HomeMy WebLinkAboutZ-9096FORM NO. S
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. ..Z9096.... Date . .. July.. 5 .............. 19. 78
THIS CERTIFIES that the building located at .. 285. West Road s/s Street
MapNo........ ... Block No........... Lot No ..................................
conforms substantially to the Application for Building Permit heretofore filed in this office
dated .....December.. 20, . 19,76. pursuant to which Building Permit No....9014Z
dated .....DeP-embPr ..?Q.. 1976.., 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 ....BEDROOM. ADDITION - TQ ONERY
. STO, COTTAGE AND ACCESSORY DWELLING
SEE BELOW ...
The certificate is issued to ........ R.. Marshall. Frost' . • ................. . .... .
(owner,.t�t)
of the aforesaid building.
Suffolk County Department of Health Approval ....NIP .....................
UNDERWRITERS CERTIFICATE No. .... Pending .. . ........................ . .
HOUSE NUMBER .......285.... Street ....... West. Road ........................
........................................... tchogue, N.Y
'.
Building Inspector
NOTE This Certificate covers a one story cottage and a one and
one half story accessory seasonal cottage built prior to
April 23, 1957. Buildings conform substantially to
requirements for living units.
FJ
Housing Code Inspection
July 3, 1978
285 West Road, R-2
Cutchogue, N.Y.
Tax Roll: H. Marshall Frost
cottages: one vacant, one with tenant
Upon receipt of an application for a Pre -Existing Certificate
of Occupancy I made an inspection of the buildings on the above
captioned premises. I was admitted to buildings by Mr. Frost who
accompanied me during this inspection that began at approximately
1:30 P.M.
The cottage on northerly end of property is a one story wood
framed structure constructed on a concrete block foundation and
contains one bedroom, half bathroom, full bathroom, dining room,
living room and kitchen. Heat is furnished to building from a gas
fired floor mounted space heater located in dining room approximately
centered in building. The bedroom, which was added to under Building
Permit 9014Z, and bathrooms have baseboard type electric heat elements
with individual thermostat controls. Domestic hotwater is furnished
to all plumbing fixtures within dwelling from a gas fired hotwater
heater located in partial full cellar. Cellar is accessible by
exterior stair on side of building.
The southerly cottage is a one and one half story wood framed
shell structure constructed on wood posts. Northerly side one story
section containing utilities is constructed on cement block found-
ation with concrete slab. First floor contains a full bathroom,
front entry vestibule that contains gas fired hotwater heater and
electric water pump. A kitchen, dining room, and living room with
fireplace. Second floor contains three bedrooms. A roofed over
open porch protects south entry to living room. Hotwater is furnish-
ed to all plumbing fixtures within dwelling.
The following violations of the Housing Code, Chapter 52, Code
of the Town of Southold, N.Y. were found:
North Cottage
Cooking Gas range -no shut off valve at unit. Article
V, Section 52-52 B.2.
South Cottage
Lighting -Stairway to second floor, no light for safe
ascent or descent. Article II, Section 52-26 B.3.
Heating -no means of providing heat for occupancy be-
tween
e-
tty e 5th of September and 31st day of May of the
following year. Article V, Section 52-53 A.I.
Housing Code Inspection -2-
H. Marshall Frost
Inspection completed at approximately 2:00 P.M.
ectfully subra'itted,
Building Inspector
FORM NO 6
TOWN OF SOUTHOLD
Building Department
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—(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.
B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing"
land uses:
I. 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 $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Date.......1...... /. .........,..
New Building ................ Addition ................ Old or Pre-existing Buil 'ng ................ Vaca t Land
...
Location Of Property ..... ,r.,`..... :.1..... ..4'.�.i ...- ................ . ........ �..��.....�%..!.
Owner Or Owners Of Property...............r:/.:c...�aA.?%�l�.�l., j?.`. ��,dc�................................L�.jrJ -LAS`
Subdivision..........__Z?1D
..../....:..........-......................... ..........
.......Lot No... Block No............. House No..: r -
Permit No. •IJ�f •`/ate Of Permit 11�i /� Applicant �i�iLG�CeC.��...,(`/ �.,.
Health Deft. Approval ......�.�-.✓......................Labor Dept. Approval ...... /.v..�...........................
Underwriters Approval X............................................Planning Board Approval ...
A -1 --/Z:..................
Request For Temporary Certificate ........................................ Final Certificate ..........................................
Fee Submitted $ ..............
Construction on above described building and permit meets ail opplicable,codes regulations.
Applicant�....G.��a...tll.l.. ........................................
Sworn to before me this
............... day of ............................................ (stamp or seal) n6 -
Notary Public ............................... County`
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