HomeMy WebLinkAboutZ-5981FOIkM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z 5'98.1 .......
Date ........... J. une.. 28 ....... , 19 .~t~.
THIS CERTIFIES that the building located at 'S/S' Ma~O~' 'Drive ......... Street
Map No. x~ ......... Block No..x~ ...... Lot No...xx .... Cu*,ehogtm.. N.,¥. .......
conforms substantially to th ' code
b~fore
.April .2~..., 19~?.. pursuant to which~~T°~-~ecup~cY--'~El' ' '
dated ............ ,T~e.. 28., 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 p~ivate..one. £~i~..dwalling. & .aecassor~ .building ..............
The certificate is issued to .. l~.ymond .Hir~le ...... 0,~n®l, .........................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval -.. pi, e-. existing .................
UNDERWRITERS CERTIFICATE No.. pre...,, existing ..........................
HOUSE NUMBER ..... ~70 ..... Street .. ~lason .D~'i~ ..........................
Building Inspector
HOUSING CODE INSPECTION
June 27, 1974
570 Mason Drive R-1
Cutchogue, N.Y.
Tax Roil: Raymond H. Hinkle
Unoccupied
Upon request of the Southold Town Building Department I
made inspection of this one story framed dwelling and found
the following violations of Chapter 52, Housing Code, Town
of Southold. I was admitted to building by Peter Cren and
Vince Artale of the Donald Clause real estate office in
Mattituck and began inspection at approximately 2:20 P.M.
The dwelling consists of a dining room, kitchen with
eating area, living room, three bedrooms, one full bath
with stall shower, and one full bath with bathtub. A one
car garage is attached to the east end of the building.
On the south end of the garage there is a utility room
for oil fired steam heat furnace and water pump. Heat is
furnished to all rooms.
Bathroom with stall shower inside, no mechanical
venting. Article II, Section 52-26 B - 4 - A.
EH:mm
Inspection completed at approximately 2:40 P.M.
~~ed,
Building Inspector
FORM NO. 6
TOWN OF $OUTHOLD
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 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 19§7), 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
ate ..... ..... ............
New Building ................ Addition ................ Old or Pre-existing Building ...~.... Vacant Land ..............
Location Of Property ..... ~./.~...~:.~.~...~..o...~....D~.J;..~.~ ...... ~,~...~..o.~.o.g.T..u..,e' ..... ~...~.... ................................................
- Ra~ on~ZHinkle
Owner Or Owners Of Froperty ..... ~.~..~ .............................................................................................................
Subdivision ......~ .................................................. Lot No...~ ..... Block No ......~...... House No ...... ..~.~.0.
Permit No..~ ........... Date Of Permit ......~ ....... Applicant .....~...:~... .......................................................
Health Dept. Approval ..~...r..e..-.....e.~.~...s..~..~..~.~. ........... Labor Dept. Approval ..... .~...'..~..: ..................................
Underwriters Approval ..J3,'C. fL-....f~,~,~..~g. ........... Planning Board Approval .... .~...'..~...'. ..........................
Request For Temporary Certificate ........................................ Final Certificate ......... ~ ..........................
Fee Submitted $ .~.t..O..O.. .........................
Construction on above described building 9~permit meets all app,~ico~le c~es ~ regulations.
Sworn to before me this / / -'~C:~
.......... .~.~... day of ...... ~..~.....e. ..... .1..9..2~ .............. (stamp or seal)
Notary Public .................................... County