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Home My WebLink AboutZ-9618FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Occupancy No...Z96.1.8 ......... Date ...... Au,~ust..7. ................. 19.79 THIS CERTIFIES that the building ................................................ Location of Property .. ~r17.5 ............ Indian. Neck. La ............. Penonic ...... House No. Street Hamlet County Tax Map No. 1000 Section .. 86 ........ Block . .05 ........... Lot ... 0.1~ .......... Subdivision ..... XX ....................... Filed Map No..X ...... Lot No. X. ........... REQU~S FOR ONE FAMILY DWELLING BUILT PRIOR TO conforms substantially to the C~TIFICATE OF 0CCUPA~TCY ·. April 23 ......... , 195'/. pursuant to which~~'~JtNo ....... Z96.1.8 ......... dated ................ .Augamt. 7. · 19.7.9, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ............ P~.e-F~.lsttng Dwelling~,~,~-~UNFIT. FOR .HABITATICLN ......... The certificate is issued to ..... Richa~.d. A4./{u] 1 .................................... (owner~) of the aforesaid building. Suffolk County Department of Health Approval ...... lXI/.R ................................ UNDERWRITERS CERTIFICATE NO ............ ~T/R .................................. Building Inspector Rev 4/79 Co FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor 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 featu res. 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 installa- tions, 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty 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 informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ..... .'~./'~../. ¢/.~... ~ ......... New Building ............. Old or Pre-existing Building ///'" Vacant Land ....... ................ Location of Property ...... / .. qr~... House No. Street Hamlet Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section .... ~.~. ....... Block ...... .5.. ...... Lot ..... ./.~. ....... Subdivision ................................. Map No ............... Lot No ............... Permit No ........... Date of Permit .......... Applicant. ~r¢./..6¢./¢? ~. Z...~.:....~.~. ~.~. .... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ~ Fee Submitted $...~ ?...~. .................. Construction on above described building and permit meets all applicable~gulations. Applicant ...~~..~.-. ............................ Rev. 10-10-78 BUILDING DEPARTPLENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 5075 Indian Neck l.an~ [number & street) Subdivision XX Map No. [Municipality) X Lot(s) Name of O er(s) Richard A. Kull Occupancy R-1 (type) Admitted by: kowner-~enan~J Accompanied by: ~. K~qq Key availabl Suffolk Co. Tax No. 86-05-014 Source Of request Date ,Tuly PO, lqTq DVELLING~ Type of construction Foundation brink Total rooms, 1st. Fi Bathroom(s) none Porch, type Breezeway Type Heat pipeless Fireplace(s) 1 Domestic hotwater wood framed #sTories two Cellar p~r~l Crawl space r~st 5 2nd. F1 6 3rd. Fi _ Toilet room(s) ~one Deck, type Garage Warm Air No. Exits 5 Patio, type Utility room Hotwater Airconditioning Type heater Other ACCESSORY STRUCTURES: Garage, type const. Storage, tYpe const. Swimming pool Guest, type coast. Other wo~d f~nmed b~rn, sm~]l ~mok~ bOU~ VIOLATIONS: Housing Code, Chapter 52 Location Description Art. I Sec. 1 up.~t~r rms. large holes in the plaster walk & · t II 2. stairs going mp 3. 1st fl, r~r & s~de rms. &. rest of 1st fl. ~. 5. outside 6. dw__el!~ng I 7 · dwelling 8. dwelling 9 · out~ ~ de 10. barn 52-32-C no hand rail 52-27-B large boles in roof & floor areasl TII 52-52-A,C,D holes in the plaster walks & ceili~ III 52-32-A.C steps bad ~III 52-30-A V 52-51-A-l-~- has no bathroom .... 1,4,6,7,8 V 52-51-B-1,2 V 52-57-1 roof bad, sidewall shingles b~d, needs .=i~_~%gIII2 52-30-A,C has no hot or cold running water has no refriEerator, sink, or stove p~nt~ng b~dly rooi bad, doors, sills, sidewalk need lots of repair work Remarks :_This_ dwelling is unfit for human habitation. Time start 10:_5q 5P-31-A,R III .52-30-A,C 52-31-A,B VIII 52-80-A.B.C 4~1V 25. 1979 end 11:45