HomeMy WebLinkAboutZ-5903FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No.Z.590.~ ....... Date ............. ~ .... l~ ..... , 19~...
THIS CERTIFIES that the building located at ..... Hobart, .Road, ......... Street
Map No. flounders..E~,I~No ........... Lot No. ~22. & .123...So~hql~...~ ~.~..
confoms subst~tially to the ~~~ c~e
da~be~ere..Apri.t .2~.., 19. ~7. p~suant to which ~~. occupancy
z 59o3"'
dated ............ ~a~... ~., ~$~.., wa~ ~sued, ~d conforms to al~ o~ the req~
ments o~ the applicable pro~s~o~ o~ the ~aw. The oeeup~ey ~or which t~s ee~ffieate ~s
~ssued ~s .. P.=iva.te. cna. fa~ly, dwe~ lin$... ~. NC. a.e. ce~y. ~D$.
The certffieate ~ ~sued to .Cu~.~lm. ~. Da~l~ ....... ~r ........................
of the aforesaid building.
Suffolk County Department of Health Approval
(owner, lessee or tenant)
.pta-.. exist~g ...................
UNDERWRITERS CERTIFICATE No.. p.r.e.-., e~.i.~.t..l.n.g ...........................
HOUSE NUMBER . .2 ~..00 ...... Street ..... Hobart..Road ........................
.......... /' B~ 'q'u~[?n :g' '~ ~ 'P ~e!ii( :'"1 ....
HOUSING CODE INSPECTION
May 13, 1974
2500 Hobart Road, Southold
New York
Sub. Div.
Tax Roil:
- Founders Estates
Lots - part 122-123
CURTIS W. DAVIS
Upon request of the Southold Town Building Department,
I made inspection of this two story framed dwelling and
found the following violations of Chapter 52, Housing Code,
Town of Southold. I was admitted to building by Mrs. Alvah
Goldsmith and began inspection at approximately 11:35 A.M.
The first floor consists of sitting room on entry, dining
room, kitchen and eating area, living room and bathroom.
The second floor has four bedrooms and a full bathroom.
Heat is supplied to all rooms from oil fired furnace
located in full cellar.
FIRST FLOOR - Sitting room at front entry - wall outlet
requires plate, ceiling fixture removed, open electrical
box. Article V, Section 52-56 A-1.
KITCHEN - Outside entry, no means of controlling light
in room on entry. Article IV, Sec. 52-56 B-2.
BATHROOM - Requires moisture resistant floor covering.
Article III, Sec. 52-32 D.
SECOND FLOOR - Ceiling headroom 6' 11". Violation Zoning
Ordinance, Chapter 100, Sec. 100-13 B, Floor Area Livable.
BATHROOM - Requires moisture resistant floor covering-
Article III, Sec. 52-32 D.
EXTERIOR - Front entrance enclosure
rotting. Article III, Sec.52-32 A.
frames of enclosure
Accessory Building - two car garage in front yard, shingles
on south side deteriorating. Art.~L~ Sec. 52-31 m.
_
Inspection completed at approxim~/~ 12.00 P~.
Res ctfully sub tted~,
EHlmm ~-~&u mlnc[ermann, Bldg. Inspector
FORM NO. 6
TOWN OF SOUTHOLD
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 and
installotions, o 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
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 ..../~.~.~....t..(~**..~..[.~.2.**~,'. ....
New Building ................ Addition ................ Old g.r Pre-existing Building ..**.'~**, ........ Vocont Lond ..............
Property ......~'...0... b .~.C..~.....~... ~t ...... ~' --,'~ /I .~..~...~. · .-[~.~. D.t .~ ......................................
Location
Of
Owner Or Owners Of Property ...... ~ *U- .'~'...~.i*.~i.'' ...... ~-~..~...*.~...~--.~..L.~ ...........................................
Subdivision .... ~..o....U~...~...e.~..s....~..~..a.~.e...s. ..................... Lot No1. .2..2...~.l...2.~Block No ............. House No...~.~..0..0...
Permit No .....~ ......... Date Of Permit ....~ ......... Applicant ...... ~ ..................................................
Health Dept. Approval ...... ~...~..e..-...e.~:..i.s..~.J:.~g ......... Labor Dept. Approval .......... .~...*.~.: .............................
Underwriters Approval ...... ~..z'...e..-..~.~,.~.~.~.~.~ ........... Planning Board Approval .... ..~..:..~..: ..........................
Request For Temporary Certificate ........................................ Final Certificate ....... ~ ..........................
Fee Submitted $ ~'o00
Construction on above described building a,o~, permit meets all applicables, codes and regulations.
Applicant ......... ~, ............................
to before me this ~,~//~
Sworn
· .-~,,~,, ...... day of ...~...~ ................... (stomp or seol)~ :~
Notary Public ...Z...~~.... Coun~ ~~
~ ' No.~2_034~3' 'S [ ~