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HomeMy WebLinkAboutZ-5410FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z.~IO ...... Date ............ THIS CERTIFIES that the building located at . P®conl~ .B&.y .BI~ ....... Street Map No.xx .......... Block No. xx ....... Lot No... xx... Laural.. N.,Yo .......... conforms substantially to the ' · code dJg~ilt before . ,. ~eR~;[fi~ate..~' occupancy -,~u ........... ~pr-~J~ .23.,1~j~. · pursuant to which dated ....... Aug ...... 29 .... , 19.7.~., 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 . .Pri.v&te..one. f~lail.y .dwe~.ling ...................................... The certificate is issued to . .Dorothy. Burns ..... 0~ner ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .pre-..exis.ti~g .................... UNDERWRITERS CERTIFICATE No..pre.-,exis.tAng ............................. HOUSE NUMBER . .~.98~ ........ Street . GreAt. P~conic .Ba~..BI~'~ .............. Excep.~lon~ ~ 1, Second fllor sleeping rooms undersize ZO 101, 2. Stairway to second fl~or no light switch 21~o ~/ - ~ " " " "-' part haz~..r.a.~..1...m!l..s.~..g.21..6.b ...... /~©3 ..... (:. /,, Building Inspector / HOUSING CODE INSPECTION Tax Roll: Occupied: August 29, 1973 ~985 Gr. Peconic Bay Blvd. ~aurel, New York Dorothy E. Burns owner R-1 Upon request of the Southold Town Building Depart~emt, . I made inspection of this one and one half story frame4 dwell lng and found the following violations of Local Law~ Housing Code~ Town of Southold. I picked up the key '~e~altvs. Burns at her place OfemploYment. Joseph SalandRealF~ office, Main Road, Ja~esportt and begA- inspection at &Pproxi~ately 11:00 a.m. The building consists of kitehen~ living room. baroca, and two bedrooms en first fleer_two rooms on seco~ fleer one being used as sleeping quarters. ~o~ not meet requirements~or ~spage. Floor area'livable. The BuiI~ng and Zoning Ord/aanee, Art. I, Section 101. Heat is,~u~,....niehe~ to ~ea~h room f~om forced wax~a air furnace located im '~11 ~ellar,- The~e is a one car garage attaehe~ on west side of house. for and descent. Sectiom~215C. No hand rail fr~m top of stair-well for six steps. Sectiom21~b.- Inspection completed at approxi~ely 11:25 a.m. amd key was retux'ned to Mrs. Burns at her office. Building Inspector 7 ' Tm Cled~ ~ Sout~ld, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUFANCY In.tmcflm. A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences ond similar buildings and installations, a certificate of Code compliance from the Architect or Engineer red, risible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 19.57), 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 tapographic feature~ 2. Swom statement of owner or previous owner as to use, occupancy and condition of building~ 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 v~. Certificate of occupancy on pm-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ...A..u.j.u...8. ~.. ]:.7...,.....]..?..7...3. .......... New Building .................... Old or Pre-existing Building ...... ~ ................. Vacant Land ............................ Location Of Property ~.P.~.e.~c.~.~n.~...c.~.B.?.[~.B.~.~"u.~.~e.~?.~.~.d..s.~..~..:.u..r.~~~~ne~ed) Dorothy E. Burns Owner Or Owners Of Property ....... .........~..~ ............... ~ ......................................................... Su ,v,sion ................................................................ La. No ............. B,ock No ............. .ouse Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health J;)ept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ........ ~; ............................. Fee Submitted $ ...~.J~0 ........................ ~ ............ Au&umt,...l~21.. .... · /..~. ...... dey of Not~ry Public ...... L~...~:....................~... &~. ..... County SHIRL[Y SALAND NOTARY PUBLIC, State of New York NO, 52.8740085 Suffolk Cou[It~ Construction on above described building and p, ermit meets o. II app[~ii~pJe codes and regulations, as of the App ~cont ............................................ ~ Sworn to before me this ~C.~~~-~ f~ ~ ~; [ ~ ~.~ (stamp or seal)~gt~ 77 .7 STATE OF NEW YORK) ) COUNTY OF SUFFOLK) AFFIDAVIT SS.: DOROTHY E. BURNS, bein$ du~y sworn, deposes and says: That she is the owner in fee of the premises at Peconic Bay Boulevard, Laurel, New York, more particularly described on Schedule A attached hereto and made a part hereof. That the premises were constructed in the year 1954, prior to the inception date of the Town of Southold's requirement for a certificate of occupancy. That the premises have been used as a residential dwelling and that your deponent has resided at said premises for the past three years and continues to reside at said premises at this time. That your deponent believes that the dwelling house, which is the subject of this application, is fit and proper for use and occupancy as a residential dwelling and makes this affidavit to induce the building department of the Town of Southold to issue a certificate of occupancy on a pre-existing dwelling. (Dorothy !1. Burns) Sworn to before me this /,~___L ~day of August, 1973 ' SHII~EY SALAND ' rk NOTARY PUBLIC, State of New Yo NO. §2-874008§ Suffolk CO~.~ Twm Expir~ I~rcl~ 30, L97.,~: ' JOB"$ / / / / / TITLE GUARANTEE & TRUST CO. VETERANS ADMINISTRATION RIVERNEAD ,SAVINGS BANK SURVEY FOR . * "' VENTEAU CONSTRUCTION CORP., TOWN OF SOUTHOLD '.': ,,'.'-" SCALE, 40':~ ~ .',, . ... DEC. ~3~, 1954 . *,- ~.