HomeMy WebLinkAboutZ-6030 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. .26030
Date July 30 19.7. '.
THIS CERTIFIES that the building located at . .Strohson Road Street
Map No. _c Block No. xxm Lot No. . .xxx Cutchogue• • N.Y.. . . .
e• reme•tf<• 0.e family duel •g & housing code
conforms substantially tothe :3:,�:j'r.casza,f,*:rata:r: ;t.e.ae.ee.o,i'!.: v:-f..! 3•19409.., ,ki :II
daWit 19. to which e'a of „ ate ;0. occupancy
. . before• April. 235? pursuant _ •tSAP:satI,teZ. 6O30.
dated July• • • .30., 19. .71+, 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 . . Gordon .Miller Owner
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . . pre..-..ex-sting
UNDERWRITERS CERTIFICATE No. . . .pre-. existing
HOUSE NUMBER 70 Street . . . .St2Qhso1-4 .80ad
kh-c,....)
Building Inspector 1
Housing Code Inspection report
July ` 197+
70 Strohson Road Little Neck Rd, Cutchogue
Tax Roll: Gordon Miller, Owner. Owner occupied.
Upon receipt of arplication for pre-existing certificate of occupancy
I made an inspection of this one story, framed dwelling with attached
one and one half car garage-utility & work shop area and found the following
violationd of the Housing code , Chapter 52 of the Town Code .
Iwas admitted by Mr . Miller who accompanied me during the Inspection
which began about 3: 55 PM.
The building consists of kitchen, full bathroom,three bedrooms
and living room. Heat is supplied to all rooms except the S/W bedroom
from oil fired steam hettfurnace located in the utility section of garage .
Kitchen: No shutoff valve at gas range appliance Art V sec52-52 B2
Bedroom S/E = faulty wall light socket Art V sec 52-56 Al
Attached garage: workshop area, electrical hookup for ceiling
light over bench needs standard junction box con-
nectiors Art V sec 52-56A1
Exterior: paint peeling from trim - unprotected wood Art YII 52-31 B
Inspection completed at aproximately 4:20 PM
Respectful submit/ed
Edward Hinderman
Housing & Building Inspector
v-ht -37. 5--
„ 6
l„4o i /V(
FORM NO. 6
/ 0010
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 July 29......1.9.7.?t...
New Building Addition Old or Pre-existing Building XxX Vacant Land
Location Of Property ....S.tr.Qh.SQI1..8Qad. Cutehogue
Owner Or Owners Of Property Gordon Diil L
Subdivision XXX Lot No. .XX.. Block No. XXX..... House No
Permit No. XX. Date Of Permit ..XXX Applicant XXX.
Health Dept. Approval pre–existing Labor Dept. Approval N.R.
Underwriters Approval ..pre–eX7, tLag Planning Board Approval 'i.lht.t
Request For Temporary Certificate Final Certificate XXX
Fee Submitted $ 5.006
Construction on above described building( an(d��permi ,•.eets a opp a. e codes and regulations.
Applicant ..�7VF?E.1�4�. .A... ..!......... .... I/
Sworn to before me this 41 07
29 day of .11,0-37-19.7 (stamp or seal) z, /zl(�0 3 Z�
Notary Public r _J..� .. .P'. County /'�_9 c7AL-e fy
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