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HomeMy WebLinkAboutZ-9056FOB~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk'. Office Southold, N. Y. Certificate Of Occupancy No. Z9056 Date June .... '12. 19.7M THIS CERTIFIES that the building located at . ~1.7190. Mound .Vte~..Ave... Street Map No ............. Block No ........... Lot No .................................. ,~ ~U~S..FOR. O~ F~IrT.y D*kq~T.T.'rNC~.~TT_TT.? Rw~0RE conforms substantially to me C]~TIFICATE OF OCCUPANCY dated .. Apr. il .... 23 ........ , 19..57 pursuant to which ~ No.. Z9055. dated . .June ..... 12 ......... , 19.78., 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 .... PHI~rATE. ONE .FAMILY. r~WELLIN/I ................................... The certificate is issued to .... S.tanle~..Ctaputa .................................. (owner,~) of the aforesaid building. Suffolk County Department of Health Approval ..... ~?.'..E~'..St..~.g. ................ UNDERWRITERS CERTIFICATE No. PTe-Extsting HOUSE NUMBER..1.7~90 ....... Street .... ~ound .¥t~ .Ave. .................... .......................................... ~ou~hQld.. N,Y, ..................... Building Inspector Housing Code Inspection June 9, 1978 17190 Sound View Ave R-1 Southold, N.Y. Tax Roll: occupied Stanley Ciaputa Upon receipt of an application for a Pre-Existing Certificate of Occupancy I made an inspection of the dwelling on this premises. I began this inspection at approximately 3:00 P.M. Located on this property is a story and a hslf wood framed structure, no accessory buildings. There is presently a 32' x 28' single story addition with a full cellar being constructed to this dwelling. This addition consists of a bedroom, dining room, kitchen bath and a utility room. Building Permit number is 9700Z. The part I inspected consists of: Cellar is a partial cellar, poured cement walk, outside entrance only. Located in the cellar is a electric hotwater heater, gas floor furnace, water tank, and electric panel. First floor consists of a living room (very low ceiling), dining room, kitchen and a small storage room located off the kitchen. A gas floor furnace is located in the dining room. Second floor consists of two bedrooms and full bathroom. No heat upstairs. The following violations of the Housing Code, Chapter 52, Code of the Town of Southold, N.Y. were found: Front porch and steps-need repairing. Article III, Section 52-30. Sills under kitchen-need replacing. Article III, Section 52-30. Inspection completed at 4:00 P.M. Respectfully submitted, CURTIS HORTON Building Inspector FORM NO. ~ TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 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, end 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 "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: 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 New Building ................ Addition ................ Old or Pre-existing Building ........ ...~./....///Vacant Lar)d .............. Location Of Property .~.~_~..._ ..~.~..~.~.~.~t.~..____7~.~..~~...~/~........~...~.. ............. Owner Or Owners Of Property .... ...-~....~.~.."~" ./.(..-~.....~.-../...~.¢.~....~. Subdivision ............................................................... 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 ........................................ Fin~ Certificate Fee Submitted $..-~... .............................. Construction on above described building ond~rmit~'~-~.///~,~m~ets all c~pli.,~le codes and regulations. Applicant Sworn to before me this ~~,, ~ ,~"/' ~"~/ /~ /~ ................ day of ............................................ ~ (stg~ or ~l) Nota~ Public .................................... Coun~ ~ ~/~ ~ I t f I I I ./ t I' ,I I t /17