HomeMy WebLinkAboutZ-7665NO. 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. ~'7665 ..... Date ............. ~Y.-
THIS CERTIFIES that the building located at . ~?'8.8outh- tta'rbor .Road · Street
Map No..~ ........ Block No...~ ...... Lot No.. ~... 8~old. · N.X. .........
conforms substantially to the
dat~!~
1O... pursuant to whic~~eY
'~fore · ap~l' ~3
dated ........... ~y...~ .... , 19.7~., was issued, and conforms to ~ of the req~
ments of the applicable provisions of the law. The occup~cy for wMch this ce~ificate is
issued is . ~.~te, o~. f~tY .d~t~ng - ~[.th. a~es sony. g~age .............
The certificate is issued to . .~il~aa. C,. Ch~pek ..... ~e~ .......................
(owner, lessee or ten,t)
of the aforesaid building.
Suffolk County Department of Health Approval p.~e-- exist~g .....................
UNDERWRITERS CERTIFICATE No...pre-~st~$ ............................
HOUSE NUMBER ...... ~... Street ... South. ~rb~ .R~d .... 5o~1~ ....
................ ..........
.... Building Inspector/
HOUSING CODE INSPECTION
May 19, 1977
4255 South Harbor Road R-1
Southold, N.Y.
Tax Roil: William C. Chapek
Occupied: Owner
Upon receipt of an application for a Pre-Existing Certificate
of Occupancy, I made an inspection of this one-story wood framed
dwelling. I was admitted to building by Mr. Chapek who accompanied
me during this inspection that began at approximately 1:15 P.M.
An addition was constructed under Building Permit #1461Z,
dated July, 1961, to which Certificate of Occupancy #1467 was
issued. The portion of this dwelling subject to this inspection
consists of a kitchen, walk-in pantry, dining room, front entry
vestibule, greenhouse, full bathroom, bedroom, living room with
fireplace, and an enclosed porch. Heat is furnished to all rooms
from an oil-fired hot water furnace located in full cellar of
building's brick and mortar foundation. Accessory structure is
a two-car garage with storage and work shop in rear of building.
This building is a wood-framed structure constructed on a cement
block foundation with concrete slab floor.
The following violations of the Housing Code, Chapter 52,
Town of Southold, New York, were found:
Cellar - wine storage room, light fixture and electric
ox~-~-~t mounted, Article V, Section 52-56 A 1 (2).
Electrical - junction boxes and outlets in cellar and
wo~k shop of garage require plates and covers, Article V,
Section 52-56 A 1.
Inspection completed at approximately 1:40 P.M.
dCtful~ submitted,
Building Inspector
EH:med
IPOIg.M NO. 6
TOWN, OF SOUTNOLD
, Building Depmtment
Town Cle~.s Office
Southold, N. ¥. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
^. 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 fram Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and .similar buildings and
installations, a certificate of Code compliance fram 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:
!..~ccurate 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: 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
Da,o ...........
New Ruilding ................ ,~ddition ................ Old or ~re-existing Building ................ ¥oc~rfl' L~nd ..............
Location Of Property
Or ...... ........................... .......
Owner
Subd vis on ................................ 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 $
Construction on above described building and~parmit meets all applicable Codes and regulations.
Applicant ~~ ..~ ~ ..... ~.~ .j.~,~,~c~ ~
Sworn to before me this
................ day of ............................................ (stamp or sm:il)
Notary Public .................................... County