inspection of this one and one half story framed dwelling and found the following violations of Local Law ~1, Housing Code, Town of Southold. I was accompanied by Mr. James Knowles of the Abatelli Real Estate Agency, Cutchogue, N.Y. and we were admitted to the front entrance on the north east end of building - t~is enters into a small room being used as a laundry room. Inspection started here at approximately 9:30 A.M. Laundry Room - Contains washer and dryer (space- mate type) stacked forming tall unit on outside wall, an upright freezer on opposite wall; the corners of these two units form an opening from kitchen of 20 inches restricting exit - Section 217a. Kitchen - Gas range, no shut off valve at unit - ~ 508b. Living Room - No light switch at point of outside entry for controlling light in roon ~ Section 529b. Space heater in living room floor insufficient and cannot furnish heat to each room in present form and house is not insulated, summer occupancy only - Section 512 , 513a. UPSTAIRS Bathroom - Flooring not moisture resistant - Section 303d, 214d. Bedroom - southeast - Light fixture not in working ~ - Section 529a, 601. Porch - east side - bottom step loose and pitches back excessively - Section 602c. Porch - southwest corner - two steps rotted and loose Section 602c. Page 2 House 604b. sets on posts, not skirted - Section 302a, Cellar - for utility purposes - no light switch at entrance for safe entrance - Section 215c. Cellar door hinge rotted off - Section 30la. Detached Garage - Broken panes of glass - Section 603b. Three room bungalow type unit with bath east of garage: Kitchen - Gas range, no shut off valve at unit - Section 508b. Living Room - Ceiling fixture not securely fastened - Section 528a, b. Bathroom - B.X. cable hanging through ceiling, taped ends, no fixture - Section 528a. Bedroom - Ceiling fixture on lamp cord - Section 528a. EH:tle completed inspection at approximately 10:20 A.M. ~pectfully sybmit~ed, Inspector lrOB~ NO. I TOWN OF SOUTHOLD Building Depa,tment Town Cledm Office Southold, H. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Imf ruction8 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 oil buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dispcsol--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Ntultiple Residences and similar buildings and installations, o 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 end "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: I. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date Aug. 29, 1972 New Building .................... Old or Pre-existing Building ....... ..~. .................. Vacant Land ............................ Location Of Property .... .~../..~.....~..~...~.~...~.....~.e..9.~:~..~....~...e.~2...~.~..e~.c...~.~-~c.~1~..~..~ .................................. Owner Or Owners Of Property David W. and Gloria S. Br~k Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate X Construction on above described building and pe/m/rjl~e/)j~,V,.~li/~/~:~l~/ls and regulations. Appl,cont Sworn to before me this day of ............ nota P,,b,c ....... ............ County (Stamp or seal) MARY LOU DOROS,~I NOTARY PUBLIC, State of New York No. 52-100085~ Suf[otk C~unt¥ Commlsslo~ Expires March 30, 1973 TITLE NO 0o S -5047? SURVEY FOR ~ ROBERT ~ TRuNZ ~'GAIL TRU PECONIC TOWN OF SOUTHOLD SUFF, Cq.,N.Y SCALE- I"=100' JUNE 29 ,1965 JUNF '~L;, .95~ GUARANTEED TO : HOME t TLE DJVI$~N OF CHICAGO TITLE INSURANCE CO RIV~RHEAD~ N Y.