HomeMy WebLinkAboutZ-8030FOB~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificete Of Occupancy
No ............. Date ............................. , 19 ....
THIS CERTIFIES that the building located at ~...~'~.....~..C..~. ~..~ ..... Street
Map No ~ Bloc' ~ L "o ~ ~ T~ 0~ ~
............. ~~ ~.~ ~~. ~ ,,' .~.,
c~r~ substan~ally to the Application tot Building Ferm~f?~ ~ ~
aatea .~.~.. ~ .......... , 19 .... ursuant to which Bml~mg Fe~t No .........
dated ....................... , 1~ .... , was issued, ~d confo~s to ~ of ~e req ~ ~
ments of theqapplicable provisions of the law. The, occup, anev for which this eerti, fica~e is .
issuea is .......... ~.,~l .... ~.~.e~,~.. ~ .........................
The certificate is issued to. ~..~. ..... ~~ .... :...~
[owner, lessee or ~enant)
.............. '; ........
H~,~ ..... 8'2~'~'~ ...... cC~:Z~[Y'"~': .....
HOUSE NUMBER .............. Street ..........................................
Building Inspector
HOUSING CODE INSPECTION
November 30, 1977
43715 County Road 27 B-1
Southold, N.Y.
Tax Roil: Florence LaFreniere
Occupied: Retail Store
Upon receipt of an application for a Pre-Existing Certificate
of Occupancy I made an inspection of the buildings on this premises.
I picked up keys from Lewis Edson, First Town Realty, Main Road,
Southold, N.Y. and began this inspection at approximately 1:30 P.M.
The dwelling which is presently being used as a retail store
contains two bedrooms, a living room, dining room, full bathroom
and kitchen. Heat is furnished to all rooms from an oil fired hot-
water furnace located in full cellar of buildings cement block
foundation. Accessory building is a one story, wood framed, one car
garage located in rear yard area.
The following violations of the Housing Code, Chapter 52, Code
of the Town of Southold, N.Y. were found:
A¢cesor~ structure -siding on west and north wall deteriorating,
joints have opened leaving excessive openings-Article III,
Section 52-31 B. Fuel oil tank is located within garage, fill
and vent pipes terminate within building. Article V, Section
52-59 C 2. Fuel line from tank in garage runs thru side of
building ?~cross lawn and walk-way and enters cellar of dwelling
thru window-this line furnishes fuel oil to hotwater furnace
of dwelling-line is unprotected. Article V, Section 52-59 B 2.
Entry- front of dwelling-no means of controlling light in room
at point of entry. Article V, Section 52-56 B 2.
Gas Range - no shut off valve at unit. Article V, Section 52-52
B2.
Cellar -window on west wall, broken pane of glass. Article III,
~n 52-31 A.
Furnace - relay switch requires cover. Article V, Section 52-56
Al.
Inspection completed at approximately 1:50 P.M. Keys were return-
ed to Lewis Edson.
Re~..p ~ c t f u~/1 y submitted,
Edward Hindermann
Building Inspector
IPOR~[ NO. 6
TOWN OF SOUTHOLD
Building Del~,tment
Town Clerk~ 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.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey o'f 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.
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 ..~....~ L'/ c~ ~-~ ~ '7
New Building .................... Old or Pre-existing Building ..~i ................ Vacant Land ............................
Location Of Property ...~."~"~. ~ ~[ ~-- /~ 'j'
Owner Or Owners Of Property ... .~...~.;...-~...~ ...... ]~.~..'~.;?..'~..: .............................................
Su~ivision .................... ~ ................................... Lot No ..... ~ Block No ....
Permit No. ~ Date Of Permit ............. ~ ..... Apphcant
Health ~pt. Approval ..... ~.~.~ ........................ Labor ~pt. Approval ................................................
Underwriters Approval ............................... Planning Board ~proval I~/'
Request For Tempora~ Ce~ificate ........................................ Final Ce~ificate
Fee Submitted $ ........~ .........................
Construction on above described building ~s al~~/~es and r. ulati.s. Aoo cant ~..L~_,~.. ~ ......
~r · ..... .~_~,~..~._.~ ...... ~ ...................... ~ ....... / ....................
Sworn to before me this /
....... ~..h doy o~ .... Z.Z......u h ......... Z ........ L ......
Nota~ Public ..... ~[~ ...... Coun~ ~'~