HomeMy WebLinkAboutZ-4898FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. r74 898 ..... Date ......... November ... 8 ...... 19.72.
THIS CERTIFIES that the building located at .^>/3 .. Ma -in . !load ....... ... Street
Map No. .xx.......... Block No. ..XX] .....Lot No. x= ..East 41p.r•ion.)• 11.Y4
„: .. 7r R' a�T7MIS6TVVt-M .M-... ...
• • • • - et�zsssr's'rc+t'�'s's'ss�'c'ce'i+y�ssc�i�saa �y=,,yZsr.�: y.i�
beforeBuilt
. occupancy
dated ........ Novetpber..8.,, 1972.., 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 - ..... .
The certificate is issued to Fetor. .Pizzaa"13-i� . Je.seoh . Gioseie-,..Reuben. Kocker
( owner, ljj�pk 9E
of the aforesaid building.
Suffolk County Department of Health Approval Pre -•existing ....................
UNDERWRITERS CERTIFICATE No... pre existing• • ... • ... • • ... • • • ....... • • • . • • • . •
HOUSE NUMBER. 126BO...... Street .... Me.4.Roa.cl ..................................
Exception to housing code:
1* no nand rail on cellar stairs
2. ":jury rigged electrical wireing should
be replaced with regular outletsq
wireing & fixtures*
3. Broken Window glass W/ porch
I+* loose plaster in stairway walls
,� 4
N&J, Q(k-A f 7",
.........................
Building Inspector
FORM NO. E
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 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 November 8 iAe "1
Date............................................
New Building .................... Old or Pre-existing Building ...... ..�...'............. Vacant Land ............................
Location Of Property ..5�� Ma Road Bast Marion,
...... ........................... ................
Owner Or Owners Of Property ..... P'.a..P1zz&r*1 .i*..JA...Giasrciao,..Aa...WBalar...........................
Subdivision ....................:JC.K:.X.................................... Lot No. ...XX... Block No. ...XX.... House No.12680.
Permit No. ...X .............. Date Of Permit ....... A ......... Applicant ... 0WIRZS.................................................
Health Dept. Approval ........ preez.s'•t1mg......... Labor Dept. Approval ......I!.*.R'
................................
Underwriters Approval ....... j1TeRx.sling............ Planning Board Approval..Rftfit .............................
Request For Temporary Certificate ........................................ Final Certificate ....... AM ........................
Fee Submitted $...,5i*00.......................
Construction on above described building and pmeet all opplic I c es on*regulations.
Applicant............................I ...............................
Sworn to before me this V
.day of ROV'BMP®r 19.7lZ.... (stamp or seal)
X.->_
Notary Public County c`
TERRI LEE ELAK / 0
NOTARY PUBLIC, State of [law York
No. 52.616.''.295
Qualified in 'i _i;. OUmlty
Commission Er.pjes Marek 30, 19 /�4
HOUSING CODE INSPECTION
November 8, 1972
12680 Main Road
East Marion, New York
C
Tax Roll: Joseph Gio4ia and others
Unoccupied
Upon request of the Southold Town Building Department
I made inspection of this two story, four bedroom framed
dwelling and found the following violations of Local Law #1,
Housing Code of the Town of Southold. I began inspection
at approximately 8:50 a.m.' by being admitted to the rear,
enclosed porch entrance by Mr. Ruben Wecker.
Rear orch: Light socket with lamp cord supported by
hook in ceiling - Section 528a. Surface mounted
square box electric outlet mounted on west wall with
drop cord line running to kitchen outlet through
inside window - drop cord to outside light socket
through corner of building plugged into this outlet -
Section 528a.
Living Room: Lamp cord through wall at front entrance
for porch light - Section 528a.
Enclosed porch: west side, picture window pane broken -
Section 302b.
Cellar: Access under stairway to second floor through
trap door in floor, narrow stairway without hand rail -
Section 216a, b. South end of cellar, outlet and ceiling
light fixture connected to lamp cord plugged into wall
mounted outlet - Section 528a.
Stairway to second floor: Loose plaster on walls -
Section 303c.
Bedroom, second floor, northeast: surface mounted base-
board outlet, lamp cord hook up - Section 528a.
Exterior of building, trim, facia and eaves, paint
peeling - Section 302b.
Inspection completed approximately 9:30 a.m.
Re ctfully submitted,
Edward HindermmarV����—
EH:tle Inspector
n
AP,