HomeMy WebLinkAboutZ-6444 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No.26414 Date lay 6 , 19.7.E.
THIS CERTIFIES that the building located at . . .W/S. .Hobart. Road Street
Map No. XX Block No. PC Lot No. Pc Southold 1V.`_'.
conforms substantially to the a lramc� t E o is 1 - e'! Ho 1n codas
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btat - O OC
a ed .before• .23. • •,.April • •, 19. 57. pursuant to which :s i ra , • :r• w...r1Vo. CLL�a
dated nay. . . .6. . . ., 1975 ., 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 .Pri,vcte„gne a .ilxd?aelling e. metal Accy bid&
The certificate is issued to .''y;m. kietzger.& .wife. . .to. .Jphn. 2'argonskl.f{; .Wire. .Qwners
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval pre., .existing
UNDERWRITERS CERTIFICATE No. pra—.existing
HOUSE NUMBER . . . . 250 Street . . j;obaxt •Road
. .f .Gv.,9!. . e.�_
Building Inspfor
HOUSING CODE INSPECTION
May 9 , 1975
250 Hobart Road R-1
Southold New York
Tax Roll: William P. Metzger
Occupied, Owner
Upon receipt of an application for a Pre-Existing Certificate
of Occupancy, I made an inspection of this two story framed
dwelling. I was admitted to building by Mr. Metzger who
accompanied me during this inspection which began at approxi-
mately 10 : 10 A.M.
The first floor consists of a living room, dining room,
bedroom, kitchen and bathroom. Heat is furnished to first
floor from a gas fired warm air furnace located in floor
of living room near passageway : opening to dining room.
The second floor consists of three connecting bedrooms.
Heat is supplied to southeast and southwest bedrooms from
grilled openings in floors over first floor rooms.
The following violations of The Housing Code , Town of
Southold, N. Y. (Chapter 52) were found:
Front and rear entrances - no means of controlling
light in room on entry. Article V, Section 52-56
B-2 .
Dining Room - hot water heater , gas fired, no shut-
off valve at unit.
Kitchen - gas cooking range , no shut-off valve at
unit, Article V, Section 52-52 B-2 .
Bathroom - inside, no exhaust fan, Article II ,
Section 52-26 B-6 .
Bedrooms - second floor , are connecting, Article
II , Section 52-24 D-2 .
Exterior - chimney requires pointing. Art. V, Sec . 52-54 A-1.
Accessory structures shown on survey submitted with application
were replaced with a single metal structure approximately 8 ' 8" .
Grounds and building well maintained.
Housing Code Inspection -2- May 9 , 1975
William P. Metzger
Inspection was completed at approximately 10 :45 A.M.
Re- . -ctfully`submitted,
oekEH:mm dward Hindermann -/„(4
Building Inspector
FORM NO. 6
• TOWN OF SOUTHOLiD
Building Department
• Town Clerks Office
Southold, N. Y. 11 971
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
Date May 2, 1975
New Building Old or Pre-existing Building X Vacant Land
Location Of Property W(S Hobart Road, Southold, NY (Owner on premises)
Owner Or Owners Of Property WILLIAM P. METZGER & WIFE (to be John Targonski &wife
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 X
Fee Submitted $ 5. 00
Construction on above described building and permit - !. /..( a..- -::.e -a..'r-.ulations.
Applicant • , „
Wickham & ark, P.C. , attys. for
Sworn to before me this William P. Metzger &
2nd ��75 wife
day of May., (stamp or seal)al�
Notary Public Suffolk County / Irl, 5 7�'
iAt P(4/Y
ff4ZT ARY LOU DOROSKI (—
ARY PUBLIC, State of New York
No. 52-1000855 Suffolk County tql
Commission Expires March 30, 59`77
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