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Home My WebLink AboutZ-4805FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy Front entera~eet no light switch Bathro~al leaking shutoff valve-toilet ~-- ~. Cella~ Half bath~ Jury rigged eleetrieal ~utlet over sink ~28a No..Z~..~0..~. ...... Date .............. THIS CERTIFIES that the building located at C~x .Neck. Rc~4 ............ Street Map No. ~ .......... Block No .... ~ .... Lot No... ~... ~tti~ek...N,Y, ....... Requt~ents for ~e f~ily dwell~g& ~o~g e~e conforms substantially to dated ........... Sep$...8 .... , ls.~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is The certificate is issued to ~..G.. ~e2 .... ~e~ .............................. (owner, lessee or tenant) of the Moresaid building. Suffolk County Department of Health Approval P~e-. ~xizt~g .................... HOUSe: ~ ~ ~Ha.. 29~0.. C~e~k .R~a~ ......................................... Building Inspector FORM NO. 6 TOWN OF $OUTHOLD 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. ' IZ-.~_~'~-'/~'. .' ~' ,/7] ~-Z~.. // ~ Subdivision ......................................... ~ot No ..... .'. .... Block No ............. House No ............. Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ....~.. ................................... Fee Submitted ................... Construction on above described building~ p~~ mee?~b~e ~c~.and~re~ul~tlon~; ~ Notary Publi~. ~Z:~.~~ ~'~ - -- '' _ HOUSING CODE INSPECTION September 7, 1972 2950 Cox Neck Road Mattituck, New York Tax Roil: Marie Oxley Occupied: Oxley and Fahnestock 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 91, Housing Code of the Town of Southold. I picked up the key at the office of Mil-Matt Agency, Mattituck. I began inspection at approximately 1:25 p.m. Front Entrance - No light switch to control light in room 529a. Bathroom - Shut off valve to water closet leaking creating a wet spot on floor - Section 502a. Cellar - Half bath in cellar - light over sink hooked up with lamp cord from a socket type outlet screwed into a light fixture in another part of cellar.- Section 528a. I completed inspection at approximately 1:50 p.m. Inspector EH:tle