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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~ / ' __ ~ ~ ~ // .