HomeMy WebLinkAboutZ-7739FORM NO.!
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No..y7739 ..... Date ..........June .24.........., 1977-
THIS
97.7..THIS CERTIFIES that the building located at ..NIS.. 1<;ain• -Road • • • • • • • • • • Street
Map No. xx........... Block No. ..xx...... Lot No, xx... East. Marion ... A..`:'..... .
conforms substantially to
before- -Apr- -23 • • • ., 19.57. pursuant to whichq&%L1 p �c&ooccupancy
71'M5'
.
dated ...........June .24...., 1977.., 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 . • -Private •££one •fai-rily- d-.Tei7-�iuungttee• •Fri-th. accessary. Garage. building
The certificate is ued°tod.Thornhill •Johr�s•Jatter• • • • • .owner. of. -re c-oxd......
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval pre..exis.ting......................
UNDERWRITERS CERTIFICATE No. . pre—exist r g• • • • • • • • • -
...................
HOUSE NUMBER .....1.0305.... Street ... <ain• •load• . • • • • . • i:arion• • • • . • • • • • • •
................................................................................
Building Inspector
HOUSING CODE INSPECTION
June 23, 1977
#10305 Main Road R-1
East Marion, N.Y.
Tax Roll: Estate, John Jetter
Occupied: John C. Jetter
Upon receipt of an application for a Pre -Existing Certificate
of Occupancy, I made an inspection of this wood framed two-story
dwelling. I was admitted to building by Mrs. John C. Jetter who
accompanied me on this inspection that began at approximately
1:40 P.M.
First floor has a front entry hallway, kitchen, dining room,
half bathroom, and a living room with fireplace. Second floor has
four bedrooms and a full bathroom. Heat is furnished to all rooms
from an oil fired hot water furnace located in cellar of building's
foundation constructed of red brick masonry. A roofed over open
porch protects front entry to building. Accessory structure is a
wood framed one -car garage with a greenhouse addition at rear.
The following violations of the Housing Code, Chapter 52,
Town of Southold, New York, were found:
Kitchen - gas cooking range, no shut off valve at unit,
Artic a V, Section 52-52 B 2.
Bathroom - second floor, missing floor tile at base of
toilet, excessive openings in floor tile joints, Article III,
Section 52-32 D.
Cellar - open electric junction box at north end near
sewage pipes. Broken ceiling light fixture on first floor
joist near southwest corner of cellar, Article V, Section
52-56 A 1.
Front porch - excessive settling causing deformation of
e� cs�and roof, Article III, Section 52-30 B.
Rear- yard - overgrown, accumulation of automobile parts and
two un icensed vehicles, Article VI, Section 52-61 C, D.
Inspection completed at
EH:med
appro 'mately 2:15 P.M.
Res ctful submitted,
ward indermann
Building Inspector
7T-
FORM NO. 6
TOWN OF SOUTHOLD
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 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 $5.0
3. Copy of certificate of occupancy $1.00
Date............. . a......?..
New Building .................... Old or Pre-existing Building ....... V__1 ................ cant Land ............................
Location Of Property
5....NI'.....,.....� � ...........
.. ..
Owner Or Owners Of Property ............. ..... ............................. ..... �
Subdivision ..........................................�
..............Lot No.....`.�Block No. .%...... House No.............
Permit No. ....... X.... Date Of Permit ..,.(!.x ....... Applicant ......'.`........................................................
koHealth Dept. Approval sc`. .................Labor Dept. Approval .......
�j........................................
Underwriters Approval ....1/ ``-..............Planning Board Approval .... ..g.
.........................
Request For Temporary Certificate ........................................ Final Certificate c"l_�_
�r01i...................................
Fee Submitted $ ...........................
Construction on above described building and
Applicant .............
Sworn to before me th'
......<T.. day of �.. �f�•••
Notary Public .......... ....... .. ounty
all ayOlipooe codes and regulations.
:!.............................
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