HomeMy WebLinkAboutZ-9035FOR~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No.. Z9..0~.5 ..... Date ...... .Y~. ~. .... .2.6 ........... , 19...7.8
THIS CERTIFIES that the building located at ...59.5- · .K.4ng. Street ....... Street
Map No ............. Block No ........... Lot No ..................................
IRI~ENTS FOR ONE FAMILY DW~$,IN~ BUILT BEFORE
conforms substantially to _the .... . ' ....
C~tTIFICATE OF OC~JPANCY
dated ... APril...2.~. ........ , 19.5.?. pursuant to which ~_~-ui~l No. Z90.~.5..
dated ...May.. 26 ........... , 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 . 'PR'IVATE' ONE. PAMIiLY .DWI~,lt.,II~ ......................................
The certificate is issued to .... Edward-.H~. aud .M~y. T .Maoaula¥ .................
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval ....... Pr®-Exls.~ .~g ...............
UNDERWRITERS CERTIFICATE No ................ P~.e-l~dl, s/~ ..............
HOUSE NUMBER ...59.5 ........ Street ....... l(t~g. S.~reet .....................
............................................. O~.ientt .New..York ...............
.......
Housing Code Inspection
May 26, 1978
595 King Street R-1
Orient, New York
Tax Roll: Edward H. Macaulay & wf.
unoccupied
Upon receipt of au application for a Pre-Existing Certificate
of Occupancy I made an inspection of the buildings on this
premises. I received the key for house from a Mrs. Davis. I
began this inspection at approximately 3:00 P.M.
The dwelling is a two story wood framed structure. Located
on rear of property is a two car garage.
Cellar is a half cellar with cement block walls, rest is
crawl space with stone foundation. Cellar contains a gas steam
boiler, water pump and tank, gas hotwater heater, gas clothes
dryer. All are in excellent shape.
First floor consists of two living rooms, dining room, kitchen
and small den. There are also two fireplaces.
Second floor consists of four bedrooms, bathroom. This also
has two fireplaces.
The following violations of the Housing Code, Chapter 52,
Code of the Town of Southold, N.Y. were found:
Cellar-cellar door badly deteriorated. Article III, Section
~A also 52-31B.
Cellar-inside cellar steps, bottom tread broken, stringer
needs repair. Article II, Section 52-27 A & B.
Overall, I find this dwelling to be in excellent shape.
Inspection completed at 4:15 P.M.
Respectfully submitted,
cu r rtJ
Bu±ld±ng Inspector
FORM NO. 6
TOWN OF SOUTHOLD
, Building Department
Town Clerks Office
Soufhold, N. Y. 11971
APPLIGATION FOR CERTIFICATE OF O~GUPANGY
I nctructions
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 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
Date May 17, 1978
New Building ................ Addition ................ Old or Pre-existing Building .........X. ...... Vacant Land ..............
Location Of Property Kin~. Streett Orient, New York ~see attached survey.)
Owner Or Owners Of Property ..... ~.d..w....a..r.~.d.~.H...~.a~.n...d.~..M..a.~.r.y.~.I.~:~.M..a.~.~..a.~.u..~.~.a.~. .........................................
Subdivision ................................................................ Lot No ............. Block No ............. House No .............
Permit No ..................... Date Of Permit .................... Applicant ..R...u..d...q.l.p..h.....H.:.....B..r...u..e...r. ..........................
Health Dept. Approval ............................................ Labor Dept. Approval ................................................
Underwriters Approval .............................................. Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Fined Certificate ............. ..X. ..........................
Fee Submitted $ .......5..:..0..0. ..................... ~
Construction on above described bu~.' g a odes and regulations.
Sworn to before me this Applic~~
17th day of May, 1978 ' (stamp or seal)
Notary Public .hq.U~.:~Q~-..k. .................. County ~ --bQ ~, ~-? ~'
C.