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~ ~ ~/~ ~
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