HomeMy WebLinkAboutZ-8915FO~,M NO. ·
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk'~ Of[ice
$outhold, N. Y.
Certificate Of Occup; ncy
No ............. Date '.~6 5" '/~A't~ ............... , 10 ....
THIS C~IlI~ ~at the b~l~g l~ated at .... ~ ...................... S~eet
Map No ............. Bl~ul~ ~f~.m~o~. ~f. ~l~y. ~ek~l~ .~$.. ???~ eoD~
conforms substantially to the ~plicafion for B~lding ~,i~fo~ f~ ~
dated ...................... , ~9 .... p~su~t ~o whic~ ~d~ ~emit ~o .........
da~ed ....................... , lg .... , w~s ~sued, ~d eo~o~s ~ ~ o~ ~e ~q~
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is ...................................... ~ ..............................
HU~L.
The certificate is issued to ................................. w-r .............
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval ....................................
U~I)ERWRITERS ~ERTI~ICATE No .............................................
HOUSE NUMBER .............. Street~. ~../~. i %: U'C/{ '," ' ~: ~> ', ...............
Building Inspector
Housing Code Inspection
January 13, 1978
505 Oak Street R-1
Mattituck, N.Y.
Tax Roll: Hull S. Chew Jr.
occupied owner
Upon request of Hull S. Chew Jr. for a Pre-Existing Certificate
of Qccupancy, I made an inspection of the buildings at this premises.
I was admitted to dwelling by M~. Chews housekeeper and began this
inspection at approximately 10:~5 A.M.
The dwelling is a one story wood framed structure constructed on
a cement block foundation.
Building contains a living room, three bedrooms, full bathroom,
dining room and kitchen. Heat is furnished to all rooms from an oil
fired hotwater furnace located in full cellar. A wood framed two car
garage is located in the rear yard area.
The following violations of the Housing Code, Chapter 52, Code of
The Town of Southold, N.Y. were found:
Stair-interior to cellar additional step at bottom is required.
Present bottom riser is 19". Article II, Section 52-27 A.
ElectricAl-Wall switch at front entry; plate missing, also plate
plate missing from wall switch at entry to bedroom opposite bath-
room. Article V, Section 52-56 A.1
Fire Safety-oil fired space heater located in garage accessory
structure. Smoke stack run to chimney~ insufficient clearance from
combustible wood frame and siding of exterior wall. Connection
to thimble of chimney,insufficient masonry b~tween thimble and
combustible material. Article V, Section 52-5~ A.1 & B.
Inspection completed at approximately 11:05 A.M.
Respectfully submitted,
Ed~ard Hindermann
Building Inspector
FOB, M NO. 6
TOWN OF SOUTHOLD
, Building Department
Town Clerks Office
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitt~l~lCA~E~o 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 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 "pro-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: 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
Rte ........... ............
New Bqilding ................ Addition .....~ ........ Old or Pre-existing Building ~ .......... Vacant Land ..............
Owner Or-LnL~r~s-~ Prope~""L' ....... '~.'~';~'~'",~.".'~'~'';~''"L'~j'; ............ ~ ............. ~i .............. ]i ....
Subdivision ................................................................ Lot No ............. Block No ............. House No .............
Permit No. -- Date Of Permit .................... Applicant ................ ~.. .................................................
...
....
Underwriters Approval ............ / ................................. Iqannlng Board Approval ................................
Request For Temporary Certificate ........................................ Final Certificate
Fee Submitted $ ...~......?/.~. ......................
Construction on above described building and permYc meets aU a~c~e codes and regulations.
Applicant ~./~......~~...~...L...;;: ...........................................
Sworn to before me this
................ day of ............................................
Notary Public .................................... County
(stamp or seal)
~c~ i ~ ~5