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Home My WebLink AboutZ-6027FOKM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 7-(~127 ...... Date ............. J~l~.... 29 .... , 19.7~. THIS CERTIFIES that the building located at . ~d/S .P~ml. Tx'e.~. Road ..... Street Map No.~a s sau .~s~ Block No ........... Lot No. ~. ~t. ~t. ~2... C~t~ho~e ~. ~ · Y. conforms substantially to ~he~~~ d~S~g b~lt' b*ffo~-Ape .2~ 1~. '~7 pursuant to which ~ozcup~cy dated ............ J~.... ~ 19.7~., was issued, ~d conforms to all of the requ~ ments of the applicable provisions of the law. The occup~cy for which this certificate The certificate is issued to . ~o~bo.t .Ro~ng..Co~ ........... ~ ............... (owner, lessee or ten~t) of the aforesaid building. Suffolk County Department of He~th Approval . prO~a~zt~g .................... UNDERWRITERS CERTIFICATE No...pr~X~Zt~g ............................ HOUSE NUMBER ..... 2~0 .... Street .... P~o. Troo. RoaS, .................... Building Inspector PAGE I HOUSING CODE INSPECTION July 26, 1974 #2860 Pine Tree Road Cutchogue New York Subdivision - Nassau Farms - 2/3 of Lot 42 Tax Roll: Josbet Holding Co. Unoccupied. Upon receipt of application for Pre-existing Certificate of Occupancy, I made inspection of this one and one half story framed dwelling with attached second apartment and found the following violations of Chapter 52, Housing Code, Town of Southold. I picked up key from the Val Stype real estate office, Main Road, Cutchogue, and began inspection at approximately 10:45 A.M. Main Apartment consists of kitchen, two bedrooms, living room and full bathroom. Heat is supplied to all rooms from oil fired hot water furnace located in full cellar. There is an unfinished attic accessable by means of folding stair- way located in ceiling of stairwell that provides inside access stairway to cellar. Attic is sufficient to be converted into habitable space. Kitchen - built in gas oven and in-counter gas range. Not shutoff valve at units. Article V, Section 52-52 B.2. Bedroom - northeast, lamp cord outlet. Article V, Section 52-56 A.1. Exterior of building - windows and trim, paint peeling exposing wood to elements. Article III, Sec. 52-31 B. Accessory building - one car garage - building l®cked. Unable to check interior. Appears from window of garage door that there exists shower and lavatory sink. Interior unfinished. Inspection completed at approximately 11:20 A.M. returned to Val Stype real esta~e~office. Ro.~ectful~y submitted, See Page II ,-~, · EH:mm '~Edwh~-~VHi/nde~mahn Building Inspector Key was TEL. ?65-2660 TOWN OF SOUTHOLD OFFIOE OF BUILDING INSPECTOR TOWN I~-L£RK'S OFFIO£ -I:::OUTHOLD, N. Y. 11971 Page II 2860 Pine Tree Road Attached apartment: Apartment consists of kitchen~ living roomy two bedrooms and full bathroom. Apartment is on slab and heat furnished from the same furnace as main apartment in building. Kitchen: gas range~ no shutoff valve at a~pliance Sec ~2-~2 B2 Bedroom: N/E - lamp cord outlet Sec ~2-%6 A1 FORM 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--(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 $1.00J/~ .1Al' ......... New Building ................ Addition ................ Old or Pre-existing Buil~ding ..~'. ......... Vacl~nt Land .............. Location Of Property ........ ..~.~'.~.....~..~e~:.....~.~..'~,....~.'....~..~...~...4~.v~l,,T....~....:..~.. ................................... Ow.er Or ................................................... Subdivision .... ~..z..r.x.~ .......... ~~ .......... Lot No...~. ....... ~lock No ............. House No ............. Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Pla n ni ng .~J'~4 ~pp reval ........................................ Z.,. Request For Temporary Certificate ......................................,/Final Certficate .......................................... Fee Submitted $ ...~......O...°..: .................... 1/<~ /.~'-- ~ /~ Applicant ...~ ....... ~_ ~...~ ......................................... Sworn to before me, is --- ~ ~ ~ ~ ................ dayof ~~ .............. ~~~(stamp or seal) ~o ary ub ic .... Jl ....... ~~ .... County M~ ' , ~-w~ork / ~m ~pims ~rch ~0, ~97~