The URL can be used to link to this page

Home My WebLink AboutZ-5933FO~M NO. 4 TOWN OF SOUTHOLD BUll,DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at .... F~,ffth. -qt .............. Street Map No.. x,x ........ Block No .... :z~ ....Lot No. ~ .... ~..e~....~...f'.o..1~....~. ? .g., ..... conforms substantially,to the ' ~~ ..................... , z' 5933' dated .......... l~ey.. !~t~ ....., 1~...~., was issued, and eonforras to all of the require- merits of the applicable provision~ of the law. The occupancy for which this certificate is issued is . p~iva¥~ · one .fan~Lly. d~ell~n~ ....................................... The certificate is issued to .. ~4ary. HetJ~v~ ...... O~ene3~ .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . !0r.e-,. ezistlng ................... UNDERWRITERS CERTIFICATE No. Pr.~-..ex;~.~;gvg ............................ HOUSE NUMBER .... .~,095 ..... Street..1~®¥. ~u~fo~k. L~. (5~;~ .$'c) ............. ........... HOUSING CODE INSPECTION May 28, 1974 35 Orchard Street & 7295 New Suffolk Avenue R-1 New Suffolk Tax B~ll: Catherine C. Bulger Occupied: Mary Mathven Upon request of the Southold Town Building Department I made inspection of this two story framed dwelling with accessory building and found the following violations of Chapter 52 Housing Code, Town of Southold. I was admitted to building by Ms Mathven and began inspection at approximately 3:20 P.M. The first floor consists of kitchen, half bathroom, living room with alcove, dining area and bedroom. The second floor has two bedrooms and full bathroom. Heat is supplied to all rooms from oil fired furnace located in partial cellar. First ~loor Kitchen - Gas range, no shutoff valve at unit, Article V, Section 52-52 B.2. Half Bathroom - off kitchen. Floor covering tiles cracked with open joints. Article III, Section 52-32 D. Living Room - east wall lamp cord outlet. Article V, Section 52-56 A.1. Second Floor Bedroom - northwest. Lamp cord outlet. Section 52-56 A.1. Article V, Cellar - Outside entrance, wooden door and frame deteri- orating. Article III, Section 52-30 A. Water pump electbical connection conductor shield (BX) not connected to junction box of pump motor. Article V, Section 52-56 A.1. Pg. 2 Housing Code Inspection 35 Orchard St. & 7295 New Suffolk Ave. Exterior - Sewage system house vent - cap not assembled to vent pipe. Article V, Section 52-5I C-8. EH:nan Inspection completed at approximately 3:45 P.M. Building In'~pector FORM NO. 6 ~N OF SOUTHOLD Building Dega~tme~t Town Clettt Office Mold, 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 disposal--(S-9 form or equal). 3. Approval of electrical installation fram 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. Swam 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 3. Copy of certificate of occupancy $1.00 Date ....... Hi~... 2,Z,...19.7.../L ........... New Building .................... Old or Pre-existing Building ..x ....... Vacant Land ............................ ~Q~£he~l~ side of Q~¢~ '~'~e'~"and easterly side Location Of Property ..~II~ll....~.l;~.~l~.~,~..}Jg~..~lll;:.l~ltAKd...~iJlat...X.~.i;~ ................................. 7 .... Ow.er Or Owners Of ............ Subdivision ................................................................ Lot No ............. Block No ............. House No.,-~....~..... Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Appravol ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ............. Ir, .......................... Submitted $ _..5......0...0. ....................... Construction on above describedApplicantbUilding.~.a all applic .~s and regulations. , Esq., as"~'{~'~;"~' ......... Swam to before me this ..~..?~day of ........ HIl~e...iJ~.~.$. .............. (stamp or seal) Notary Public ...Sli~.f. OlJl ................ County ~RED W. KAl[UN, JR. l~otT~y PUblic. State of Hew YorR Residing in Suffolk County