HomeMy WebLinkAboutZ-7174 FOEM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. x717?+...... Date A~ ~ 6 , 19.76.
Shore Drina.... _ Street
THIS CERTIFIES that the building located at .
Map No. Qrpt. Shore lock No...........Lot No. ~ ~ Greeaport
ra uirsaenta for one famil dveliiii ' ~ " " " " "
conforms substantially to the
built ~o oportpanet
dated before Apr 23 5'J
. 19 pursuant to which No 8.71'jl!'.. .
dated ...........w~.... ~ 6... , 19.76 , was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
Private oae fa~tily drallia8
issued is
Joa Fa].><s Ac fife to Lavrenaa A Judith Latl~oxslci oMaer
The certificate is issued to .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .pre- exiatin~
UNDERWRITERS CERTIFICATE No. , .Pre-eaiatin8
HOUSE NUMBER ....61.5 Shore Driw areenport
Street
Building Inspector
HOUSING CODE INSPECTION
August 13, 1976
615 Shore Drive R-1
Greenport, N.Y.
Sub. Div.: Greenport Shores, Map #1759, Section 1
Lot #3 and S/half Lot #2.
Tax Roll: Joseph H. Falke & wife
Occupied: A. Thomas, seasonal tenant
Upon receiving an application for a Pre-existing Certificate
of Occupancy, I made an inspection of this one-story, framed
dwelling. I was admitted to the dwelling by Mr. Thomas and
began this inspection at approximately 10:50 A.M..
The building consists of two bedrooms, a full bathroom,
living room, and kitchen. A enclosed porch provides only entry
which is on the south side of dwelling. Building is constructed
on a cement block foundation with crawl space.
The following violations of Chapter 52, Housing Code, Town
of Southold, New York were found:
Bedrooms: windows are high, do not meet minimum 42°
floor to bottom of window required for emer-
gency exits, Article II, Section 52-28 B.
Exterior: east side of building, broken shingle lower
course, Article III, Section 52-31 B.
Heat is furnished to all rooms, each having its own base-
board electric heat element with individual thermostat control.
An accessory building is located in rear yard area.
Inspection completed at approximately 11:05 A.M.
Res ctfully bmitted,
Edward Hindermann
Building Inspector
EH:med
FOHM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Clerks Offiee
Soutkold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instruetions
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, anti
unusual natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 farm 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.
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. Swam Statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Dote 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
8/11/76
Date
New Building Addition Old or Pre-existing Building ........X..... Vacant Lond
Location Of Property .e~B..,Shore Drive, Green~ort
Owner Or Owners Of Property Lawrence H. & Judith A.,,LutkoWSki
Subdivision Greenport Shores §1 ~ 3 & s~~tt~i~/2#2 _
................................................................Lot o............. oc o............. 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 ..........~G..............................
Fee Submitted $ ....5.00
Construction on above described building and permit meets all applica e c es and regulations.
Applicant T.......~ ~
Sworn to before me this ~
~
~p
19 76 'L'~ / ~
....~'.l..x.. day of August. mp or sea
Notary Public .County
EPH J. SNELLEN '
QualRif~eldc~inSSOff01k U^ri ark
No. 52-9091250
COIOIOiSr100 Fi~pirar March 30, 197f
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