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.