HomeMy WebLinkAboutZ-7592FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
THIS CERTIFIES that the building located at .B~.. &.v.~..&....lh~...h~..1.1.e.. Pl... Street
conforms substantially to thel'e le _ t i' . f d el .
· a~l'.l;t.f:~eate .of oeeupaney
dateb~...~. 11~1~O~..Apr .Z3.., 19 .ii?. pursuant to which ~~qo.
dated ........... .N..al. .... 29.., 19.77., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval l~.l:.ew..e..xi..s.t..!,B.g .......... ' ..........
UNDERWRITERS CERTIFICATE No...pl'e,-..®xlating ...........................
HOUSE NUMBER ..... 26.1.~ .... Street .... ]~ay. Ava ....... Nat$1.t.v, ek ...........
Building Inspe~2tor
HOUSING CODE INSPECTION
March 28, 1977
42615 Bay Ave. & #75 Rochelle Pl. R-1
Mattituck, N.Y.
Sub. Div.: Lida Bartley #770; Lots 16 to 18 inclusive
Tax Roll: Esther Demetriou
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. I picked up a key from Sidor Realty and
began this inspection at approximately 10:50 A.M.
The first floor consists of a kitchen and eating area, a
half bathroom off the kitchen, living room, sun parlor with front
entry and an enclosed porch which provides entry to kitchen.
Stairway to second floor located in living room has a landing
part the way up providing entry to two bedrooms over an attached
one-car garage. Second floor consists of three bedrooms and a
full bathroom. Heat is furnished to all rooms except second floor
bedroom on southeast corner of building from an oil-fired steam
heat furnace located in cellar of building's cement block foundation.
The following violations of the Housing Code, Chapter 52,
Town of Southold, New York, were found:
Front entry - sun parlor, no means of controlling light in
room at point of entry, Article V, Section 52-56 B 2.
Cellar - vent pipe from gas-fired hot water heater, connection
made to chimney directly over smoke stack for furnace with
insufficient clearance. Connection to chimney not properly
sealed, Article V, Section 52-54 A 1, 2. Water line to fur-
nace boiler is supported by clothes line tied to B.X. electri-
cal conductor fastened to first floor joists. Shut off valve
for this water line located over furnace is leaking at packing
nut, Article V, Section 52-56 A 1, Section 52-50 A 1, 2.
Inspection completed at approximately
returned to
11:30 A.M.
Sidor Realty office.
Re~ ~fu~y submitted,
'~Edward Hindermann
Building Inspector
Key was
EH:med
FOB~ NO. 6
TOWN OF SOUTHOLD
Building Depmtment
Town Clerks Office
Southold, N. ¥. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in triplicate 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 dispasal--(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.
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 in-
formation required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $§.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 .................... Old or Pre-existing Buildin ............................ Vacant L~nd ............................
. --.j ,.~ ,/ z /;~. ~/. _~/_~ z~-~- ,, ? ~. ~ ~ . .
· ocat on Of Pro. ...........
Owner Or Owners Of Property -~r.~.~.~.~,.c~..-~: ......... :....: ............ ~;~.:.?..,t.t.:'.~.........'..-.
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 ........................................ Final Certificate .......J~. ..........................
Fee Submitted $ ..~........~....~.~ ...............
Construction on above described building a, nd permit meets all applicable codes and regulations.
Sworn_to before me tj~is
...... ~,yo ..... :~~.~..~.. (stamp or sea?~
Nota~ Public ..... ~~~oun,