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Home My WebLink AboutZ-5856FORM NO, I TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Cert] :icate Of Occupancy. Date .............. Apr&].. · .~.%..., 19.~.1+. THIS CERTIFIES that the building located at . .N/8.' .Pine..Neck..Road. .... Street Map No. ~x~ ........ Block No .... .X~X. · .Lot No..xXX .... Sou-thQl5. · .~.~.. ........ conforms substantially to the ' · o g code ]g~'t' be'fore'-Apri.1 '23'- 19. ~'7' Pu~suant to whi'ch~~o.OCCupancy " z' dated ........ -Apr~t.... ~.l..., 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 ~sued ~ .. 'Private · one - family- dwe~t, ln~ The certificate is issued to . Jaoob. & .Amn~ .Koo~rs~ei~ .... ~'mer. s .............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ~r.e.-.. e~l~g .................... UNDERWRITERS CERTIFICATE No.. lyr.~-, e~,st~n~ ........................... HOUSE NUMBER ... ~ 67~ ...... Street ...P~n~ .Neck. .Ro~d ...................... ~uilding Anspec~or / HOUSING CODE INSPECTION April 11, 1974 #1675 & #1725 Pine Neck Road Southold, New York R-1 Tax Roil: Jack Kooperstein & Wf Occupied - Owner Upon request of the Southold Town Building Department I made inspection of this one family framed dwelling and found the following violations of Chapter 52, Housing Code, Town of Southold. I was admitted to the building by Mr. and Mrs. Kooperstein who accompanied me during inspection which began at approximately 11:10 A.M. The building consists of two bedrooms, living room, dining room, kitchen, and full bathroom. Heat is furnished to all rooms from hot water furnace located in full cellar. An enclosed unheated porch is on the north side of building and an open raised deck runs the entire length of building and porch on the east side. A two car unattached garage is located in the front yard. Kitchen: Gas range, no shutoff valve at unit. Article V, Sec. 52-52 B-2. East entrance to kitchen vestibule - two electrical switches to control outside light and inside light wired with lamp cord. Article V, Sec. 52-56 A-1. Cellar: Water pump - wired with two wire pigtail and plugged into wall outlet. Article V, Sec. 52-56 A-1. Laundry washing machine plugged into light socket outlet which is wired with lamp cord. Article V, Sec. 52-56 A-1. Furnace, smoke stack connection at chimney requires sealing. Art. V, Sec. 52-54 A-1. Inspection completed at a~oximately~12:30 P.M. R~ectf~~/~ s~itted , EH :mm 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 disposol--(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 end 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 $I.00 Date ..... New Building ................ A, dflition ................ O1~ or Pre-existing ~ilding ....~.... ........ Vacant Land Location Of Property ....~...~...~.z~'~//(-~J" ~'/' --/')~/...~.......~ ...................................... Subdivision .............................. .U'..... ............................ LotNo ............. Block No ............. House No.../...~.../..~ Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate~ ....................................... Construction on above described building and permit meets all applicable codes and regulations. Sworn to before me this ...~//(.....~..'!~. day of ..~....~'...~...~...~... ........ Notary Public .--~ ..... County /~_ ~..//.~._~./~/~./~. '~ JUDITH T. BOKEN ~o.~-u~'z~'~°° SuJ~oJ~ Commission Expire~ M~rch 30~