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HomeMy WebLinkAboutZ-6117FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z611.7 ...... Date ............. Sept .... 19 • . • •, 19- -74 THIS CERTIFIES that the building located at ..Wells Street s • Road ' (f►ve)...... . Map No. G...Ii , 'lkr e 1.1 s . Block No........... Lot No.. . 13•&• -Pt - 12&14..:.Southbld • •N.Y. conforms substantially to thdFHMffl&ftMJWAVficode blt before da a ..........Apr .23• , 19. 5.7. pursuant to which occupancy datedb11 • • • • • • • • ••,Sept • •18• • • •, 1974 ., 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• dwe11•ing ...................... The certificate is issued to .. Robert. Moeller• & Vf- Owner • • ..................... . of the aforesaid building. (owner, lessee or tenant) Suffolk County Department of Health Approval prem • existing .................. . UNDERWRITERS CERTIFICATE No. pre—existing• • • • • . • • • .... HOUSE NUMBER .... 289�..... Street .. Well.& .R©ad • (Ave) ...... /vz Building Spector, r` i 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 y Date ........ f .. ........�..1. New Building ................ Addition ................ Old or Pre-existing Building .X.......... Vacant Land .............. Location Of Property ......W. ........... A. �!� .L ........................... Owner Or Owners Of Property /�",w!'`�V,,,,,. .... Q -C -cam. ................................ Subdivision ............ G..1..4:.............................................Lot No.............X. Block No........ House No............. Permit No. ......!\.......... Date Of Permit ..............Applicant .....X ...................... Health Dept. Approval ...l.�t4'�. ...........Labor Dept. Approval .........N 'S .................................... Underwriters Approval ....�.......` `F` �!'� .Planning Board Approval .../.'../` ............................. Request For Temporary Certificate ........................................ Final Certificate Fee Submitted $ . �tYJ _.................. Construction on above described building and per meets all applicable c es and regulations. Applicant ........... (s1:.........C. ............................... Sworn to before me this ......... /_ day of ..PC ?..��...... Notary Public .....ounty ✓tf:zr, rr lfly (stamp or seal)&/A V,,)ZGll7 Uc� ff,77' HOUSING CODE INSPECTION September 17, 1974 #2895 Wells Road Southold New York Sub. Div. George H. Lot No. 13 + 30' @ B Tax Roll: Robert A. Occupied: Robert A. Wells Map #859 pn Road + Tr. 14 & 12 Moeller & Wf Moeller Upon receipt of an application for a Pre-existing Certifi- cate of Occupancy , I made an inspection of this one family framed dwelling , with attached two car garage, and found the following violation of Housing Code, Chapter 52, Town of Southold, New York. I was admitted to the building by Mr. Moeller who accompanied me during inspection which began at approximately 2:00 P.M. The building consists of an eat -in kitchen, living room, full bathroom, and three bedrooms on the first floor. Second Floor is a partially finished attic. The finished area has a sewing room and a full inside bathroom. Bathroom (inside) - no mechanical means of ventil- ation. Article II, Section 52-26 B.4.b. Ceiling height of attic room under seven feet six inches, a violation of the Zoning Ordinance, Chapter 100 , Section 100-13. Floor area livable. Building and yard area well maintained. Inspection completed at approximately 2:21. 4Res ctfull submitted, EH:mm d er�6(// �� Building Inspector I 7-"z 1 v