HomeMy WebLinkAboutZ-7333FORM NO. !
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. .27333 ..... Date ... ober, 29 ... . . . . ..... I 19_76
THIS CERTIFIES that the building located at ...1250 ,Second............ Street
Map No. ....... Block No... ""' .. Lot No..... New Suf.folk ., ..N . Y ..
.........
.........
requirements for one family dwelling & Housing Code
conforms substantially to the Appheaiitm-fbrBiTif ing Fernift'iter'etof8i'� fi t3'Yh"CltiS'affiLZ
built prior to Certificate of Occuppancy
dated ............ April. 23 . � 19. ?7 pursuant to which:MKR1iij4reF FN&. -4273.33
dated ..... October. .29 ...... , 19..7.6, 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 ... private. one -family. dwelling ....
............................
The certificate is issued to ... Frances.Ma .esk,.Owner
.......i. .................................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval ... pre-existing
UNDERWRITERS CERTIFICATE No. .. , Pre-existing
.....................................
HOUSE NUMBER .... 1250, .... Street .. second . Street ............... . . . ..... .
........................................ New Suffolk, NY 11956.............
BuiVing nspector
HOUSING CODE INSPECTION
October 26, 1976
1250 2nd St.
New Suffolk, N.Y.
Tax Roll: Frances Majeski
Occupied: Tenent, Barbara Baco
Upon receipt of an application for a Pre-existing
Certificate of Occupancy, I made an inspection of this one-
story, framed dwelling. I was admitted to the building by
Mrs. Baco and began this inspection at approximately 2:40 P.M.
The building consists of one bedroom, living room, kitchen,
and a full bathroom. The building is constructed on locust
posts and is tightly skirted. Heat is furnished to the building
by a floor -standing space heater, kerosene fired, located in
the living room.
The following Violations of the Housing Code, Chapter
52, Town of Southold, New York, were found:
1. Living Room - outside entry, no means of controlling
light in room on entry; Article V, Section 52-56 B (2).
2. Bedroom - no door to provide privacy; Article II, Section
3-2---24--D (2) .
3. Kitchen - gas cooking range, no shut off valve at unit;
Article V, Section 52-52 B (2). Outlet for refrigerator
and ceiling fixture, current supplied to these fixtures
by lampcord running through petition dividing kitchen
and living room. This lampcord has pigtail plugged into
outlet in living room wall; Article V, Section 52-56 A (1)
4. Bathroom - no moisture -resistant floor covering; Article II,
Section 52-26 (4). Wall fixture, lamp cord providing cur-
rent for wall fixture through petition to an outlet in the
kitchen. Connection is made under the plate of the outlet;
Article V; Section 52-56 A (1). Hot water heater, electric
fired, two wires connecting, no shield and no ground; Arti-
cle V, Section 52-56 A (1).
5. Exterior of building - southwest corner, siding of structure
and structure itself below grade level, subject to elements
& destruction from insects; Article III, Section 52-30 C
and Section 52-31 B. Pole on northwest corner for electric
service to building has been damaged by termites at the
base and section at roofline is cracked and weakened, Con-
duit that supplies the service line to the meter box is
loose; Article V, Section 52-56 A (1) (2).
Housing Code Inspection -2- Frances Majeski
Inspection completed at approximately 3:10 P.M.
ZRe ectfully s mitred,
6�rdHinfidrmann
Building Inspector
EH:med
FORM 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 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 ..October 23, 1976
...............................
New Building ................ Addition Old or Pre-existing Building Vacant Land
Location Of Property ..........2nd...3.tL-aet ... N.eW...auffplk ..N Y
Owner Or Owners Of Property ........rraNeQs Me je,ski..........................................................................
Subdivision................................................................Lot No............. Block No............. House No.............
Permit No ..................... Date Of Permit ....................Applicant.........................................
.........................
Health Dept. Approval ............................................Labor Dept. Approval
................................................
Underwriters Approval .............................................. Planning Board Approval
Request For Temporary Certificate ........................................ Final 'Certificate..........................................
Fee Submitted $ .5.f.QQ.........................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant .......... ... y.......o.........Cl!./115 ��/...
Sworn to before me this ^"D EW E. GOODALE Frances Ma jeski
NOTARY PUBLIC, State of New York 1 I
/�
No. 5271501995
-aZ31 A... day of ..... Qualified in Suffolk County (SfOmp Or seal)
" *"1CdMMission Expires March 30, 197,x{ (stomp Z
Notary Public ...... . . .... County 13
fie'
SOUTHOLD TOWN BUILDING DEPARTMFNT
IN THE MATTER OF:
Certificate of Occupancy
2nd Street, New Suffolk, N.Y.
Frances Majeski, Owner.
County of Suffolk) as:
State of New York)
Frances Majeski, being duly sworn deposes and says:
That she resides on King Street, New Suffolk, and is the
owner of the above premises located on 2nd Street, New Suffolk,
N.Y. bounded on the North by Onody, East by Renick, South by
Victoria and West by 2nd Street per copy of attached survey.
That pursuant to a copy of the attached variance granted
to her predecessors in title, the one story frame house
situated on the property has been approved for occupancy on
the basis of being continually inhabited for many years since
its construction, on information and belief in the early
1930's.
That the dwelling is in good condition, since she
personally resided in the dwelling at one time, and. is now
occupied by a tenant.
That she makes this affidavit in support of an application
to the Building Department to issue a Certificate of Occupancy
on the premises.
WIEREFORE your deponent respectfully requests that same
- 2 -
be granted.
Dated: Mattituck, New York
October 23, 1976
Cl11
Frances Majesk
Sworn to before me EW E. GO c
ANDREW E. 600DALE
� NOTARY PUBLIC, State of New York
this �j , r day of ' No. 52-1501996
—fa+1_LL1�� Qualified in Suffolk County
Commission Expires March 30, 1971
October 1976.
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