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Home My WebLink AboutZ-6224FO~M NO. 4 TOWN OF SOUTHOLD BUIT,I~ING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at .1[.~..~.~$~.#$j .D.r.~?.$ ....... Street Map No. ~[~ ........ Block No..~ ..... Lot No...~..M~,t~$t.~.~.. ~.*.Y. ~ ....... conforms substantially to the~ r ~'l . act g' d. ~].'l & dated ........ ~O ..... ~. ...., 19 ~., was issued, ~d confo~s to ~ o~ ~e r~ merits oE the applicable pro~sions oE ~e law. The occup~cy Eor w~ch ~ ce~cate ~ issued ~ . ~Vt~e. O~*. S~. t~O~ ...................................... The certificate is issued to . ~n. DaWO~ .~ ...... ~ ................... (owner, lessee or ten,t) oE ~e ~ores~d building. S~olk Cowry Dep~ment o~ He~ Approv~ .9~O~P~g .................... UNDER~ITERS CERT~ICATE ~o. Pr.*~ ............................ HOUSE NUMBER ... ~9~ ...... Street ...]a~ol. hd ......................... HOUSING CODE INSPECTION December 4, 1974 1395 Naugles Road R-1 Mattituck, New York Tax Roil: Thomas H. DeWolf Est. Unoccupied Upon request of Gary Olsen, Attorney, Main Road, Mattituck, New York for a Pre-existing Certificate of Occupancy (application to follow), I made an inspection of this one story framed dwelling. Violations of the Housing Code, Chapter 52, Town of Southold, New York, are contained later in this report. I was admitted to the building by Mr. Ernest Willet, a neighbor, who accompanied me during this inspection which began at approximately 10:50 A.M. The building's habitable area consists of two bedrooms, one full bathroom, a combination of living room and kitchen eat-in area. Heat is furnished to all rooms from an oil fired hot water furnace located in full cellar. A part of cellar serves as a one car garage with a garage door as part of foundation wall facing the public highway, (south side of building). An enclosed porch running the entire length of building is on the north side (rear yard) with entrance to porch from east side of building; this being the only entrance to first floor. There is no inside stairway to cellar. Violations: Cellar: On west wall of foundation there is a two wire conductor with taped ends which appears to be a hot line. At northwest corner there is an open junction box with a two wire (trouble lamp type) connection running from box along top of foundation wall and it connects to (no junction box) conductor leading underground to outside pump house. Article V, Section 52-56 A. 1-5. Kitchen: Gas cooking range, no shut-off at unit. Article IV, Section 52-52 B. (2). Inspection completed at approximate~ ~1:25 A.m- Res ted, EH:mm Edw~l Hi Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Depar~,.ent Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor 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 installa- tions, 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 informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling ,~. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Date ...&?.l?..~. ............. New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ............ ~ . .-~..(~...' .... ~~ ............. House No. ~J__ Streel/ ~ ~ t Ham/et Owner or Owners of Property ~.. C: .~....~J~,...c~. 4 i. ~.'...C~. ~.:: .~ ~ County Tax Map No. lOOOSection ..~..~.: ......... Block Lot Subdivision ................................. Filed Map No ........... Lot No .............. , c:..::.. :..~;~2~,,. ,'1. Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant....~.~.~..~ ............... Rev. 10-10-78