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Home My WebLink AboutZ-7721FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 277.21 ...... Date .......... June ... 'l6......... 19.77 THIS CERTIFIES that the building located at .N/a .Jackson - at .......... Street Map No. ..xx........ Block No.. xx ...... Lot No... xx.... Dlew . Suf f o lk.. N • Is.... . �'A r.i.i:.i c.oo ��rrr•. •s �:r.r.r.r.r.�.r:r,�% certiri.caze oz ccupancy bd before -April 2.3 1957 . pursuant to which�"i1�No. 27721 • . dated .......... June • 1.6 • • • , 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 ..two..(2).,Private .one .taMi,1Y dWP.Jings .(identified. as .S/9 &. WW) The certificate is issued to .. David. .66 • Horton '_ {w•ife -owners • • • • ( owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval pre-- existing • • • • .. • . • • • • • • .. • • • • UNDERWRITERS CERTIFICATE No..pr.e_. existing •••.•••••••••••••••••••••••• HOUSE NUMBER ....645....... Street .. Jackson ,Arent ...... New..Suffolk... . 4 J ............ _.. Building Inspector HOUSING CODE INSPECTION June 15, 1977 645 Jackson Street R-2 New Suffolk, N.Y. Tax Roll: David S. Horton & wf. Tenant occupancy, seasonal Upon receipt of an application for a Pre -Existing Certificate of Occupancy, I made an inspection of the two cottages on this property. Accompanied by David Horton I began this inspection at approximately 9:OO A.M. Cottage on southeast corner of property is a wood framed one-story building constructed on a cement block foundation. Dwelling has two bedrooms, living room, kitchen and full bathroom. Heat is furnished to all rooms from an oil fired warm air furance located in partial cellar. A screened porch is located at side of building and protects front entry to living room. Cottage on southwest corner of property is a wood framed one-story building constructed on a cement block foundation. Dwelling has two bedrooms, living room, kitchen and full bath- room. Heat is furnished to all rooms from an oil fired warm air furance located in full cellar. A screened porch on front of building protects entry to living room. The following violations of the Housing Code, Chapter 52, Town of Southold, were found: SOUTHEAST COTTAGE Entry - no means of controlling light in room 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. Hot water heater - gas fired, no shut off valve at unit, Article V, Section 52-52 B 2. SOUTHWEST COTTAGE Entry - no means of controlling light in room at point of entry, Article V, Section 52-56 B 2. Fuel oil tank - located in cellar, filler and vent pipe terminates within building, Article V, Section 52-59 C 2. Inspection complete at approximely 9: 0 A.M. Resp �t€ul],y ubmitted, Edwa �Ti n e ma" nn�f wilding Inspector HOUSING CODE INSPECTION June 15, 1977 645 Jackson Street R-2 New Suffolk, N.Y. Tax Roll: David S. Horton & wf. Tenant occupancy, seasonal Upon receipt of an application for a Pre -Existing Certificate of Occupancy, I made an inspection of the two cottages on this property. Accompanied by David Horton I began this inspection at approximately 9:00 A.M. Cottage on southeast corner of property is a wood framed one-story building constructed on a cement block foundation. Dwelling has two bedrooms, living room, kitchen and full bathroom. Heat is furnished to all rooms from an oil fired warm air furance located in partial cellar. A screened porch is located at side of building and protects front entry to living room. Cottage on southwest corner of property is a wood framed one-story building constructed on a cement block foundation. Dwelling has two bedrooms, living room, kitchen and full bath- room. Heat is furnished to all rooms from an oil fired warm air furance located in full cellar. A screened porch on front of building protects entry to living room. The following violations of the Housing Code, Chapter 52, Town of Southold, were found: SOUTHEAST COTTAGE Entry - no means of controlling light in room at point of entry, Article V, Section 52-56 B 2. Kitchen - gas cooking range, no shut off valve at unit, Artie V, Section 52-52 B 2. Hot water heater - gas fired, no shut off valve at unit, Article V, Section 52-52 B 2. SOUTHWEST COTTAGE Entry - no means of controlling light in room at point of entry, Article V. Section 52-56 B 2. Fuel oil tank - located in cellar, filler and vent pipe terminates within building, Article V, Section 52-59 C 2. Inspection complete at approxim ely 9: 0 A.M. ding Resp t ul y ubmitted, Ed a n rmann, uilInspector FORM NO. 6 TOWN OF SOUTHOLD 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 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, 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 "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 Date ......... �,l/..5 77 ....................... New Building ....................//Old or Pre-existing Buildin��%%............................ Vacant Land .......``.................... Location Of Property .&././..... f�l�s~I Owner Or Owners Of Property......... .za.. Y..P..A� ............................. Subdivision................................................................Lot No....�:... Block No... ...... House No.Kj(✓�`!� Z. .........Applicant Permit No ..................... Date Of Permit ............................................h............................... Health Dept. Approval .../,,.U//1...........................Labor Dept. Approval .....i! 1. ........................... Underwriters Approval .... `.1:..��.........................Planning Board Approval .................... Request For Temporary Cp[tificate........................................ Final Certificate ................................... Fee Submitted $.................................... Construction on above described building an p rmit et a cable codes and regulations. Appl icant Y. . Sworn to before met i 717 �.. day of ...... ........................ �`..r (stamp or seal Notary Public6r P7� ty / 3