HomeMy WebLinkAboutZ-6185FORM NO. 4
TOWN OF $OUTHOLD
B[~,BING DEPARTME, NT
Town Clerk's Office
Southold, N. Y.
Certificnte Of Occupnncy
No..Z.6t .85. ..... Date ...........0e.tober.... 2~..., 19~..
THIS CERTIFIES that the building located at l~/.a. ~e~..AVe .......... Street
Map No. ~ ....... Block No.....X~X. ..... Lot No. ~ ...... .G.~.e..~.p .o.r.t...N:.Y. :..(..S.o.u~th~o~d
confoms substantially to the t f. f 1 · . &
........................ , _.
dabteU~dIt before- ,~,l~r:~. 25 19.3.7. pursuant to wmc~~o.
dated ............0~..t?.b?.r. .... 2,~9..7~., 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.r.~.v.a..t.e..o..n.e..f..~.~. ~.y...d?~.l. 1..~. $ ......................................
The certificate is issued to . .I~ :..' .r~;~. ,~o.c~k. ~;~..90~l,ek. Carrar~o... ~el' ....
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval ~...~...~..x.l.~.~..~. ~ ....................
UNDERWRITERS CERTIFICATE No I~I'®-
HOUSE NUMBER .... ~.~?~. ..... Street ...~.a .~t.$.~l,(..A.~.$ ...........................
Building Inspector
HOUSING CODE INSPECTION
October 28, 1974
1975 Bayview Ave., R-1
Greenport, New York
Tax Roil: L. Hayward Cook
Unoccupied
Upon receipt of an application for a Pre-Existing
Certificate of Occupancy, I made an inspection of this one
story framed dwelling. I was admitted to building by Mr.
R. Hudson and began inspection at approximately 11:15 A.M.
The building consists of three bedrooms, l~ving room,
study and full bathroom on the first floor. The cellar is
finished and contains a kitchen, full bathroom and a utility
room where water pump, electric hot water heater and oil
fired hot water furnace are located. Furnace supplie~ heat
to all rooms on first floor and in the cellar. A sun room
added to rear of building is accessable from cellar, and is
one step up from cellar floor. This r~om has an electric
heating unit in wall and provides egress to rear yard area.
The following are violations
52, Town of Southold, New York.
Cellar:
of the Housing Code, Chapter
Headroom 7'0"kas living space and contains
kitchen facilities-Art. II, Sec. 52-24 B
(Also violates Zoning Ordinance, C~apter 100
Art. I, Sec. 100-13 Basements and Floor Area
livable)
Exterior of building: Paint peeling-trim and sidings
Art. III, Sec. 52-31 B
Inspection completed at approximate~ll:35 ~.M.
Building Inspector
FORM NO. $
TOWN OF SOUTHOLD
Building Deportment
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 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 af 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-ex'sting"
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 Building ................ Addition ................ Old or Pre-existing Building ....~.... Vacant Land ..............
Owner Or Own~ers Of Property ......... ...~.....:......./~../..- ....... ~-~.~.....~.~...: ................................................... .~
Subdivision ...~..'~....~'..~.. ......................................... Lot No ............. /B/lock No ............. House No.../..~...Z~''~
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 $ ~'~ p
Construction on above described building a~nd~.~iLmeets all ap~icabl~'l:odes and regulations.
Sworn to before me this Applicant ..... .'~Jl~W...7..,i~r.l..,~..~....~2 ....................
·
......... (stamp or seal) ~/~.
Nota~ ....... County
~ Public ~.~ ......