HomeMy WebLinkAboutZ-6916FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z6916 ...... Date ........... Mix"k.. 4 .. . . . . ., 19..76
THIS CERTIFIES that the building located at . Mala .Road ............... Street
Map No. .*A ........ Block No. ..XXX ....Lot No. . • -mm .. Ciltchooe .. 1[,Y..... .
conforms substantially to the a reset t ! d 1
built before
dated ............ *Pr..;3 !.. , 19.57. pursuant to which oe eu 6 . .
p o.R��6 . .
dated Ilar. 4......, 19. 70, 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 Vatfa .omo..lamil.y. dxellit7.$..................................... .
The certificate is issued to ..F40hard. Moors .&. stile... Owners ...................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval pr"045:149....... ..... . ..... .
UNDERWRITERS CERTIFICATE No. .. Pro-.. *x;i a z& ..........................
HOUSE NUMBER .....37200... Street ... Main. Road. .0=5) ...................
. ............. ......... .
Building Inspecto
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 ...V\�......................
New Building ................ Addition ................ 011doro�r'Pre existing B�Iding ..4......... Vacant Land ..............
Location Of Property .E.m7...�!�, .4�.\!5.1.1. ..1..�?W
Owner Or Owners Of Property `. ta%A....lAv4........................................................... ...................
Subdivision................................................................Lot No....�fock No............. House No.............
Permit No ..................... Date Of Permit ....................Applicant J..Q...Al.............................
Health Dept. Approval ............................................Labor Dept. Approval ................................................
Underwriters Approval.Planning Board Approval
...............................................................
Request For Temporary Certificate ....................................
s /
Fee Submitted $ ...�1�
k3s..................
Construction on above described building and
Applicant
Swor before me
7 1
....... day o ...........
Notary Public .................................... County
Fina) Certificate ..... ..............................
....... I............. .4W.yrr rw r....
(stomp or seoA�ll�
5_yyi13� 7y
HOUSING CODE INSPECTION
March 3, 1976
37200 Main Road R-1
Cutchogue, N.Y.
Tax Roll: Richard Moore & Wf
Unoccupied, owner
Upon request from Gary F. Olsen, attorney, Main Road,
Mattituck, New York, I made an inspection of this one
and one half story framed dwelling. I entered building
at rear entrance upon instructions from Mrs. Moore and
began inspection at approximately 10:05 A.M.
First floor consists of a kitchen, living room, and
dining room (now being used as a bedroom).
Second floor has two bedrooms and a full bathroom. Heat
is furnished to all rooms from an oil fired steam heat furnace
located in full cellar of cement block foundation.
An enclosed unheated porch provides rear entry to kitchen.
The following violations of The Housing Code, Chapter
52, Town of Southold, were found:
Rear porch - No means of controlling light in room
at point of entry. Article V, Section
52-56 B.2.
Kitchen - Plumbing leak - cold water line of kitchen
sink. Article V. Section 52-51 A.2. Gas
cooking range, no shutoff valve at unit,
Article V, Section 52-52 B.2. Window
over sink, broken pane of glass and broken
storm window glass. Article III, Section
52-31 B.
Living Room- Broken plaster board on south wall. Art.
III, Section 52-32 C.
Front entry- Door jamb, header section of frame missing.
Article III, Section 52-30 C.Floor and
door sill weak and springy, end of
floor joist under this section of floor -
rotted. Article III, Sec. 52-31 A., Sec.
52-32 A.
Housing Code Inspection
EH:mm
-2- Richard Moore & Wf.
Second Floor - Headroom, 6' 11 1/2" - violates
Zoning Ordinance, Chapter 100,
Article I, Section 100-13, Floor
Area Livable.
Bathroom - Floor covering at base of toilet,
tiles missing and broken. Article
III, Sec. 52-32 D.
Bedroom - northwest - broken window pane. Article
III, Section 52-31 B.
Cellar - Outside cellar door frame rotted away
leaving excessive openings for moisture
and vermin intrusion. Article III,
Section 52-31 A. Laundry washing
machine - waste direct connection to soil
line, no water seal. Article V, Sec.
52-51 C.5. - Electrical junction box
on girder over furnace, no cover. Article
V, Sec. 52-56 A. Heat return pipe
(1 1/4" black iron) runs across cellar
floor and the travel area of cellar
stairway. Article I, Section 52-15,
Reference to N. Y. State Building Con-
struction Code - one and two family dwellings -
Part 5 - A501 General Requirements for
Equipment.
Accessory Bldg.One car garage - rear window missing. Side
window, sash does not fit window frame,
leaking at sill, one broken pane of
glass and two missing. Garage door, broken
and missing sections of board. Article III,
Section 52-30 C.
Inspection completed at approximately 10:30 A.M.
-Resp ectfully s bmitted,
wu-<-----
Edward Hindermann
Building Inspector
Vic. _ �.�._ -� '� i�� _`�� -�
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