HomeMy WebLinkAboutZ-8953 FOB~bI NO. S
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk'e Office
Southold, N. Y.
Certificate Of Occupancy
No..~$953..... Date ..March.9 19.7$.
THIS CERTIFIES that the building located at .60f~ .Ole..d'ule .Lance Street
Map No Block No. ..........Lot No..................................
RF~?UIF~FNIIITITB FOR ONE FAMILY DWELLING BUILT BEFORE
conforms substantially to th
CERTIFZCATE OF OCCUPANCY
dated ..pprS~. ~ ~ ~ 23 ~ 19 5.7. , pursuant to which ,ZE l~jo. 28953. .
dated ..M~.ah g , 19.78. , 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 Pr3vata .One. F.amil~ . Dwelling .
The certificate is issued to .....Elsie. 1;i...Jol~szson
(owner,yt )
of the aforesaid building.
Suffolk County Department of Health Approval ......Pre-Existing . . . . .
UNDERWRITERS CERTIFICATE No . ...............Pr'~-Existing, , . , , , , .
HOUSE NUMBER EQO........ Street ......Qle. Jule. LBae .
Mat~.i.tuck,..New..York .
Building Inspector
Housing Code Inspection
March 8, 1 g'78
Ole Jule Lane - R-1
Mattituck, N.Y.
Tax Roll: Elsie D. Johnson
unoccupied
Upon receipt of an application for a Pre-Existing Certificate
of Occupancy I made an inspection of the buildings on this premises.
I was admitted to the dwelling by Mr. & Mrs. Concagh and began this
inspection at approximately 10:15 A.M.
The dwelling is a one and one half story wood framed structure
and contains a kitchen, dining room, living room, two bedrooms and
bathroom on ground floor. Second floor half story is an unfinished
attic used for storage. Heat is furnished to all .rooms from an oil
fired hotwater furnace located in partial cellar of cement block
foundation. A wood framed two car garage is located in the side
yard area.
The following violations of the Housing Code, Chapter 52, Code
of the Town of Southold, N.Y. were found:
Entries-to kitchen and living room. No means of controlling
i~ht
in room at points of entry. Article V, Section 52-56
B.2
Bathroom-wood floor-not provided with moisture resistant
material. Article II, Section 52-26 A.4
Inspection completed at approximately 10:35 A.M.
Respectfully submitted,
Edward Hindermann
Building Inspector.
FOEM NO. 8
TOWN OF SOUTHOLD
Building Department
Town Clerks Office
Southold, N. Y. 11971
APPLICATION F`OR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in triplicote 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 disposol-(S-9 form or equal).
3. Approval of electricel 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. Dote 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 .....3/3/78
New Building Old or Pre-existing Building ....X..................... Vacant Land
Location Of Property Lot #2,on Ole Jule Lane, Mattituek, New York 117
Owner Or Owners Of Property ,Elsie D. Johnson
Subdivision Minor ~ ,Lot No. Block No. House No..~.~•
Permit No. Date Of Permit A licant -'Elsie D'. Johnson
pp
Health Dept. Approval ............................................Labor Dept. Approval
Underwriters Approval ..............................................Planning Board Approval
Request For Temporary Certificate Final Certificate X
Fee Submitted $ , 5.00
Construction on above described building and permi meets I p ' b e nd regulations.
Applicant
. .
Attbs y for A licant
Sworn to before me th~iysJ
day of ~ (stamp or seal)
Notary Public County .3~/~76~
Y/l 1~.,~ - ~J Z 89 5 3
1NAR DIANA FOSTER
NOTARY PIIP.LIC, Statc of P;ew York
6b. 52-455247. Su;„I!; COU9SV
Commission Expires 6:arch 30, 1979
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