Loading...
HomeMy WebLinkAboutZ-7885TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..'&~/8~,~' ..... Date, ............ ~ept..1.~ ....... , 197.2.. THIS CERTIFIES that the building located at . .Sigahy. flaad ............. Strut Map NoMa~.t,. P~,. P~pck No ........... Lot No. ~ .66~7 ...... ~a~~.. ~...Y, ,, rec~re~e~s~n, one ~ami~ dwe~ ]i~g ~. h.q~si~ code confor~ substantially to me ' ~ ~~ b~ be. fO~'~..Ap:..23 19. ~. p~suant to whic~~~:cu~an~y ...... , . z7~8.~ · · dated ............. ~Pt-..~, 1977.., was ~sued, ~d co~o~ ~ ~11 of ~e ~ men~ of ~e applicable pro~io~ of ~e law. ~e occup~cy for wM~ ~s ce~iflcate ~ issued ~ . ~.r~va~. ~n~ -f~y- d~9l~n~. · .~Zth .acc~ssor.~ · st~aSe..bids · · · ~e certificate is issued to . ~ .~,. Hall ..... o~er..o.f..~ec~md ................... (o~er, le~ or ~n~t ) of ~e afores~d b~lding. S~o~ Co~ty Dep~tment of He~ Approval P~ .~.~ .................... UNDERWRITERS CERT~ICATE No.. p~e~ext~tin& ............................ HOUSE NUMBER .... .~90~ ..... Strut...S~gsh~. 2g.~d ..... ~is~L~.t~Ck ........... ......... HOUSING CODE INSPECTION September 13, 1977 #1905 Sigsbee Road R-1 Mattituck, N.Y. Sub Div.: Tax Roil: Mattituck Park Properties Map #801, Lots .5 of 66 - 67. Ann R. Hall Upon request of Gary F. Olsen, Attorney, Mattituck, New York, I made an inspection of buildings at this location. I was admitted to dwelling by Mrs. Hall and began this inspection at approximately 1:35 P.M. The dwelling is a wood framed structure constructed on a cement block foundation and contains a kitchen, bathroom, two bedrooms and a living room. All rooms are heated with electric baseboard heating units. Domestic hot water is furnished by an electric hot water heater located in full cellar. A wood framed accessory storage building is located in rear yard area. I found no violations of the Housing Code, Chapter 52, Code of the Town of Southold, New York. Inspection completed at approximately 1:45 P.M. Re~ c ~t~f~, 1~ ub~it t ed, .-~w~ard~.~l/~er~a~n~ Building Inspector EH:med FORM NO. 6 TOWN OF $OUTHOLD , Building Deportment Town Clerks Office Southold, N. Y. 11971 APPLIGATION FOR CERTIFICATE OF OCGUPANCY 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 "pm-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 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 // n~Date/~ ......... .~...~..~. · .~.....~...~ ................. New Building ................ Addition ................ Old or,l~re-existing~Buildi g ..... ~...~ ....Vacant La d .............. Owner Or Owners Of Property .......... ...... ~ ......................................................................... 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 Ce~rtificate .............................. ~ Fincd Certificate ..... ~. ............................. Fee Submitted $ ...... .~. :../..~. .............. / /,// //~ Construction on above described building and~er~ n~;~ opplicabl c~~ regulations. Sworn ,o before me t~s~ ~ ~ ............ ~ .................. '~ ~~'~'~ ........ ~ot~a~,~..~:bdl:cy of ...~....~....~.,i..~:~ (stamp~l~/~