HomeMy WebLinkAboutZ-7438 FOEM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. 2743$...... Date Die ~ . 3~? , 19.7.6
THIS CERTIFIES that the building located at . Lai!.. • • . • • • • . • • Street
Map No. ~~~~4~ . Block No........... Lot No.. P.t . lot2 ~ . 2n .d:. P:E .1 A.... Cttt~tho~tte
re r ns t! f 1 d 1 on .node
conforms substantially to the
built Ctt--Occ c~
dated belOrs . Apr..23 , 19.5? . pursuant to which 1~0. p,~ .
dated D~e!..~~..., 19.6., 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 Pri!?ate • or~f . fam3lq. dtr4?~..1.1nS .
The certificate is issued to . Altered . J....l~roxt . W3Se Oxners..o! . re:COrd...... .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval p,~~-07ci91:iTig .
UNDERWRITERS CERTIFICATE No.p?:Q- .e?G~~t1#u • • • • • • • • • • • • • • • • •
HOUSE NUMBER ~!1 S....... Street S~tIA~. IeetTae.....Ctttcho~.ue .
r
Building Inspector
HOUSING CODE INSPECTION
December 27, 1976
841§ R.O.Ni. - Skunk. Lane R-1
Cutchogue, N.Y.
Sub. Div.: Nassau Farms, Lots N 35' of 2, 2a, and 2/3 of lA
Tax Roll: Alfred Kron & wife
Upon request of Gary Olsen, Attorney, Main Road, Mattituck,
New York, I made an inspection of this one-story, wood framed
dwelling. I was admitted to building by Mrs. Kron and began
this inspection at approximately 12:00 P.M.
The building consists of a living room with cathedral ceiling
which opens up into a sun porch, two bedrooms, two full bathrooms,
and a kitchen. Heat is supplied to all rooms from an oil-fired,
forced warm air furnace located in cellar of building's cement block
foundation. There is a studio and deck which was added under Building
Permit #50192, dated October 22, 1970, to which subsequent Certificate
of Occupancy #25486 was issued on September 26, 1973.
The following violations of the Housing Code, Chapter 52,
Town of Southold, New York were found:
Su~ - entry, no means of controlling light on entering
t e room, Article V, Section 52-56 B (2).
Kitchen - gas cooking range, no shut off valve at unit,
Article V, Section 52-52 B (2).
Cellar - vent pipe for gas-fired hot water heater does not
connect directly to the chimney. Connection is made on the
horizontal run of smoke stack for furnace, Article V, Section
52-54 A (1) (2).
Inspection completed at appimately 12:20 P.M.
R ~p ctful submitted,
~~CQ~r/`
Edward indermann
Building Inspector
EH:med
F0811f 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 I«ation of all buildings, property tines, 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 similor 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 plop requirements where opplicoble.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "p?e-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual naturol
or topographic features.
2. Sworn statement of owner or previous owner as to use, «cupancy 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 «cupancy on pre-existing dwelling or lond use $5.00
3. Copy of certificate of «cupancy $1.00
Dote .......Dec..~7.....1976...........
New Building Addition Old or Pre-existing Building Vocont Lund
L«ation Of Property ...Skunk Lane Cutchogue
Owner Or Owners Of Property ...Alfred Kr on ~.Wife ................t.....1..A................................................
Nassau Farms ................................~t2f No a~ &..~f«k No. House No..841.~.
Subdivision o
Permit No..... X]c.......... Date Of Permit XX........Applicant X~
Health Dept. Approvol ..,.ire-..existing Labor Dept. Approval ........~'fj'
Underwriters Approval ......~.>;e-.. ~.3~~I:Stng,,,,,,,,planning Boord Approval ,.Tvr.R.
Request For Temporary Certificate Finn) Certificate
Fee Submitted $ ....5.00
Construction on above described building and permit al pli le codes regulotions.
_ APPlicant .pP .
t me o a ~ican~
Sworn to before me this
cheek 12/27/76
day of .........Decemb~~;..1.9..(6... (stamp or seoq Re~ei7t3~ ~
Notary Public .........~uffolk„..,..,., County ~
V'l-1 '