HomeMy WebLinkAboutZ-9182TOWN OF $OUTHOLD
BUiI.I~ING DEPARTMENT
Town C~erk's Office
Sou~old, N. Y.
Certificate Of Occupancy
No....Z.9~..8.2 .... Date ....A~g,~.. 2.2 ............. , 19.7..8.
\
THIS CERTIFIES that the building located at ...~2.0~...B.ay.~h..o.x'.e..R.p.a.d. .... Street
Map No .... ~12&. .... Block No ........... Lot No ........ .7.6 .......................
REQUI~S FOR ONE FAMILY DWELLING BUILT PRIOR TO
conforms substantially to the .......
C~I~TIFICATE OF OCCUPANCY
dated . .A. pr..i.1 .... .23 ......... , 19..~.7. pursuant to which ]~li~lillib]~gi~t No..Z9.~82.
dated . .A.u. gg.s.t....2.2. ......... , 19..7.8., 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 ...... .~..~.¥.~.%e...on..e..~.~.l.z.y., .~..e.~.~.%n. g ..................................
The certificate is issued to ...... .H.a.r..~r...l....qg.h..m! ..&..wt.. ...........................
(owner, ~
of the aforesaid building.
Suffolk County Department of Health Approval ....... p:F.e.-..~:. ;L.s.~;$1~ ..............
/
I I Pr e-Existin
UNDERWR TERS CERT FICATE No .............................. 6...../..
/
HOUSE NUMBER . .4.20.5. ....... Street ....... .~.~..h.o.r.e,.,, .R.o.a.d. ......./"/
Gr/eenp. ort, New Yoz~Ic
............................................ ........... 7.../.. ...........
Housing Code Inspection
August 22, 1978
4205 Bayshore Road
Greenport, N.Y.
Sub. Div.
Tax Roll:
Tenant :
Peconic Bay Estates, Lot # 76
Harry A. Cohan & wf.
Mr. & Mrs. John Breazeale
Upon receipt of an application for a Pre-Existing Certificate
of Occupancy I made an inspection of the buildings at the above
captioned premises. I was admitted to the dwelling by Mr. Breazeale
and began this inspection at approximately 10:25 A.M.
The dwelling is a one story wood frame structure constructed on
a cement block foundation. Ground floor contains four bedrooms, a
full bathroom, living room with fireplace,~kitchen. A roofed over
screened enclosed porch is located on the rear of dwelling, it
runs the entire width of building. Domestic water to building is
city supplied. Hot & cold water is furnished to all plumbing
fixtures within the dwelling from an electric hotwater heater which
is located in accessory structure in the front yard area. The
accessory structure is a one and one half car garage that has been
partitioned to provide a half bathroom and a room with laundry
facilities and shower. Heat is furnished to all rooms in the dwelling.
Each room has its own baseboard electric heat element with individual
controls.
The following violations of the Housing Code, Chapter 52, Code
of the Town of Southold, N.Y. were found:
Full bathroom within dwelling - no moisture resistant floor
covering. Article II, Section 52-26 A.4.
Bedroom on north side of building- lighting fixture pull chain
type -pull chain switch is not functioning. Article V,
Section 52-56 A.1.
Kitchen - ceiling- plasterboard has been broken through and is
loose. Article III, Section 52-32 C.
Half bathroom and shower room located in accessory, structure -
there are no windows for natural light and ventilation and
no mechanical means of venting these rooms to exterior. Article
II, Section 52-26 B 4 b.
Foundation of dwellin$ - cement block with crawl space one vent
on the north side of the building is not properly screened.
Article VI, Section 52- 63 B.
-2-
A split rail fence runs along the front yard property line.
Inspection completed at 10:40 A.M.
/ R~ "ectfull · submitted,
Building Inspector
FORUM NO. f8
TOWN OF SOUTHOLD
Building Depo~tment
Town Clerks Office
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in triplicate 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 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 o'f 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
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
V// D~te
New Building ................... ,. Old or Pre-existing./~~. ~/~Building ............................ ¥ocant kand ............................
Lo, B,ock ,o .............House
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 permit meets all applicable c,~des .atld .regulations.
Sworn to before me this Apphcant ~~.~ ~.~ .~
Notary Public ......~..¥..;-~./I...%... ...... County
(stomp or seal) ./~
S&.II;~.V E Y E D
AT
)-
"A R ~, I-t A ¥,,,10 ~',,10 Q U E"
l'OW~,,I oF- ~,OkJT~Ot_P, N .Y.