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Home My WebLink AboutZ-7051· OR,~ NO. & TOWN OF SOUTHOLD BIJIT.DING DEPAR~ Town Clerk's OIEice Southolcl, N. Y; Certificate Of Occupancy THIS CERTIFIES that the b,,ilding located at ...fl./?. [ .EP.~.t.h. '..lt..o.~d...(.C.~. ?.), Street reeuir:?ments fo~. or~ fal~.~ly .d~ell~r.~; .~. jiiOualn~ code conforms substantially to the ~~~~~~~~IX certific$_te of occupancy dated ~.ay .2.6., 19. ?.., was issued, snd conforms. to all of the require- ments of the applicable proViSions of the law. The occupanCy.for which this certificate is (owner, lessee or tenant) of the aforesaid b, Hlding. Suffolk County Department of Health Approval p.r.e.-.. $~.i.~ t...i~%. .................... UNDERWRITERS CERTIFICATE No.. p.r.e.-...e.x.i.s.t..i.n~. HOUSE NUlVlBER ... :5.0. 9.6.~ .... Street...~.;or.tb. lio~.d. ( Q;it~7. ). ii.auth9ld ..... ~.. HOUSING CODE INSPECTION May 26, 1976 50965 County Rd. 27A Middle Rd. R-3 Southold, N. Y. Tax Roil: Edward Kamps Occupied, John and Gloria Madsen Upon receipt of an application for a Pre-Existing Certificate of Occupancy for the two and partial one story dwelling on this property, I made an inspection starting at approximately 1:30 P.M. I was admitted to building by Mrs. Madsen who accompanied me during this inspection. The building, a wood framed structure, is constructed on a brick masonry foundation. The first floor consists of a kitchen, utility room, half bathroom, dining room, living room, entrance hall, and a bedroom. Second floor has seven bedrooms and a full bathroom. Access to attic used for storage is folding stair unit in hallway ceiling. Heat is furnished 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: Half Bathroom - no moisture resistant floor covering. Art. II, Sec. 52-26 4. Dining Room - entrance, no means of controlling light in room at point of entry. Article V, Sec. 52-56 B.2. Living Room - Lamp cord outlet on baseboard. Article V, Sec. 52-56 A.1. Bedroom - east side, not in use, loose plaster on ceiling. Art. III, Sec. 52-32 C. Attic - southeast corner open electrical junction box on second floor ceiling joist. Art. V, Sec. 52-56 A.1. Housing Code InsPection Page 2 Edward Kamps John & Gloria Madsen Cellar inside stair, ladder type, no handrails, open sides. Article II, Sec. 52-27 A.B. - Outside cellar entry stair - uneven treads, stringer rotted at bottom, treads loose, Article III, Sec. 52-30 A. - Open fused switch box, Article V, Sec. 52-56 A.L. Inspection completed at approximately 1:50 P.M. EH:mm ectfully su~itted, Edward Hindermann Building Inspector /:30 ~u~ ~ 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 Eluilding 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 Eloard 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 Eloard approval of completed site plan requirements where applicable. El. 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 ~te ~.%.~...S....../~. New B~ilding ................ Addition ................ Old or ~re-existing Eluilding .....~. ....... Vacant Land ............. n r ..................... Owe o, ........ ... Subdivision ~.~.. Permit No .......... ~.. Date Of Permit ..... ~ ..... Applicant ~ ............................................ Health Dept. Approval .....~....~.....~~,. ....... Labor Dept. Approval ......... ..~.....~.. ................. ,, --'I /~//~ ........ Underwriters Approval .............................................. Planning Board Approval ................................ Request For Temporary Certificate ........................................ FinoJ Certificate ...... /~. ............................ Fee Submitted $ .................................... Construction on above described building and permit meets all applicable codes and reg~ations. ...... ....................... Sworn to before me this (stamp or seo~ ~ 7 ~ / J