HomeMy WebLinkAboutZ-7387I~M NO. ·
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z73.8.? ...... Date ........... .]{.0¥ ..... 26 ...... , 19..76
Ave
THIS CERTIFIES that the building located at .~../.8..N.i..1.~...Rd...&. .~./..8...R~.q.v.e Street
Map No.. ~ ........ Block No...x~. ...... Lot No. = .... ~.t.1;ltl~el.. I~.,.I, .......
conforms substantially to th l*e uire~rits fol, ~ fala$~Ly d~re~.l . .
dated ...................... , 19 .... pursuant to which
dated ............ .N.O~....26.., 19..76, was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . PF..!?&.t.e...one..f..a~..i.l. lr..d.w.e.~ .1.iF.,g..&..a. 9.~p.r.,Y.. g&l'~g~ ................
The certificate is issued to .D..o~a..1. d..&..G.ayl, e....C?.o...h~.. ...... . .0~!~i,s ...............
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .P!'?. e.x!.s.$~..ng ...................
UNDERWRITERS CERTIFICATE No. l~.r.e.'. .e.x..i.s.t..i~. g ..............................
HOUSE NUMBER ..... 21.0~ .... Street ...... E. &.s.t...N,t~I. 1~.~4 ...................
HOUSING CODE INSPECTION
November 26, 1976
2105 East Mill Road R-1
Mattituck, N.Y.
Tax Roil: Donald Crohan & wife
Upon receipt of an application for a Pre-existing Certificate
of Occupancy, I made an inspection of this one-and-one-half story,
wood-framed building. Accompanied by Mr. Crohan, I began this in-
spection at approximately 10:15 A.M.
The first floor of the dwelling consists of a kitchen with a
vestibule entrance which serves as a laundry room and contains a
laundry washer and drying machine; living room with a fireplace;
dining room; bedroom; and a hall bathroom. Front entry to living
room is protected by an open front porch. Second floor consists
of three bedrooms. Heat is furnished to all rooms from an oil-
fired, hot water furnace located in cellar of building's cement
block foundation.
There are two accessory structures on the premises. One
building is used for a work shop and storage. The foundation of
this building provides a full cellar with outside entrance. The
foundation is constructed of clay tile blocks. The second acces-
sory structure is a two-car garage located on the west side of the
property which faces Reeve Avenue.
The following violations of the Housing Code, Chapter 52,
Town of Southold, New York, were found:
Cellar - gas-fired hot water heater, no shut off valve at
unit, Article V, Section 52-52 B. No chimney p~ovided to
remove combustible products, Article V, Section 52-53 B.
Accessory storage building - sill of window on east side of
building rotted away. There is a framed opening which has
no exterior siding but the building is enclosed by plywood
paneling nailed to the inside. The structure is subject to
destruction by the elements, Article III, Section 52-31 C.
One the east side of the building there was a chimney, which
has collapsed. At the gable end overhang where the chimney ·
had gone beyond the roof, there is a section of roof which is
unprotected, Article III, Section 52-30 C.
Two-car garage - southeast corner of garage, six courses of
shing%es from the bottom of the siding are damaged and missing
exposlng structural corner of the wall, Article III, Section
52-30 C.
Page Two - Crohan
Inspection completed at approximately 10:35 A.M.
Edward Hindermann
Building Inspector
EH:med
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, 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 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 end
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 os 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
New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land ..............
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 ........................................ FinoJ Certificate ..........................................
Fee Submitted $ ....................................
Construction on above described buildin~and permit meets all applicable codes and regulations.
APP lica n' ~"3""~"~''' ''~'~''~ ...... .~.....~. ~ ~' ~/~' ~ ..............
Sworn to before me this
· ..~ ..... day of ~./....(..?..7...~... (stamp or seal)
Notary Public .......... ~... County
l) P'NI'ON 5CH~O
RoAD
LAND SURVE'YOR