HomeMy WebLinkAboutZ-5603FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. ;';5.03...... Date ........ OctOA33-25.q...... ., 197 ..
THIS CERTIFIES that the building located at . 0? eLan®c Road . .. .. s Street
Map No. .XX......... Block N Xx... o No f L Cutcho rue
regiiiremen s o olie' *f=i1Y 'd* 113ng .&* hotisiiig code
conforms substantially to thepv��xei�
Gerti ye�of ccupancy
dated ........................ 19.... pursuant to whicNQ21M z ' 5M 4503..
dated........October 2. r 19.
..73., 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 &.Telling .......................................
cCa
The certificate is issued to ......l �..... f ery
( owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval ..Pre-existing:.
...................
UNDERWRITERS CERTIFICATE No . ............................................
HOUSE NUMBER .............. Street ... �x oGj UqA .l oad & 111vah Is Lane
.........................
................................................ Cud;clogs?.e.....................
L. �``�.......... ............
Building Inspecto
HOUSING CODE INSPECTION
October, 2�t , 1973
#65.80 Oregon Road & # 9905 Alvah's.,Lane R-1..
Cutchogue, N.Y.
Tax Roll:" Allen McCaffery & wf.
Unoccupied
Upon request of the Southold. Town Building Department I
made inspection of this'one story framed dwelling and found the
following violations of Local Law #1, Housing Code, Town of -
Southold.
I -began inspection at approximately 1:00 p.m.. Mr. and Mrs. =
McCaffery arrived -during my inspection of cellar. Inspection
began with attached two car garage, exterior of building and
cellar respectively.
Garage: Door.to breeze'way,'one missing pane.of;glass-east.,.
window, broken pane of -.glass, garage door (vehicle) one
missing pane -of glass, one"broken pane of glass -Section 302b.
West wall to right of garage,.door, apparent damage
from vehicle-pushed.off foundation, garage door track
.damaged so that door can not close fully -Section 301a & 302b.
Outlet and -light over work bench -w red:with lamp
cord -Section 528a.
House Exterior: - House vent -no cap or screen -Section 504h
Cellar -window rpanes.broken.and missing -one on' -,east side, one.,
on west side..: -Hole on east, wall above' grade -Sec- 302a & -
Front entrance, north side, open electric boxes on each side of
doorway -Secs 528a
Several broken ' and' missing' .shin.gles , on' garage and diaellin.g-
Sec. 302b.
Cellar: South end feun"dation wall broken through at crawl
space area under laundry room -drain pipe to under side'of.first.
floor, stopped with rag (apparent drain for washing machine)
no water seal -Sec. 504e..-.
Leak in water line under first floor near water tank -Sec. '502b'
Water pump motor -no connector for BX cable at'tpFminal box
Sec 528 a,e-drain dump for sink on south end conn
to
switch type fuse box with two wire conductors,, wire insulation
deteriorating -no connector at entry to box -.Sec. 528 a,,e,
Open round electrical box on girder near furnace-prong.s.of lamp
type plug hooked on to open wires from box supplying current to
surface mounted outlet on north end of girder -Sec. 528a.`
Page 2 -
Furnace: blower motor -electric hook-up, metalconduit on '
post terminates near cellar floor'''three wires unprotected
lay -on cellar floor and enter terminal box of.'.motor' there
is no connector-Sec.'528a.-open junction box on post under
first floor -Seca 528a.
-Flue pipe connection at chimney not sealed -Sec. 523a b.
Northwest corner of cellar -.sink with drain -to dry we 1'under,
cellar .floor -Sec. -504a.
Several light sockets and outlets -wired with lamp cord through-
out cellar -Sec. 528a® .
Gas fired hot water ,heater -no shut off at'.unit' Sec. 508b.
House interior:
Kitchen-rnge'9" gas,, no shut off at luuzi t -Sec. 508b.
Bathroom- looring deteriorating -at base of t6ildt
Sec. 303d.
Inspection completed at approkima:tely.la55-p.m.'
e pectfully ubmitted'
GZ4M.
Edward Hindermann-
Buil ding. Inspector
FORM N0.6
TOWN OF SOUTHOLD
Building Depowtnment
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 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 ..October 2+.,...1973 ,,,,,,
New Building .................... Old or Pre-existing Building ... x................... Vacant Land ............................
Location Of Property 'r'. lyls of Oregon Road & Alvah' s Vane z (Oregon)., Cutchogue ,
................................................. ..... ....
� o Southold
Owner Or Owners Of Property Allen McCaff ery & Ann McCaff ery %
.......................................................................................................................
Subdivision ............. 7' x.............................................. Lot No....' ..... Block No. ........ House No.............
Permit No. Date Of Permit Applicant .... C .....................
,�1E� C ` X t S �
HealthDept. Approval .... ...........................T......Labor Dept. Approval ...............................................
���P... ( i� Planning Board Approval ....... lZ
Underwriters Approval ....R
Request For Temporary Certificate ........................................ Final Certificate ....... ,�� .......... ............
Fee Submitted $ .. 5 00 .
Construction on above described building an p mit a all ap ruf d regulations.
Applicant .. .......... ...... ......................
... . .. .. . . ... ... .. .. . ... ..........
it s. M3
Sworn to before me this
...24th day of ..October, 1.973'
.......... ...................... (stamp or seal)
Notary.13ublic ..5 olk Coun.t7 County 1:1NDERMANK ""
! P OTARi, PUBLIC, State of New York
No. 52-6405550 ,
a, Qualified in Suffolk Count+
Term Expires March 30, 19 7�
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