HomeMy WebLinkAboutZ-4998FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. ~!k9.9..~ ...... Date ......... F.e.b.u..rg .r~.... ~ .... , 19.73.
THIS CERTIFIES that the building located at .. },~/~q. Sound. Vinw. Ava .... Street
Map No...xX ......... Block No .... .xx .....Lot No..X.X,x .... Ma.t.t. 1. t.u.c.k.. ~.(,.~: .......
~1_ rp~qt%ir¢;nerkts~fo~r,.onc, farA~,ly .dEe liD& .~ jjOusj,.n~' code
conforms substantially to
built,before Aoril ~t~~~t of occupancy
~-a-fea ......... - ...... ~3 ..... , 19 5.7.. pursuant to which No. Z1+998 . .
dated ......... .F.e.b.: ..... 8..., 19.7.3., 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? .rl.v. at~..o, ne.. fa~J~ .ly..d/~.l.!.~n.g.. d'. Acces.s. ory..b, uil.d.f~ngs ...........
The certificate is issued to ~.s.t :..P?.e.m..c.e.s..G. ¥.e~,~.n. vg.od..t.q. }.t.o.n.a.l.d.. ~.t.~i. t.z.l.o.r. ....
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . Pine-.. existing ...................
UNDERWRITERS CERTIFICATE No...p .~.ey..ex.l.s.t.i.n. g ................................
HOU$~ NUMBER... 3.O.~ ..... Street ......'.S.o~..V.i.e.w.. A.v.e., .........................
~._ So light on .~wlteh at point o1' entry (S) ~29b
half bath ¢ Kitchon - no window or vent 2~ ~d . /?:*. :..'
./
3. No ,h, sndrall on eellarway stairs 216b
F, mex~ency switch for heati,n,~ system is Buildin~ Inspector /
not convenient or properly ide~-:tified ~-2~-22 glec code
HOUSING CODE INSPECTION
February 8, 1973
~3055 Soundview Avenue
Mattituck, N.Y.
Tax Roil: Frances A. Greenwood
Life Tenant: Nita C. Sheffield
Upon request of the Southold Town Building Department
I made inspection of this one story, part cement block,
part framed dwelling and found the following violations of
Local Law 91, Housing Code, Town of Southold. I arrived
at approximately 9:50 a.m. and was admitted to the west
entrance to living room by Miss Sheffield and started
inspection with this room.
Livin~ Room: West entrance and north entrance,
no switch to control light in room at points of
entry - Section 529b.
Half Bathroom: at south end of kitchen, no
windows, no mechanical means of venting -
Section 215d.
Bedroom: outside entrance from court yard, no
switch to control light in room on entry -
Section 529b.
Cellar: Accessible through trap door in kitchen
floor, no handrail for stairway - Section 216b.
Heating System: Disconnected, switch not
conveniently located, switch not edentifiable as
required by U.S.A. Standard Electrical Code -
Section 424-22 (Switch and circuit breaker to be
indicating)
The dwelling is heated with a forced warm air
system with heat outlets in every room. There are three
accessory buildings on the premises. Miss Sheffield
accompanied me oN inspection which I completed at
approximately 10:30 a.m.
~R~espectfullyj submitted,
Edward Hindermann
Building Inspector
EH:tle
FO~ NO. ~
TOWN OF SOUTHOLD
Building Department
Town Clerk~ Office
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructionl
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, aha
unusual natural or topographic features.
2. Final approval of Health Dept. af 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 ar Engineer responsible for
the building.
5. Submit Planning Board ap,proval 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 buildir,gs;.
3. Date of any housing code ar safety inspection of buildings or premises, or other pertiner~
formation required to prepare a certificate.
C. Fees:
1. Certificate of occ'upancy $5.00
~ ~-~2. Certificate of occupancy on pre-existing dwelling or land use
/ 3, Copy of certificate of occupancy $1.00
$5.00
New Building .................... Old or Pre-existing Bud ng ........... .x. ............. Vacant Land ............................
Location Of Property ..N./.S Sound View Ave.~ E/O Saltaire Wa , M · . ,
.... · ........................................... LY. attztuck N.Y.
............. :'":'".' - _ ( ccupant of house:
~.s~ate of ~'rances A. Greenwood Nita Sheffield)
Owner Or Owners Of Property .......................................................................................................................
Subdivision ................................................................ Lot No ............. Block No ............. House No....~..~..~-
Permit No ..................... Date Of Permit .................... Applicant Contract vendee
Health Dept. Approval ............................................ Labor Dept. Approval ................................................
Underwriters Approval .............................................. Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate x
Fee Submitted $ 5. O0
Construction on above described building and_ permit meets oil applicable codes and regulations.
Applicant J /~- ~; ", L,~(- .'(~ ',
RONXLD ~TRIT~,~, COntract tSurc~'~'~"6~'"p'~'6perty
Sworn to before m~his
................ y or ..... ;c ......... ~ ................. ..L'. ....
Notary Public ~'~ ~.'t~._ County
(stamp or seal)
STATE OF NEW YORK
COUNTY OF SUFFOLK
says:
)
SS.:
)
NITA C. SHEFFIELD, being duly sworn, deposes and
That she is the present occupant of the house
which is the subject of the Certificate of Occupancy
application herein.
That I am living in this house as a life tenant
and will continue to do so. I have been using this house
as the sole residence for myself and will continue to do
so and that the condition of the building is satisfactory.
That I join in this request for the issuance of
a Certificate of Occupancy on a pre-existing dwelling.
Sworn to before me this
~-~%ay of February, 1973.
MARy [OU DOROSKI
NOTARy F'b'~L/C, Stats of New Yorlr
No. 52.100i~S58 Suffolk ~euety
Commission Expires Ma. reft 30, f197~J
NITA 'C-. SHEFFI~