HomeMy WebLinkAboutZ-7804TOWN OF SOUTHOLD
BU~DING DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificete Of Occupency
THIS CERTIFIES that the building located at $/~..~!/1 .B..ayx. iq¥..H.o.q~l... Street
Map No.~. .......... Block No. XX ....... Lot No, x~ .... S/luthold.. ]~.~Y, .........
requirements for one familtr dwelling& housing code
conforms substantially' to the~l~.~ ......
built
certificate of occuuancy
dated .b.e£.°.r.e...A.~r.. 2.3 ...... , 19.~.7. pursuant to which ]~ll~g/~il~/l~o.z.7/~+.. -
dated .......... A~g.. ~ ..... , 19.77., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is .P. ri.vate, one. family..dwelling .wi.th. ac.~es$o~.y, gaage .............
The certificate is issued to .E.m.i..1..C. qn..r.a.d... 9..w~!e..r.p.f...re..c.o~.cl ......................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval ~re-. ~xisf~ing ....................
UNDERWRITERS CERTIFICATE No. ~.r..er..e.x.i..s.t.i.n.g ............................
HOUSE NUMBER ..... ~.0~..0. .... Street ...B.a .2~.i..e.w..R.o..a.d ....... S.c..u.t.h.o.l.d ..........
HOUSING CODE INSPECTION
August 3, 1977
%5040 Bayview Road R-1
Southold, N.Y.
Tax Roll: Emil Conrad
Unoccupied
Upon receipt of an application for a Pre-Existing Certificate
of Occupancy, I made an inspection of this one-story wood framed
building. Accompanied by John Conrad, I began this inspection at
approximately 8:50 A.M.
The dwelling consists of two bedrooms, living room, kitchen,
and full bathroom. An enclosed porch on front side extends full
width of building. East entry to kitchen is protected by porch.
enclosure. Heat is supplied to building from an oil fired warm
air furnace located in full cellar of building's red brick masonry
foundation. Heat outlet of furnace is cut into living room floor
approximately centered in building. A wood framed one-car garage
with lean-to attached is located in rear yard area.
The following violations of the Housing. Code, Chapter 52,
Town of Southold, New York, were found:
Kitchen - gas cooking range, no shut off valve at unit,
~tl----~T~ V, Section 52-52 B 2.
Bathroom - floor covering at base of toilet deteriorating,
Article III, Section 52-32 D.
- lean-to attached to one-car garage in
, roof collapsing, excessive deformation
of structure, Article IV, Section 52-30 A C and Section
52-31 B C.
Inspection completed at app~ximately 9:10 A.M.
~[~n~~Re~ectfully ul:~itted,
Building Inspector
EH:med
FORM NO. I
TOWhi OF SOUTHOLD
Building Deportment
Town Clerks Office
Southold, hi. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
in~ructJoee
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:
i. 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:
I. Accurate survey o~ 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
Date ...... .............
New Building .................... Old or Pre-existing Building ...~ ................ Vacant Land ............................
Location Of Property S/.,S Ba .y~..i~w ROad Southold
Owner Or Owners Of Property Est Emil Conrad
Subdivision ......... ~3; ................................................. Lot No ...... :Z:~. Block No...X3[ ..... House No.....~:O
Permit No. ZX Date Of Permit ~ Applicant
Health Dept. Approval ..P.?..e..-...e.~.:J,l~..~.;l,~g ............. Labor Dept. Approval .....N.z~.t ...................................
Underwriters Approval .~'.a.-.BJCLS~;J,~I~ ............... Planning Board Approval ..N..'...~..t ..............................
Request For Temporary Certificate ........................................ Final Certificate X]C~.
Fee Submitted $ ..~..?..0.~). ........................
Construction on above described building andp~t ~. t~s_all~e~cod~'~,,nd regfl~s.
Applicant
............
Swi[.~.~,.o before me this //
.......... day of ....A1A~.....].~.~..~ ........... ~ (stamp or seal) ~'~ ~/
Notary Public ......... ~ll~ .......... County ~-~v~-