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Home My WebLink AboutZ-7627FORM NO. s TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. %c 7...... Date .............April ..... 29.-,19-77- THIS ,19.77.THIS CERTIFIES that the building located at -1115- •pine' Deeh' -Road .. • • . • Street Map No. .:;zx ........ Block No... arc .... ' Lot No. .... • Southold ' conforms substantially to them _. i41 IMX3CI' byttd19. pursuant to whichg � fooC:9 t .nCy before 'Apr "23" "' St p Z7627 dated ........... " '29' 19!? ., 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 . Privotc -d nal .ing -wSth -three* ae'aesso'ry► Bldgs The certificate is issued to .p; . ti ;. lrowbolc. 6• 'alf'e• • • ' •Oana-rs ' ' ' ' ' ' ' ' ' ' ' ' ' ' (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval nre� •exJ::stint ' ' ' ' ' . ' ' ' ' ' ' ' ' UNDERWRITERS CERTIFICATE No.yi w.. y u fir.g............................ . HOUSE NUMBER .... X025..... Street ...01ne. ecr_' ',?old. ' ' . Southold M...(. �,.... ............. ild"i nsp for HOUSING CODE INSPECTION April 28, 1977 3025 Pine Neck Road R-1 Southold, N.Y. Tax Roll: Max W. Newbold & wf. Unoccupied Upon receipt of an application for a Pre -Existing Certificate of Occupancy, I made an inspection of this one and one-half story wood -framed dwelling. I was admitted to building by Mr. Newbold who accompanied me during this inspection that began at approxi- mately 10:00 A.M. The first floor consists of a living room, kitchen, full bathroom, bedroom and an enclosed porch on north side accessible from living room. Second floor has two bedrooms. Stairway to second floor is enclosed, accessible from living room. Building is constructed on wood posts and has a partial cellar area. This portion of foundation is poured concrete and red brick masonry. There is no central heating system for building. Present source of heat is a wood burning stove located in living room. Acces- sory structures consist of two wood -framed utility buildings on the east side of property and a barn with lean-to. The following violations of the Housing Code, Chapter 52, Town of Southold, New York, were found: Entries - from exterior, no means of controlling lights in rooms on entry, Article V, Section 52-56 B 2. Bathroom - no moisture resistant floor covering, Article II, Section 52-26 A 4. Kitchen - gas cooking range, no shut off valve at unit, Article V. Section 52-52 B 2. Heat - no central heating system, occupancy seasonal, Article V, Section 52-53 A 1. Dwelling - exterior, shingles loose and deteriorating in some areas. Foundation openings at several locations of portion of building constructed on posts. Barn - sections of roof have large openings. Large opening on south wall, deterioration and deformation exists, Article III, Section 52-30 A, B, C. Section 52-31, A. B, C. Inspection completed at approximately 10:20. Res a tf 1 y submitted, i Edward Hindermann 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 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........4.p.ril.....26.....1.9.7.7.,.. New Building ................ Addition ................ Old or Pre-existing Building , �X....... Vacant Land .............. Location Of Property . 1/3 Pine 1'eels Koad Southola............................................................. ....................................... Owner Or Owners Of Property..1%lax C :ildred D. Newbold .............................................................................. Subdivision.....XX.....................................................Lot No. ...YX.... Block No. XhT.... House No............. Permit No. XX .............. Date Of Permit ..?M ..........Applicant ..... : ux..Iv .e.wbol.d.................................... ........ Health Dept. Approval .......1?re.-, exist ,,,Labor Dept. Approval .........�.'.�.'. .......... ............................. Underwriters Approval ..etre- exist ,Planning Board Approval \ •'` ......................................................................... Request For Temporary Certificate ........................................ Final Certificate.......................................... Fee Submitted $ ...5' �0 Construction on above described building and permit meets all applicable codes and regulations. Applicant.......... %............. ..................... Sworn to before me this _ ' o ��/i/,J ....... �, day of .R(�'".....� . �...... (stamp or sf3ol)� 1 Notary Public ....... V County .. ..- Coun hr FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.`%...... Date ............... Ap,j: 29.., 19q7 - THIS CERTIFIES that the building located at -N/5- P±ne- Veah-"Road- * .... Street Map No. Dr.*-- Block No... xx .....Lot No, 'conforms substantially to thecj�,"F AM§@fikA) -ILK 4L 0UC==x1=xYQ b34Jttd 19. pursuant to which %ff&' ftp�kip;ftooc cupaney be f oru Apx- 23-- -.- - == . . . . . . - "ALA kip; Z76 dated ......... 19,E " 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. Pliva-t-c - One <-.�;easonal-,) -dwelling --with -Vhirae Bldgs The certificate is issued to . 1,1, _'eubo Vii. tia V -141 f e ftnaTs .................. (owner, lessee or tenant) of the aforesaid building.. Suffolk County Department of Health Approval ...... UNDERWRITERS CERTIFICATE No. ea,............................. HOUSE NUMBER...... n025 ..... Street I Veck- Tlload ................................................................................ H. . . . . . . . . . . . . d LgPinspef for ku-iiing ' I .J