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Home My WebLink AboutZ-8066FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ....... Date ..........b�....... y . .. . . ., 19��. THIS CERTIFIES that the building located at ?/S./��,<< Street *A Map No...... .... Block No.... %..... Lot No. X . n conforms substantially to the dam ~ted "...I'`�- .. ��' ^ .1 3 19 ? 7 pursuanLCL t to which it No. �06.67 dated :� ..�y...., 197,., 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 .......... .. o -,,.A.. � �.............. The certificate is issued to e ^ �- ( owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval (/"!' ...� ................ UNDERWRITERS CERTIFICATE No. .. �!' ° .....'?�'� .,.................. HOUSE NUMBER .../. U ... Street .. r /4 � 77.e7 ................................................................................ Building Inspector FORM N0.6 TOWN OF SOUTHOLD Building Deportment 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 triplicate 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: 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 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 .... . : .... . ,f....<...�.. New Building .................... Old or Pre-existing Building .. ............... Vacant Land ............................ Location Of Property ...-51 5........................................ `. `'. � ..... .. J �:t& : '-` v l :: .. — ...y. ................ ..... .. /l Owner Or Owners ��Of/`Property ....................��_..........�..:........�.�vv...................................... Subdivision..........:L\...............................................Lot No...... _ Block No..✓� House No./..3.'y6 `y Permit No. ..... �k ...... Date Of Permit ..> ::.........Applicant ...✓........................................................ Health Dept. Approval SDA? .... „g .,..........Labor Dept. Approval ......./...p� .:............................ Underwriters Approval......^ ........ ::..........Planning Board Approval./V1.`-:......................... Request For Temporary Certificate ........................................ Final Certificate ........ Fee Submitted $ :J ................................ Construction on above described building a per it meets all ap licabl codes and reg lotions. Applicant;.%` ....... ... . Sworn to before me this /.. ay of .....................' .......11(. ..% (stamp or seal) 7 Notary Public ....(.... , ... County Housing Code Inspection December 14, 1977 13560 Main Road R-1 Mattituck, New York Tax Roll: Anna L. Glover unoccupied Upon receipt of an application for a Pre -Existing Certificate Of Occupancy, I made an inspection of the buildings on this premises. I admitted myself to dwelling with key provided by the Matt -Agency, Main Road, Mattituck, New York and began this inspection at approx- imately 11:25 A.M. Dwelling is a two story, wood framed structure with stucco siding constructed on a poured concrete foundation. First floor has a front entry hall, a two sectioned living room, dining room, kitchen and half bathroom off hallway connecting kitchen and dining room. Second floor has tree bedrooms and full bathroom. Heat is furnished to all rooms from an oil fired steam heat furnace located in partial cellar. A roofed over porch is on north side of building and continues around part of the westerly side. An enclosed:eafe�i unheated porch is on south west corner of building providing a rear entry to kitchen. A wood framed two car garage is located in rear yard area. The following violations of the Housing Code, Chapter 52, Code of the Town of Southold were found: Porch stens - at front entry to dwelling, bottom step is deteriorating tread of stair is spreading causing excessive openings in step. j Article III, Section 52-30 A. Front Entry --Ceiling fixture in hallway not working, it appears that this fixture serves to light stair for ascent & descent since wall switches exist at first and second floor landings. Article II, Section 52-26 B.3 -Article V, Section 52-56 B.2. Kitchen -porcelain electric light fixture mounted on trim of window over.sink. Wire supplying current to fixture has two male plugs, one is plugged into electric wall outlets behind range and plug at other end of lamp cord is plugged into outlet on light fixture - Article V, Section 52-56 A.1. Interior access to cellar -door from kitchen swings into cellar stairwell -saddle of doorway is raised the same as riseesof cellar stair. The top landing of cellar stairway is spli , i.e. saddle of doorway continues into landing and forms a tread within swing of door. Article II, Section 52-27 A. wINoArL Electrical -Bedroom north west on second floor -wall fixture. Exposed wire running from escutcheon_ to light socket. Insulation is dried out and cracked. Article V, Section 52-56 A.1. -2 - Bathroom -second floor. Floor tale at base of toilet and pedestal for sink is curled and open at joints of tiles. Atticle III, Section 52-32 D. Electrical -cellar -open electric junction box on first floor jfist over furnace. Article V, Section 52-56 A.1. Furnace -smoke stack connection to chimney is open, seal has broken away and smoke pipe is insufficiently indexed into chimney flue. Article V, Section 52-53 B. ,;?I5e e Stairway -Exterior entry to cellar, top s of stair is missing. Article II, Section 52-28 B. Exterior -soffit of cornice on east side of building has a section that is rotted and deteriorated. Article III, Section 52-30 C. Accessory -two car garage -trim on cornice on east side of building has a large hole and it appears wood has been worn away by small wild life. Article III, Section 52-30 C. Inspection was completed at approximately 12:00 P.M., key was returned to the Matt Agency. Ceiling light in the cellar was found to be on when inspection was made, light was left on accordingly. Res4Hndiermann 1 ,submitted, V,dward Building Inspector 77 ;7r7o/sI4 21 r -91,:: � Wv I A! m I, i I i