HomeMy WebLinkAboutZ-7758FORM NO. S
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. 27758 ..... Date ................?4Y.... 1'...7 1977.
THIS CERTIFIES that the building located at . Xov. ftffolk .Ave......... Street
Map No. . P; ........ Block No. ZZ....... Lot NoX= . Aktittit1wX ..........
requirements for _ on4 fam.lk'_
conforms substantially to the I 'RIM
Wilt before Apr 23
dated ....................... 19.57. pursuant to which
' occupana r
27758. .
dated ............ 4?47..1..., 1977.., 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 with accessore buildings ..........
.............
The certificate is issued to...James &Mary MCaui2�e .. _ Owners
.
..................
(owner, lessee or tenant)
of the aforesaid building.
pre— existing
Suffolk County Department of Health Approval ....................................
UNDERWRITERS CERTIFICATE No.pre-exSsting
...................................
HOUSE NUMBER .....820...... Street ..Near Suffolk A....... _ ..hattltuek. .
Building Inspector
HOUSING CODs iivoPz%.`.lWuiv
July 1, 1977
820 New Suffolk Ave., Mattituck
Tax Roll: James McGure & Wife
Occupied: Owner
Upone receipt or an application for pre-existing certlricate
of occupancy, I made an inspection of this two story wood framed
dwelling.
I was admitted by the daugher or the owner aiu oegau tnis
inspeci.:��,..
First floor contains a front entry hallway, two sectioned
living room, dining room, bathroom and kitchen.
Second floor has three bedrooms and a full bathroom.
Heat is furnished to all rooms except bedroom ou southeast
part of second floor, from an oil fired hot water furnace located
in partial cellar of the buildings red brick masonery foundation.
Accessory structures in rear yard is one car garage, at
the rear of garage a cemment block foundation was constructed into
a bank and connectsto a temporary type greenhouse. an iol fired
forced warm air furnace is located in cemment block structure
and furnishes heat to greenhouse facilities.
The following violations of the housing code, chapter 52
Town of Southold, N.Y. were found:
Ceiling light fixture, dining room, - Escutchen plate not
tight against ceiling, electrical connection exposed
Art V Sec. 52-56A1
Water seal required on kitchen sink - Art V sec 52-51 C5
Bathroom second floor: requires moisture resistant covering
hole in floor near plumbing pipes for tub. Art II
sec 52-56 A4 Also cold water faucet in sink broken
Bedroom SIE no heat
Rear Porch: 3 steps loose, need repairs
Kitchen sink: Not connected to sewer system, running on ground
Inspection completed 11:05 AM
Respectfully
C
ax.
Building
Inspector
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 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 .7./i /7 -,
/ Dote ................................................
✓
New Building .................... Old or Pre-existing Building ................%............. Vacant
Land ..............`.............
Location Of Property .... 4.Z0......fXfw..l �l � k..../�•Jl. E .............F././.es zf' c 4..........
Owner Or Owners Of Property.....'�i3../y�........iaU./.%ZFa� ..............................
Subdivision .......... -..' ..............................................Lot No......—. Block No............. House NoZzo
PermitNo ..................... Date Of Permit ....................Applicant..................................................................
Health Dept. Approval —/ .................Labor Dept. Approval .......
%............ 1 ..................
Underwriters Approval�'...1� .Planning Board Approval
................... ..................... ,/ .............................
Request For Temporary Certificate ........................................ Final Certificate .....!..................................
Fee Submitted $ ..0 ...............................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant..................�."""l J !.............................................
Sworn to before me hi 1��11,717
�77s�
/.. day of . .... ...........1...../.......... (stomp or se
/3! o >`
Notary Public .... .. ... .. .. .. ... County
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-. _---- 5-277361
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NEW SUFFOLK AVENUE
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TOWN of SOU rHOL D
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SUFFOLK COUNTY, N.Y.
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GOt,7ANT-E0 T0:
UILIF TITLE III S',4ANC`_ COhi R.JNY OF NEW YORK
vGGUIRE
LG".n SORVEYOP
NY5 LIC NO 23725
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