HomeMy WebLinkAboutZ-6543~OIL~ NO. A
TOWN OF SOUTHOLD
BINT.BI!NG DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No.~.6.%.~ ....... Date ............. June .....20..., 19.7-%
THIS CERTIFIES that the building located at . Cox. ;~eok. Road- · · ....... . Street
Map No.xx~ ......... Block No. :ex ....... Lot No. xxx... ].~tti.tuck../~ .Y~ ........
conforms substantially to the re en s o oz fa - ~ ll~ode
,. ,cer.tlfic~te .o.~,occu~ancy
b~el~ .befome. APT.. 23 .... , 19.~7. pursuant to wmcn ~ mo. Z6~3' '
dated ......:... J. une .... 20.., 19.7%, was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is .pti.rate. one. family..d~e!ling.. & a¢ce.ssor~..garage ...............
The certificate is issued to . .William. '.~,..Donlaz~ ....... 0~ner .....................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Depa~-tment of Health Approval ~re.-..mxis.t, ing ....................
LTNDERWRITERS CERTIFICATE No..pre-.. exis2ing ............................
HOUSE NUMBER ..... 3300 .... Street .Cox, Z~eclc ~o~d, .........................
HOUSING CODE INSPECTION
June 20, 1975
3300 Cox Neck Road
Mattituck, N. Y.
Tax Roil: William H. Donlan
Unoccupied
Upon receipt of an application for a Pre-Existing Certificate
of Occupancy, I made an inspection of this one story framed
dwelling. I was admitted to building by James King who
accompanied me during this inspection which began at approxi-
mately 9:15 A.M. The building consists of a kitchen and
dining area in partial basement. The first floor has
three bedrooms, a full bathroom, and a living room. Heat
is supplied to all rooms from an oil fired hot water furnace
located in partial cellar.
The following violations of The Housing Code, Chapter
52, Town of Southold, were found:
Bathroom, at base of toilet, floor tiles missing
and broken. Article III, Section 52-32 D.
An unattached two car garage with leanto is located in
side yard on south side of dwelling.
Exterior of garage - broken and missing sections
~les, bottom course on north and south
side of building. Article III, Section 52-31 B.
Buildings, otherwise, and grounds in general good order.
Inspection completed at approximately 9:55 A.M.
EH :mm
H~indCt fully subm~tted,
Bu±ld'i ng Inspector
FORM NO. 6
TOWN OF $OUTHOLD
, Building Depaltment
Town Clerks Office
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building
Inspector with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and
unusual natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal--($-g 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.
Submit Planning Board approval of completed site plan requirements where applicable.
existing buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate surveyor 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.
B. For
C. Fees: ]. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or lend use $5.00
3. Copy of certificate of occupancy SL00
New B,ilding ................ Addition ................ Old or Pre-existing Building .._~.. ~ ~Vacon, t Lo~nd ..............
Location Of Property .~..-../.~.....C~....~..~...~..Q.j~........'~./~ '
Subdivision .....~ ................................................... Lot No.....~. BI~E No....~. ...... House No...~
Permit No ......~ ........ Dale Of Permit ~..~ ...........Applicant ..~ ....... .~ ...............................
.... ...... .... ....................
Request For Tempom~ Ce~ificate ........................................ Fin~ Ce~ificate .....~ .............................
S ...............
Construction on above described building and permit meets all applicable codes and regulations.
Applicant ./~......i~....~...L ;.......~...~ ................................
Sworn to before me ~t~is
......... /.?day of
.......... (stamp or seal)
Notary Public ......~J~'/~. ~,, ..... County