HomeMy WebLinkAboutZ-7753FOB~ NO. &
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificnte Of Occupnncy
No.. ~ .... Z77~3 Date ............. ~[~gle~.. 3.~ ....., 19.
THIS CERTIFIES that the building located at .0ga~,OO. & .0wasg&. &V ..... Street
Map No..XX ......... Block No. XX ....... Lot No. XX .... lieu:ibeX&..I~,~Z, ..........
x,o e,m.ont oX one fen 11 . . .
conforms substantially to th~~~,
built e ie · o eeupaney
dated ......... J...u~o. .... ~ ..., 19.?~.., 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 P~.~,V&.t.e .one..fallff~y. dJeell~l~g.,..scr~eneS~ .porch ....................
The certificate is issued to . Thc~l~tao. J~ell~..&. Igtf®. (nfrlors ........................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval pro.-..eX~-St~,ll~ ....................
UNDERWRITERS CERTIFICATE Bio. pFO.,-.o.X~S.~II~ ..............................
HOUSE NUMBER .... .~.~ ...... Street . .". k ~: -~saOO .A~ ................
6~ 0eassfm
Building Inspector
HOUSING CODE INSPECTION
June 28, 1977
#135 Ossea Ave. & $65 Owaissa Ave. R-1
Southold, N.Y.
Tax Roll: Thomas Kelley & wf.
Occupied: D. Prieto, seasonal
Upon request of Gary Olsen, Attorney, Mattituck, New York
for a Pre-Existing Certificate of Occupancy, I made an inspection
of this one-story wood framed dwelling. I was admitted to building
by Jose Prieto and began this inspection at approximately 3:30 P.M.
The building has two bedrooms, kitchen and dining area, full
bathroom, and small room that provides access to roofed-over screened
porch. Building has no central heating system or means of providing
heat to any room. Foundation of building is cement block piers.
A wooden enclosure on west side of building contains electric water
pump and electric hot water heater for domestic water supply.
The following violation of the Housing Code, Chapter 52,
Town of Southold, New York, was found:
Bedroom - east side, center, windows do not provide minimum
requirements for natural light in room and are set too high
to provide emergency egress, Article II, Section 52-24 C 1.
and Section 52-28 B.
Inspection completed at appro~ately 3:45 P.M.
Res~e~/~f~l~ submitted,
Building Inspector
EH:med
FOKM NO. 6
TOWN OF SOUTHOLD
Building Depa~tment
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.
g. For existing buildings (prior to April 19.57), 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 .,~
Date ...... ..~......z~........~.~....
New Building .................... Old or Pre-existing Building ............................ Vacant Land ............................
Location Of Property ......... ...~...~ ...... . .~.....~.~o,.__.~ ~
~P/"" /~, ;'~"'"';'"'" '"'"'Y'"A-"'"'""-"Pi'"~'"'""'"'"'""
Owner ~rnOwner, Of Property .....~.~....~.....~."'.~....~....'".~"'"'"'~~'"'""'"'"'""
Subdiv's'o ................ ~ ..................................../Lot No. ~k No. ~ .... House No .............
Permit No ..................... Date Of Permit .................... Applicant ..................................................................
Health Dept. Approval ~.~.:~ ....... Labor Dept. Approval ..............~./~.. .....................
Underwriters Approval..~;..~ ...... ~ ........ Planning Board Approval /"~'
Request For Temporary Cert. ificate ........................................ ~l~ertJficate ..........
Fee Submitted $ ........~.........o~. .................. / /// ...................
Construction on above described building and permi~ts.t.~a ~blec~/~ulotlons.
Applicant ~/.....,f~.~_. 7_ .'~,....'~..~~ ...................
Sworn to before me th~-.~ ~ d~. ~/Ul~.~.~
.... ~...?.,-. day of ...~ .......... './,, .... (stamp or seal)
Notary Public .... ~~ County ~/'~_ ~,.~