HomeMy WebLinkAboutZ-7235FOI~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupnncy
No..Z.7..~ ...... Date ............ .8~. p.t..~..~ ........ , 19.
THIS CERTIFIES that the building located at .N./.S...S~..~ .Ma?.~.h. ~ .... Street
Map No...x~. ......... Block No.. ~ ...... Lot No..~. .P.e.e.o..~..e...N. ,Yo .........
t ~el
built eertifieate of occ~pmaey
dated .... b.e. f0.l*e..A.~r.,..23., 19..~.? pursuant to which ~~o. Z723~. ·
dated ........... .S.e.p.t .... ~. ~., 19 .?$., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is l~iwate o~a® fal~ily
The certificate is issued to ...1~..l'.t..~..& .B..ar..b.l'.a..G.~.e.e..n~ .. ~.1'.~. ................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . ~.re.-..~..~..~.t..~..z ...................
UNDERWRITERS CERTIFICATE No. P. ge-...e.X.~..s.~.n.$ ............................
HOUSE NUMBER ..... ~..~.~.0. .... Street Salt gal'ah Lane Peeon~e
HOUSING CODE INSPECTION
September 13, 1976
#1330 Salt Marsh Lane (Pvt. Rd.) R-1
Peconic, N.Y.
Tax Roil: Martin Green and ano.
Unoccupied
Upon receipt of an application for a Pre-existing Certificate
of Occupancy, I made an inspection of this one-story, framed
dwelling. I picked up keys from the North Fork Agency, North
Road, Southold, and began this inspection at approximately
11:30 A.M.
The building consists of three bedrooms, living room,
kitchen, and a full bathroom. A screened porch on west side
of building protects entry to kitchen. Foundation of building
is cement block partially full with a garage door on the south
side. Heat is furnished to all rooms from an oil-fired, forced
warm air furnace located in an enclosure within center bedroom.
The following violations of the Housing Code, Chapter 52,
Town of Southold, were found:
Dining Area:
ceiling fixture - removed fixture, electrical
wire hanging from ceiling, Article V, Section
52-56 A 1.
Entrances:
to kitchen and living room from exterior,
no means of controlling light in room on
entry, Article V, Section 52-56 B 2.
Furnace:
and hot water heater located in room used for
sleeping, Article V, Section 52-53 D. Warm
air furnace of downflow type installed on com-
bustable material and rear of furnace insuf-
ficient clearance to combustable material,
Article V, Section 52-53 F.
Inspection completed at approximately 12:00. Key was re-
turned to Robert Gillispie III at the North Fork Agency.
Re ~fully ~ubmitted,
.d a '.nderma n
Building Inspector
EH:med
FOR~ NO. 6
TOWN OF $OUTHOLD
, Building Depmtment
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:
I. 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 ........ ,7./../....~. Z ?....~.. ................
New Btlilding ................ Addition ................ Old or Pre-existing Building ..... ~.,. Vacant Land ..............
Locat,o. of Proper ......
O .er Or O ners Of Pro rty ......
Subdivision ................................................................ Lot No ............. Block No ............. 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 ~
Fee Submitted $ ....~......~ ..................
Construction on above described buildin~ff~.rT~pp~bl~cod: and regulations.
Applicant ....~...~...~.. ..............................................................
Notary Public ......~/~...... County
(stamp or sea~°uth°ld' New Yor~ 11971
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