HomeMy WebLinkAboutZ-7058l~Ow'tw NO. &
TOWN OF SOUTHOLI~
BUILDING DEPARTM~,NT
Town Clerk's Office
Southold, N. Y.
'iL. er Itl a ": t'"c te
Of OccUpancy
No. ?. ~.¥~, ...... Date ..............':.. ........... , ....
THIS GERTIFI~S that the b~d~g loeat~ at . .~r~2~c~ge. ~,h~.../ ......... S~eet
Map ~o.~~ ......... Block ~o... ~ ..... Lot ~o. Z~...~vI'~....~:,Z~ ...........
req~rements for one family d~elling
eo~or~ Substmti~y,to ~e
, ~' , · cert~g$$~f occupancy'
da~ .......... . ~ay... ~8.., ]g..~, was issued, ~d conEorms ~o ~11 oE ~he req-lr~
ments oE ~he applicable pro~sio~ oE ~he ~aw. ~e occup~cyfor w~ch
(o~er, lessee or tenmt)
of ~e ~oresad buH~g.
· Suffolk County Department of Health Approval p l'.e.-.. 9~i.s.t i l'~g .....................
UNDERWRITERs CERTIFICATE No....~ur.e-.~.~X~tlga ................... ........
HOUSE NUMBER ... .... 330 .....Street ......:¢~llage..~arae ...... .0.alg$.t. ........
Bni!ding Inspector
Tax Roil:
Unoccupied
HOUSING CODE INSPECTION
May 27, 1976
330 Village Lane R-1
Orient, N.Y.
Winthrop H. Kellogg
Upon receipt of an application for a Pre-Existing Certificate
of Occupancy, I made an inspection of this two story, partial one
story, structure. I picked up key from Floyd King's real estate office
and began inspection at approximately 10:45 A.M.
Building is constructed on a stone foundation and consists of
the following rooms:
First floor:
enclosed rear porch, kitchen, pantry, dining
room, living room, bedroom, and front entry
hallway with stairway to second floor.
Second floor: has three bedrooms and a full bathroom.
Accessory structure: one car garage with tool shed.
The following violations of the Housing Code, Chapter 52,
Town of Southold, were found:
Kitchen - gas cooking range, no shutoff valve at unit.
Article V, Section 52-52 B.2.
Entry
- to pantry from exterior- wooden steps loose
and deteriorating. Article III, Section
52-30 A.3.
Heat is furnished to all rooms from an oil fired hot water
furnace located in cellar.
Inspection completed at approximately 11:30 A.M.
EH :mm
Res~ctfully su~itted,
Edward Hinder4nann
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 Boa rd 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
New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land ..............
Location Of Property .... .~...~:.s..~..~.s.~.d...e.~'~.~.~.V.~..]-..~..a.~.e.....L.~.n..(~.~.~.~.~.~..e.~..~.~..~.~.~.] ........
Owner Or Owners Of Property ........... .~.e...~..t)..r..q.d...e.....A..~....~...e.~..~..o.~ .............................................................
Subdivision ............... ~./~, .......................................... Lot No ............. Block No ............. House No .............
Pre- exis ting
Permit No ..................... Date Of Permit .................... Applicant ...~.e..~.~.~...~.,...~O...~.%.d....~c..~.~.~.~,o.~...u~.
Health Dept. Approval ............................................ Labor Dept. Approval ................................................
Underwriters Approval .............................................. Planning Board Approval ........................................
Request For Temporary Certificate ................................ ~1 Certificate ..........................................
Fee Submitted $ ........5..,..0.0. ....................
Construction on above describ/~dpp~i~itn~:~ot ...... m~et~/~a--PP~~, /~.?..~,....~z._..-~...~ ........ :%.~..~..~.,.~i.~: ..........
. Mould)
Sworn to before me this ~e ~o~ld)
.......... y ............................. ~ _ ~ ) [stamp or se~/ ....
....
NOTARY PUBLIC, State of New York
No. 52-3954850
(~ualified in Suffolk County
Commission Expires March 30, 1977