HomeMy WebLinkAboutZ-4880FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. 24880...... Date .............Oct....26...... 19..72
THIS CERTIFIES that the building located at X/S. SOttnd. View ATS. EZte Street
Map No. q.VW....... Block No. .. T"....Lot No. .VW .... $o1lthold.j..N.Y..........
requirements for one family dwelling & Housin
conforms substantially to the
BvCM�dbefore
Aril.231-1909...
•
fiG to . N
pursuant to which Aoccupancy
o• Z -48ao .
dated .........Oct....
26
.... , 19 7?
. , 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 . PrtYete . one . f4911.1y. dwelling ...................................... .
The certificate is issued to .trlstate.of. Helen. ChUton ..... Owner .................
( owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . PTA_ . existing ...................
UNDERWRITERS CERTIFICATE No.. pre- existing .................. . ......... .
HOUSE NUMBER. 1.115 ....... Street.... Aound. Yiew. Ave. extention................
Exceptions to housing codes
I•Basement= two open electrical junction boxes & FAVj�.{ L-
.�...
one light socket not secure 528.a...............
2. Bedrooms' one first floor & three on 2nd floor Building Inspector
ceiling rigged lamp
cord outlets from
3. Enterance-front & rear. no light switch at
point of entry 529b
code
HOUSING CODE INSPECTION
October 25, 1972
#1115 Soundview Avenue Ext.
Southold, New York
Tax Roll: Helen N. Oulton
Unoccupied
Upon request of the Southold Town Building Department
I made inspection of this one and one half story, six
bedroom framed dwelling and found the following violations
of Local Law #1, Housing Code of the Town of Southold.
I was admitted to the northwest entrance vestibule by
Mr. Newman, who introduced himself as the brother to the
deceased owner. I began inspection at approximately
1:50 p.m.
Basement: Two open electrical junction boxes -
Section 528a. One light socket not securely
fastened - Section 528a.
Bedrooms: One of first floor and three upstairs
have lamp cord outlets wired to ceiling fixtures -
Section 528a.
Outside entrance to livingroom and rear vestibule
no light switch to control light in room on entry -
Section 529b.
Re ct€ully submitted,
e*dwga6"'
rd Hindermann rr�
Inspector
EH:tle
FORM NO. 6
0 ( TOWN OF SOUTHOLD
S _ Building Deportment
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 dispcsal—(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 ......... trQber..2Q.t...1972
New Building .................... Old or Pre-existing Building ... Y...................... Vacant Land ............................
Location Of Property i39W View A`!�®R...`��t.',halds X. i.
........................ .... ........... ...................................................................
Owner Or Owners Of Property ..:rtrolf... Oi ®1 X! gat.oa -
.. ....................................................................................
Subdivision................................................................Lot No............. Block No............. House No...
Permit No ..................... Date Of Permit ......Applicant VincPn. Borchelli
.............. ............................................................
Health Dept. Approval ............................................Labor Dept. Approval ................................................
Underwriters Approval ..............................................Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate
..........................................
Fee Submitted $ .5.00 ......................... �jd�
Construction on above described building and permit a all pplicabl c fees a egul .
Applicant .............. ... ... .. ..... ...[h .. ..............
..
Sworn to before me this
e
..........20thay of ............... Octobsx,..1972
Notary Public .......Oe ............. County
Nct, y, Ycrk
I
Qom_. ,.i �.�l:,i..'i 7/
' ccmrnisn a ,- c h &0, 19
(stamp or seal)
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