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HomeMy WebLinkAboutZ-6004FORM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate O~ Occupancy THIS CERTIFIES that the building located at .Birah .&..~eslo~d. R.o.a~... Street conforms substantially to the o wllin ~ built Certificat~ of 0ccupa.ncy dated ...b. eZ.o.r.?..~.v.r.~..~. ~., 19.57.. pursuant to which ~ No. Z. dated ......... ~..t~. ~ ..... 1.%..., 1977~.., was issued, and con£orms to all of the require- ments of the applicable provisions of the law. The occupancy for which this cert~icate is The certificate is issued tolames F & Anne Connors ~wners (owner, lessee or tenant) of the a~oresald building. Su~olk County Department of Health Approval p.r.e.-...e.x.i..s~.:½g .................... UNDERWRITERS CERTIFICATE No.. ~.r.e..-.e..x~.s..t.i.r~.g ............................ ~+50 ~e slax~ P~ HOUSING CODE INSPECTION July 15, 1974 #175 Birch Road-450 Westland Rd. Southold, N. Y. R-1 Tax Roil: James F. Connors & Wf Unoccupied Upon receipt of application for Pre-Existing Certificate of Occupancy I made inspection of this one story framed dwelling and found the following violations of Chapter 52, Housing Code, Town of Southold. I picked up key from the Lewis Real Estate Agency, Main Road, Southold, and began inspection at approximately 10:50 A.M. The building consists of two bedrooms, eat-in kitchen, living room, full bathroom, an enclosed porch on north side and a screened-in porch on the west side of the building. Living room ceiling is open with sleeping balcony. Heat is furnished with centrally located floor register from warm air furnace located in partial cellar. Kitchen, lamp cord outlet on baseboard in corner near cooking range, with undercabinet light and three-way receptical; electrical source is wall outlet behind refrigerator. Article V, Section 52-56, A.1. Cellar open junction box in crawl space attached to floor joist under kitchen. Article V, Section 52-56 A.1. Split rail fence beyond property boundaries in violation of Chapter 100, Zoning Ordinance, Town of Southold, Article III, Section 100-34 and 100-35 A. Inspection completed at approximately 11:15 A.M. Key was returned to Lewis Real Estate offic~ Building Inspector FORM NO. 6 TOWN OF $OUTHOLD 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, end 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 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 Date,.~*-'~'"'! .~...! ...~....?....~. New Buildin~ Addition ................ Old or Pre-existing Building ...v~..... Vacant Land .............. Location Of Property ...... ~../...~...~~...~.~...~....~..~,. A- · 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 ........................................ Final Certificate ~X Fee Submitted $ .~.'......~... ...................... Construction on above described building and permit/,~m~ets all.,~)~plicable c~s and regulations. Sworn to before me/~is ....... /...~... day of~.....L/..~,.. ~,.¥. ...... (stamp or seal) (j(~_ ~-6tg C/C{/ ........... .'. ............... S.~7 ° k-S' ~.o" w.