HomeMy WebLinkAboutZ-6973FORM NO. &
TOWN OF SOUTHOLD
BUHDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupency
No..Z.6.973. ..... Date ............ &l~.r..1~. .... ~.6 .... , 197.~..
THIS CERTIFIES that ~e b~d~g located at . P~. ~. & .~,. ~ Strut
Map No... ~ ...... Block No...~ .... Lot No, . ~... ~: ,..]~l.s ......
conforms subst~tially to th~
ee~tifieate
~ .b*r~. A~r~..~..., 19.~. p~s,~t to which ~ No.~...
dated ........ ~..1.6 ..... , 19.76., was issued, ~d confoms to ~ of the req~
ments oi the applicable pro~sions oi the law. The occup~cy for which ~s ce~fficate is
issued is ~rl~. ~. t~ll2. !~!l~l .~!.~.,~esso.~. }~[ ...........
The certificate is issued to ~0~ .~9.~b2 ...... ~ .............................
(o~er, lessee or ten~t)
oi ~e Moresaid build~g.
S~olk Co~ty Dep~tment ot He~ Approvffi .~g~..~.~g. ...................
UNDERWRITERS CERTIFICATE No...p..r~-...e..~.i.~.t.$.n~ ..........................
HOUSE NUMBER .... 1,201) ..... Street ..... l~ .1~S~]~ .~ ....................
~. ~..~~ .~. (no een~ heat~ s~sten)
............
B~l~ng ~sp~r
HOUSING CODE INSPECTION
April 16, 1976
4200 Pine Neck Rd. and
50 N. Bayview Road R-1
Southold, N.Y.
Tax Roil: James Crosby & Wf
Seasonal occupancy
Upon receipt of an application for a Pre-Existing Certificate
of Occupancy, I made an inspection of this one story framed
dwelling. Accompanied by Mrs. Crosby, I began this inspection
at approximately 1:15 P.M.
The building consists of a living room, two bedrooms,
kitchen, and a full bathroom. An enclosed porch on the south
side serves as a dining area and rear entry off kitchen. An
enclosed porch on west side of building, accessible from bath-
room, is being used as sleeping quarters. An enclosed porch on
north and east side serves as front entry to dwelling. Building
rests on locust posts and cement piers and is skirted. A
one car detached wood framed garage is located in side yard.
The following violations of The Housing Code, Chapter 52,
Town of Southold, were found:
Entrance
front and rear - no means of controlling
light in room on entry. Article V, Section
52-56 B.2.
Building is wood framed shell only and has no central
heating system and is used on a seasonal basis.
Inspection completed at approximately 1:35 P.M.
EH:mm
Building Inspector
FOBM NO. a
TOWN OF $OUTHOLD
, Building Deportment
Town Clerks Office
Sou~hold, 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 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.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. Certifioate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
New Building ................ Addition ................ Old o,~Pre-existing Building **...~**... Vooant Land
Location Of Property ..................... ..~.....~.....O....~..-- ..~/...~..~.....~...~.~..~....,~......~.....~..:..~,./.~
Owner Or Owners Of Property ..... ~/~.~..~....,~.../~.~..~.~.......~..,/??.~.~....~.. ....................................... ~~: ....... :...~.~.:~ ~)~./_. ,~/~:)
Subd,v,s,on ........... : ....... .................................... ,o, B, k ...... .ouse
Permit No .......... .~.... Dote Of Permit ...+/~ ............ Applicant .......... . .~... ................................................
Heolth Dept. Approvol ...~...~ .......................... Lobor Dept. Approvol ........... ~.~. ........................
Underwriters Approvol ......... p~ .................... Plonning Board Approvol .... .~.....~..~.. ........................
........................................ Fined Certificate ............... /~.. .....................
Request
For
Temporary
Certificate
Fee Submitted $ .~.~...~...~. ......................
\
Construction on above described building an~/ I]P~ermlt meets al~'~plicable~ ' ~c°des and regulations.
Applicant ........ . .~ ~ ...~....~, .0...~.~.., .~f.~
Sworn to before me this
,// /~), //
...... :..~... day of ~~ ........ ~..~_~ ...... (stomp or seal)
Nota~ Public .~ ........ Coun~
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