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Home My WebLink AboutZ-6909FOBX NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ;A909...... Date .............. X" .. 2 ...... , 19.76. THIS CERTIFIES that the building located at . School. Ad. fir, Pik*. St. extStreet Map No. .3=1 ........ Block No.. X= .....Lot No... =. , itsV#i gak... *Y.*...... . conforms substantially to the lr a s f f 1 d Vailling built certificate of occupancy dated . , before ♦pr.. 23. 19.5".!.. pursuant to which No Z6909.. . dated .......... X.a?' ... 2. — , 19.70., 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 . Trtyate. ono. featly, dwlli. ...................................... ............................... v The certificate is issued to ....Harold. HUds= .......,viler ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ................. UNDERWRITERS CERTIFICATE No. ..pro-. Axt ting ........................... HOUSE NUMBER ... X90...... Street ... PI.1ce . at .............................. �u.�... ...... ........ . Building Inspector HOUSING CODE INSPECTION March 2, 1976 2490 Pike Street R-1 Mattituck New York Tax Roll: Harold L. Hudson Unoccupied Upon receipt of an application for a Pre-existing Certificate of Occupancy, I made an inspection of this two story framed dwelling. I admitted myself to building at south side entry which was open. Carpenter was inside building making repairs to second floor bathroom. Inspection began at approximately 10:25 A.M. First floor consists of kitchen, half bathroom off kitchen, dining room and living room. Second floor has three bedrooms and one full bathroom. Heat is supplied to all rooms from an oil fired hot water furnace located in full cellar. The following violations of the Housing Code, Chapter 52, Town of Southold, were found: Bathroom: second floor, section of floor under sink, floor covering missing - previously position of a sink's pedestal. Article III, Section 52-32 D. Cellar: Hot water heater, gas fired, no shutoff valve at unit. Article V, Sec. 52-52, B.2. Gas vent from hot gas fired water heater connected to smoke stack of oil fired furnace. Article V, Sec. 52-53 H.1. Two water pipe leaks, one at pressure relief valve on hot water h�,&ter, one at elbow on cold water line to brae bibb, north side of building. Article V, Sec. 52-51 A.2. Two open electric junction boxes, Article V, Sec. 52-56 A.l. - Cellar window and sash, glass broken, sash deteriorated. Article III, Sec. 52-31 A. Exterior:Fresh Air Vent for house soil system requires perforated plate. Article V, Sec. 52-51 C.8. Window sash requires painting, paint peeling and cracking. Article III, Section 52-31 B. Housing Code Inspection -2- March 2, 1976 Harold L. Hudson 2490 Pike Street, Mattituck Inspection completed at approximately 11:10 A.M. Key sent with application was returned to the office of Wickham & Lark. EH :mm Re ectfully submitted, (/li1D�Q�Li1� Edward Hindermann Building Inspector 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 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 "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�ax�.h.. J �...J s.7.6............ New Building ................ Addition ................ Old or Pre-existing Building ......x........ Vacant Land .............. Location Of Property ............ School_Rd...,...Plattturak.,... N..... Y.. ................................................ Owner Or Owners Of Property .......... 11aX'A1d..Jiu(O QX3............................................................................. Subdivision................................................................Lot No............. Block No............. House No............. Permit No. Date Of Permit ....................Applicant ...... illiam„Wickham ........................................................ Health Dept. Approval ............................................Labor Dept. Approval................................................ Underwriters Approval ..............................................Planning Board Approval........................................ Request For Temporary Certificate........................................ Final Certificate.......................................... Fee Submitted $ .5 ... OD .......................... Construction on above described building and perm' a al p ' abl and regul tions. Applicant............... . . ... .... .. .. ... . ... .. . . .. ............................ Sworn to before me this it lam Wic ham��oZ/Jia lst March 1976 ................ day of..............�............................. (stamp or seaq JU.+Y'+ +i�N�LKMANNI Notary Public .............S.uf t County NOTARY PUBLIC, State of Net► York No. 52-6905'550 /I Qualified in Satlolk County U ,�j� ka--�� Term Ecpires March 39. 1971 R lit 4e A P 0 F L o HA-ZEL �FLJTHILL 4F +C7� VAN w CA't 6 0 55 HIP. tn lit 4e A P 0 F L o HA-ZEL �FLJTHILL 4F +C7� VAN Y i /D 0