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Home My WebLink AboutZ-7661FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupancy THIS CERTIFIES that the building located at . ,~fo. 2~.r. 1 :[n.e..I~, .......... Street Map No. x..x .......... Block No..x.x. ....... Lot No..x.x...lj.a.t.~.i..t.u.c.k....N...~; .......... .. reAu.i.re~3ents for one family dwel!i~g _ conforms substantially to tAe ....... ~ ' -- ' - ' certificate of occupancy b~atle~ . .b.e.f. qr.?..A.~r...2.3. ..... , 19.~.7. pursuant to which ~ No.Z.7.66~... dated .............. ?.a-7....~3., 19.77., 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 ( .r~.v.a.}.e. ?.n.?, ~.a)}~..5}~..d.,~.~.e!_.2.~..n.~ ........................................ The certificate is issued to .l,!.u.r.~.e.K.. ?~.r.c~¥ ...... .Of.n.~.r. ?-?..r.e..c?.r.~ ................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ~r.e. 7..e.x..x.s?.~.~,?.g ..................... UNDERWRITERS CERTIFICATE No..~.r.e.-.e.~.s~.~.5§ ............................. HOUSE NUMBER ..... .~ .~.7.7 .... Street .. i(a,r.~..~v,.e..La ...... }'(~.~2.~q~: ........... Building Inspector HOUSING CODE INSPECTION Tax Roil: Unoccupied May 11, 1977 1675 Marlene Lane Laurel, N.Y. Muriel A. Hardy R-1 Upon receipt of an application'for a Pre-Existing Certificate of Occupancy, I made an inspection of this one-story dwelling. Building had been opened by Van Duzer service man who was ser- vicing gas range at the time of this inspection that began at approximately 1:15 P.M. The building is a brick veneered, wood framed structure consisting of three bedrooms, a full bathroom, a half bathroom, dining room, living room, and family room. Heat is furnished to all rooms from an oil fired, forced warm air furnace located in full cellar of building's cement block foundation. An enclosed breezeway connects a two-car garage on north side of property. Garage has two separate showers at rear of garage separated by room containing irrigating pump and water tank for showers. The following violations of the Housing Code, Chapter 52, Town of Southold, New York, were found: Entrances - two breezeway, one front entry to living room, no means of controlling light in rooms at point of entry, Article V, Section 52-56 B 2. Kitchen - gas cooking range, no shut off valve at unit, Article V, Section 52-52 B 2. Cellar - waste line from full bathroom for the lavatory lea--~g, causing wet area at floor joist that pipe runs through, Article V, Section 52-51 A 2. Sewage System - two separate sewer lines from building, no house traps provided, Article V, Section 52-51 C 1. Exterior - wood trim on eaves of roof at rear of building, paint peeling leaving wood unprotected. -- ~r~ mzc ~z-J~ There are no fences or accessory buildings in open yard other than a brick masonry barbecue in rear yard area. Inspection completed at approximately 1:45 P.M. Respectfully submitted, EH:med Edward Hindermann Building Inspector I~'ORM ~0. 6 TOWN OF SOUTHOLD , Building Department Town C:lerks Office Southold, H. Y. 11971 APPLIGATION FOR GERTIFIGATE OF OCC:UPANG¥ 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, /Vtultiple 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 $1.00 Dote ............... New Building ................ Addition ................ Old or Pre-existing Building .....x. .......... Vacant Land .............. Location Of Property East Side Marlene Lane, Mattituck, New York Owner Or Owners Of Property .... ~...~.~'..$.~.~....~,....~..a.[.~.7~. .............................................................................. Subdivision ................................................................ Lot No. ............ Block No ............. House No ............. Permit No ..................... Dote Of Permit .................... Applicant .................................................................. Health Dept. Approval ................................... .v ....... Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certifica~ .......................................... Fee Submitted $ ..,5.,.0.0 ......................... / __ described build,ng and per m)~t/l~/tX/~p '/1~/~~ regulations. Con st ruction on above Applicant ................. /7.4 .~(..~../ ...................................... Sworn to before me this y W~.L.LJ-ctm .... .1.OY-b... day of .... 24a.lz.,...19.7.3 .................. (stamp or seal) Notary Pub~~ty~ DOROTHY H, ENDERSON NOTARY PUBLIC, S~a~e of New York 'No. 30-6848100 Oualified in Nassau County ~7~/ ~omrnhslon Expires ~arch Z ~q t~ 0 Scale: 40"-- · ! /'V ./ UNAUTHORIZED ALlPZ2ATION OR ADDITION TO THIS SU?.VEY 15 A VIOLATION OF EDUCATION LA",'. ~s ~,~, ~ ~ .....