HomeMy WebLinkAboutZ-7786FOB~ NO. 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z~.786 ...... Date ............. Jul.y. ~l .... , lg. 77-
THIS CERTIFIES that the building located at Koi'n .Rd. &. Founders .Path Street
Map No. Founders. Ea~lock No ........... Lot No.. ~.~.... 8ollthold... I$,Yo ........
conforms substantially to thel'~ · Code
...cart~Lfic~te o~.occupa~ey
bUdia~ted .befor. e./~pr-. 23...... , 19.~7. pursuant to wmcn ~Oz7~86..
dated .............. Jul.)'.. 21 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. rivate, one. family, dwelZln~., w~.th, aces ssc~r-y, gar. ag~ ............
The certificate is issued to . John..¢oarad .&. Ig$£® .... ewn®l'~ ......................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval p~z-. e~:t~mt.~ng ....................
UNDERWRITERS CERTIFICATE No. t~re-.ex~sting .............................
HOUSE NUMBER ..... ~ ....... Street . .FeUl~ders..Path .... 8outhe.ld ...........
Building Inspecto~
Housing Code Inspection
July 21 I
Owner= Job. & Josephine Conrad
Location= Lot ~?, Founders Estates, Korn Rd & Founders Path
Upon receipt of an application for pre-existing certificate
of occupancy I made an inspection of th&s one story framed building.
I was admitted by Mr. &Mrs Conrad and began the inspection
aproximately 10=1~ AM. The dwelling is a wood framed building
constructed on a concrete block foundation, and containl the
following rooms= Three bedrooms, kitchen, and dining room, living
room, full bathroom and enclosed porch. Heat is furnished to all
rooms from an oil fired hot water furnace located in the full basement
The following violationS'of the Housing Code, Chapter ~2, Code
of Town of Southold were found=
Entry= no means of controlling light at point of entry Art ¥ Sec ~2-~6 B2
A one car wood framed detached garage is located in rear yard
area,
Building and grounds are in good order.
Inspection completed about 10=30 AM.
SignedJ . / ~-
Edward Hinde rman
Housing Inspect=
TOWN OF SOUTHOLD
Buildi.~ Dalm~meaf
Tm~ Cle~.l O~tce
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 fram 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
Dote .... ..........
New Building .................... Old or Pre-existing Building ][~[[ Vacant Land
Location Of Property ............... F.o....~gdeir.~. ...... ?a,~ ............ & [o~ ....... Ro.~d ............ S.(?.9,tho].d ........................................................
Owner Or Owners Of Property ....... ~.~)P, J3,..~.C),3~'.~I[..I~..W~,3~KI. ....................................................................
Subdivision ~.~).1~l~.C[~.~'.~..]~1.1[;.~.~.~.~1 ......................... Lot No...~. ......Block No ............. House No...3~[.,..~'o'andel's
path
Permit No......z~... ............ Dote Of Permit ..... ~ .......... Appficant ..... ~ ........................................................
Health Dept. Approval ....... 9.:R.~..-....~.:T~.~. ............ Labor Dept. Approval ....~.:.~..: ...................................
Underwriters Approval .... ~.~'.e...-.....e..z..~.s..t.. ................. Planning Board Approval ....~...'..~...'. ...........................
Request For Temporary Certificate ........................................ Final Certificate .......,~ ......................
Fee Submitted $ ..... ~,,QO. .....................
Construction on above described and
building /IX~mi~meets all applicabl/~e,~xles and ~Jlatiom.
Applican/~'al/~'/L(j~r'''''~'''~-----~'~'~'[~'~:~'~//'~''''~ j~//'2//~ ................. ,,~
Sworn to before me this ~ c~ Z 77 ~
........... 2.1 day of ..... ~..9,3,~. ....... .1~.~.2. ............ (,amp or//~o_,,~.~,-' / ~ ~/ ~, 2--
Notary Public .........~1Lt:;['J::L~[ ......... County