HomeMy WebLinkAboutZ-9114NO. ·
TOWN OF SOUTHOI.B
BUILDING DEPARTMF. NT
Town Clerk's Office
$outhold, N. Y.
Certificate Of Occupancy
No..Z9~3~ ....
Date ...... July... 38 ............. , 19.. 78
THIS CERTIFIES that the building located at.. 56.Q5.. Beyeko. r.e.R.o.~cl... Street
Map No .... .~.12/+ .... Block No ........... Lot No ........ 3./+ ........................
REQU~S FOR ONE FAMILY Dhr~.T.ING BUILT BEFORE
conforms substantially to the~q~'-/~.~ -- ' -~&~ ' ·
CmTIFICATE OF OCCUPANCY
dated .A..p.r.i.l.....2.~. ......... , 19.5.7. pursuant to which ~ No.. Za31$.
dated .Jut¥ ..... 3.8 .......... , 19.78., was issued, and conforms to all of the req~!re-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued ~ ....... P..R.Z.v~?.E..0.~..F..A~...L.Y..D..~...L.~..q .................................
The certificate is issued to .... .R.o.b.e.r. ~..H.o. 1..1..e~..&...w.f.: .............................
( owner ~~1~:~
of the aforesaid building.
Suffolk County Department of Health Approval ......... p.r.e.-..E~..i.s~i.n. ~ .............
UNDERWRITERS CERTIFICATE No .................. .P.r.e.-..E~c..~.s.t..~.n.g. ............
HOUSE NUMBER ...~.6.0.~ ....... Street ....... B. ?.y?.h.o..r.e..R.o. ?.d. ...................
~ {~reenport, N~ork
.......................................... (~' ....... '~'7: ............... ~"-
Building Inspector
Housing Code Inspection
July 14, 1978
3605 Bayshore Road
Greenport, N.Y.
R-1
Sub. Div.:
Tax Roll:
occupied:
Peconic Bay Estates, Lot
Robert Holley & wf.
Jay & Mary E. Thomson
Upon receipt of an application for a Pre-Existing Certificate
of Occupancy I made an inspection of the dwelling at the above
captioned premises. I was admitted to building by Mrs. Thomson
who accompanied me during this inspection that began at approxi-
mately 11:55 A.M.
The building is a one story wood framed structure constructed
on a cement block foundation. Ground floor contains a kitchen,
living room, three bedrooms and a full bathroom. Heat is furnished
to all rooms from an oil fired hotwater furnace located in partial
full cellar. A screened enclosed porch protects side entry to
kitchen. An attached one car garage is located on front of build-
ing.
The following violations of the Housing Code, Chapter 52, Code
of the Town of Southold were found:
Gas cooking_range-no shut off valve at unit. Article V,
Section 52-52 B.2.
Sewage-waste line for laundry washing machine is not connected
to buildings sewage system. Article V, Section 52-51 C.1.
Interior protection-floor tile at base of toilet is cracked
and curled. Article III, Section 52-32 D.
Inspection completed at approximately 12:10 P.M./'
Res~~/gt~y/~bmitt ed,/
Building Inspector
17ORM NO. 6
TOWN OF $OUTHOLD
, Building Department
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--(So9 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 os 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 occupcncy $1.00
New Building ................ Addition ................ Old or Pre-existing Building ...... ~ .......Vacant Land ..............
Location Of Property ............. ..4..8..(~.,5...~.abr.~lJ3,O.3CP-..~::tsr],..C, re-er~o~'-~,.,..-N.o.¥-, ....................................
Permit No ..................... Date Of Permit .................... Applicant ..................................................................
Health Dept. Approval ............................................ Labor Dept. Approval ................................................
Underwriters Approval .............................................. Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Fincd Certificate ..........................................
Fee Submitted $ ...5.....0...0.....(~...z....e.y..~g~l. fj~Jy fo~'~tarded)
Construction on above described building ar'~l~ [~rm'-~'f~s al)~ble codes and regulations.
Applicant ...~..~..~ .............. ~,l~~''~''''~'~'''¥~/~'~j ~
Sworn to before me this' ~x" ~,x,_~,,/ jjC~
...... .]:...2..~..h..dayof ........ .~.q.~..,...~,~.7.~ ............ (stamp or seol) i~/,~/~.,,~C~ /~
Notary Pubhc ........ ..~..a...s...s..a...~.. ............. County_ _ [O.A,,.N. Fl. a~N~N~-E /~ U~,,,, t [~ ~ UT''
~ornmi~'s;on E~pi;e~, March 36, t97~