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Home My WebLink AboutZ-9203FORK No. s TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .29203.... Date ... September 12........, 19.78 THIS CERTIFIES that the building located at -2t,�i105 Main Roed .... Street Map No ............. Block No........... Lot No................................. . REQUIREMENTS FOR TWO FAMILY DWELLING BUILT PRIOR conforms substantially to the CERTIFICATE OF OCCUPANCY dated .... April. ..23 .. • . . . . , 19.57. pursuant to whicht No. 29203• dated .... September 12 19..78 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 ............. Two. .Family . Dwelling..(.As per . Board. of .Appeals.)..*.. . The certificate is issued to ..........Patrick Mons ............................ ( owner of the aforesaid building. Suffolk County Department of Health Approval .......... PRE—EXISTING. ...................... — UNDERWRITERS CERTIFICATE No...................PRE.....EXISTING ..................... HOUSE NUMBER .:: ?5'1 5 .... Street ......... Main. Road ...................... ............................................... Qr-tent.o..3eyv. Xork ............. Building Inspector * Appeal Number 2396, May 49 1978 Housing Code Inspection August 15, 1978 25,105 Main Road, Route 25 R-2 Orient, New York Tax Roll: Patrick Lyons Unoccupied Upon receipt of an application for a Pre -Existing Certificate of Occupancy I made an inspection of this two family dwelling. I began this inspection at approximately 1:00 P.M. with Mr. Curtis Norklun. This two family dwelling actually is two separate two story buildings connected together. Cellar is a stone, partial cellar crawl space rest of area. Outside entrance only. Located in the partial cellar is the pump and water tank, gas fired hot water heater and oil fired hot air heater, which heats both dwellings. The front dwelling has dining room, den,full bath, rooms, and a full bathroom. a large front porch, hallway, living room, kitchen. Second floor has three bed - The rear dwelling consists of a living room and kitchen combinat- ion( First floor)and a bedroom and full bathroom (Second floor). The outside of this two family dwelling, roof, sidewalk and cornice are all in good condition. Some violations of the Housing Code, Chapter 52, Code of the Town of Southold, New York were found; but they are all being corrected as this two family dwelling is being completely ren- ovated. Inspection was completed at 2:00 P.M. Respectfully submitted, ` Curtis Horton Building Inspector FORM N0.6 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 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 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 / ... . < 7 Date.......................................... New Building .................... Old or Pre-existing Building ........L/......... Vacant Land ............................ LocationOf Property ..... RT ..... 2,..z ....:....... ..... Ae'✓Vl....................................................... Owner Or Owners Of Property .... M..t..e�..A..-.5._...... ,..7r..:.:c..A....... L..v.p.osl-t................................. Subdivision.......................:1...................................... Lot No... ...... Block No...::::...... House No.....�...... PermitNo ..................... Date Of Permit ... /Y ............. Applicant .................................................................. ' ..............................Labor Dept. Approval ............ ............................ Health Dept. Approval ....... i Underwriters Approval .......%... C..............................Planning Board Approval ...... A ...... fes....................... Request For Temporary Certificate ........................................ Final Certificate ........ ........................... Fee Submitted $.� ............................... Construction on above described building and permit meets all applicable codes and regulations. Applicant .......C.:' '' r.�r..�%:...°�,..c�:�llfit!1............................................... Sworn to before me this ............... day of ............................................ Notary Public .................................... County (stamp or seal2 9-12-'/ 70'w�77MEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY er 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date September 19, 1978 Application No. on file 97741 N /�4, �jn 2 3 ; 6 THIS CERTIFIES THAT only the electric u' t described and ' b t named on the above opplication number in the premises of i a > C' ons, in `d!':;'ESi�'1.jAlrt .y I% in the following location; EI -Basement Ll 1st Fl. 11 2nd Fl. Section Block Lot was examined on September 14, 1978 and found to be in compliance with the requirements of this Board. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS INCANDESCENT FLUORESCENT OW AMT. I K. W. AMT. I K. W. AMT. I K.W. AMT. K. W. AMT. H. P. OUTLETS 17 47 25 17 DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIALRECIPTI TIME CLOCKS gEU UNIT TRANS. .AMT. HEATERS MULTI -OUTLET N SYSTEMS NOOF FLET DIMMERS AMT. K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMR AMT. MAPS. H. P. AMT. WATTS F SERVICE DISCONNECT NO. OF S E R V I C E AMT. AMP. .TYPE TYPE EQVM. 1 ,9 2W 1 0 3W 3 ,6' 3W 3 �B' IW �. OPER CC. OF CC CGOND. NO. OF. HI -(EG OF HI -LEG NO. NEUTRALS OF NEUTRAL IT V X OTHER APPARATUS- Motors!1-Fhp Mike Siliris F.O. Box 64 Guam FAst Marian, N.Y. 11939 Z Per This certificate must not be altered in any manner, return to the office of the Board if incorrect. Inspectors may -be identified by their cr COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT 819 ALTRRED 11," ANY,, MANNER.