HomeMy WebLinkAboutZ-6055 FOEM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No.Z~~S....... Date ..........411N4t.. 19~ .
THIS CERTIFIES that the building located at Main. Road Street
Map No..xX, Block No...zx......Lot No. 7CXx... Iiast..MaT1oA.. N.•.Xr.... .
conforms substantially to the e r ne t f va am ~ 11
~~i~t b®fore r i to . f Occupancy
a e ...ApT~~..23.., 19.57. pursuant to which~f~No.Z6055•
dated pu~ust• ~ ~ 20... , 19~.. , 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 ..privates.one..family.dr?elling.dc.twQ.ac~.e.ss~Ty..bu,1,7~41u$~......
The certificate is issued to .$dwasd~B•..EQwnlds• do.Wife...owners
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .prer..eX1,st131Q .
UNDERWRITERS CERTIFICATE No. prem. aXistin`
HOUSE NUMBER 120 Street ..Main. Road .
.
Building Inspector
HOUSING CODE INSPECTION
August 19, 1974
#11290 Main Road R-1
East Marion New York
Tax Roll: Edward B. Edwards & Wf
Occupancy: Seasonal
Upon receipt of application for Pre-Existing Certificate of
Occupancy, I made an inspection of this two story framed
dwelling and found the following violations of Housing Code,
Chapter 52, Town of Southold, New York. I was admitted to
premises by Mrs. Edna Brown who accompanied me during inspection
which began at approximately 3:10 P.M.
First Floor consists of kitchen, toilet room, dining room
and living g room. A small room between kitchen and dining room
is where gas fired hot water heater is located. A trap door
in floor allows access to partial cellar.
Kitchen - gas cooking range, no shutoff valve at
unit. Article V, Section 52-52 B.2.
Exterior - entries to kitchen and living room -
no means of controlling light in room
on entry. Article V, Section 52-56 B.2.
Second Floor consists of five bedrooms and one full bathroom.
Bathroom requires moisture resistant floor covering -
wood flooring b~~ back of toilet bowl
rotted. Article III, Section 52-32 D. -
Article I2, Section 52-26 A.
Building has no central heating system and occupancy
between November 1st and May 1st is not
permitted. Article V, Sec. 52-53 A.1.
Exterior Trim - windows and facia require painting.
Shingle siding deteriorating, loose and
missing shingles. Article III, Sec. 52-31 B.
Porch Flooring buckling and deteriorating. Steps to
screened section of porch and steps to kitchen
entrance uneven, loose, and deteriorating.
Article III, Sec. 52-30 A. - C.
Accessory Buildings - utility, work-shop with enclosed tower -
adjacent to north side of dwelling - water pump and main electrical
service is located in this budding. On the north end just off
property line there is a two car garage.
Housing Code Inspection - 2 - Auqust 19, 1974
Edward B. Edwards & Wf
Water Pump electric switch box hanging by BX conductor.
Article V, Section 52-56 A.2.
Exterior trim and wood shingle siding on both accessory
structures requires maintenance - facia and
shingles loose and deteriorating. Article III,
Section 52-31 B.
Inspection completed at approxim ly 3:40 P.M.
Res ctfull su tted,
Gz--
EH:mm ward Hin a ann
Building Inspector
fnVR2/ljr Ct1E+Tic+RX~ dS~~.
r'fl Fa~tiT z(~ P
G 12 L" C'ti C IL FORM NO. 6
TOWN OF SOUTHOLD 7 ~ I
Building Department ~
Town Clerks Office
Southold, N. Y. 77977
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in DUPL{CATE to the Building
Inspector with the following; for new buildings or new use:
1. Final survey of property with accurote 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 app{icoble.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses;
1. Accurate survey of property showing oll 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, Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00 y
Date .....1l.4(.8~...~.~y..l.~.~~......
New Building Ar~' p~d~or are-existing Building/^....~~..//.. Vacant Land
Location Of Property L.(1:~'.t'.....l.!'~.gQ.~d^.>t... M.....R~~~.'~E.llel....~1.,.
Owner Or Owners Of Property ........Er.+~.G.S~A.~Ll......~e....~..~~i~/Q.t1~S
Subdivision No............. Black No............. House No~~.~~0
Permit No.......".......... D,at~e Of Permit ......-...........Applicant ~.Q.r.....~4.!}:~7~~
Health Dept. Approval ..?.If.=...'..4~...~rSr.~~...Labor Dept. Approval ..........N~.2
~
Underwriters Approval ..............................................Planning Board Approval ...N.'......:.......................
Request For Temporary Certificate Final Certificate
(*c7
Fee Submitted $ ...'JF...
Construction on above described building and permit meets all ap licable codes and regulations.
Applic ......y~~-.....
SworQpn tc~efore me this ~//v y nj ,Ip t ~ (y7 y
.~.1.....`... day of .7C.Y'.!Wl.~....~~/ (stamp or seal) ~o Lj~~`~y(j~p~ps
ry Publ' County V" ' / ~ ! QG 5'
JUDITH T. BOKEN
J ' Notary Public, State of New York ,
No, 52-03A4963 Suffolk County -
a, issi~p €xpires March 30, {9 3