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Home My WebLink AboutZ-7042FORK NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy a r 76 No. 27042...... Date .......... ... .. 21......., 19.... THIS CERTIFIES that the building located at F/0' . Po c on i c Lane T /" RR . Street Map No ............. Block No. ..xxx .... .. Lot No.. xx . .. c on. c Y.Y. .......... . requirements for one family dwelling conforms substantially to the T' We 19 Build before April 23 57 certificate of occupancy dated . . . . . . . . . . . . . . . . . . . . . .. .... pursuant to which 1 No.Z.7blj-2.. . dated .............j'ay 2.1 .1 19.76., 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 accessory barn & garage The certificate is issued to Est. Viola Persson to Robert Adipietro ( owner, lessee or tenant) of the aforesaid building. re— Suffolk County Department of Health Approval p.....existing ......................... . UNDERWRITERS CERTIFICATE No. pre— existing .... . ....................... . HOUSE NUMBER ...... 2980... Street ... Peconic Line .......... .......... . ......... . ........ ... Building Inspect 3 6 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 or topographic features. 2. Sworn statement of owner or previous owner as to 3 Date of any housing code or safety inspection of formation required to prepare a certificate. lines, streets, buildings and unusual natural use, occupancy and condition of buildings. buildings or premises, or other pertinent in - 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 Datea,.%.L? -7 ....... New Building ................ Addition ................ Old or Pre-existing Building ,%.......... Vacant Land .............. 6..5 ...../( ( �l'il �..../!/.�/✓..�.......(�(rii" L /./ Location Of Property�... 4.................:�.... � �..../..,... Owner Or Owners Of Property ��s. ....V �,� .):2 sdl - !.(>be0 ��// ........................ Subdivision ............... :(.�............................................. Lot No... .... Block No... .... House No. S7 Permit No. .......... X_ Date Of Permit ............Applicant..........:�........................................I......... Health Dept. Approval .�/�................Labor Dept. Approval ................................................ Underwriters Approval ......` ........................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......f........................ Fee Submitted $ ... �.....�.................. Construction on above described building and p t is II app. bl cod and regulations. i /7 Applicant....... ... r` :.... :....... ......................................................... Sworn to before me this �/ "�l 76 // YL .......i�.l. day of ......�..... ........� � 6 (stamp or seal) C/r'� 7� ✓-- Nota Public County HOUSING CODE INSPECTION May 21, 1976 2980 Peconic Lane R-1 Peconic, N.Y. Tax Roll: Viola Persson Unoccupied Upon receipt of an application for a Pre -Existing Certificate of Occupancy, I made an inspection of this two story framed dwelling. I was admitted to building by Robert Adipietro who accompanied me during this inspection which began at approximately 1:40 P.M. First floor consists of a kitchen; pantry; dining room, with toilet room; two parlor rooms, and a living room. Second floor consists of six bedrooms and two full bathrooms. Heat is furnished to all rooms from an oil fired steam heat furnace located in full cellar. Accessory structures in rear yard: one car garage and large barn. The following violations of the Housing Code, Chapter 52, Town of Southold, were found: Kitchen - Gas cooking range, no shutoff valve at 4 unit, Article V, Section 52-52 B.2. Lamp cord with in-line switch plugged into kitchen outlet controlling exterior spot- light. Article VI, Section 52-56 A.1. Toilet Room - No window, no mechanical ventilation. Article II, Section 52-26 A.1. Living Room - Bedroom southwest - Bedroom southeast, lamp cord outlets on baseboards. Article V, Section 52-56 A.1. Stairway - to second floor at front entry, no means of controlling light for safe ascent and descent of stair. Article II, Sec. 52-56 B.3. Cellar - southeast corner, east window - sill rotted. Article III, Section 52-31 A. Accessory Structures - one car garage - broken window pane - siding loose and open, corner post shifted. Art. III, Sec. 52-30 C. - Sec. 52-31 B. 4 Housing Code Inspection Page 2 May 21, 1976 Viola Persson Barn - generally structurally unsafe - northeast corner roof collapsed; openings in roof, .rdoor joists deteriorated, siding missing and rotted,excessive deformation of building. Article III, Section 52-30 A.B. Sec. 52-31 B.C. Inspection completed at approximately 2:30 P.M. Re ctfully bmit-ped, yrti��O2�Lj/y� EH:mm Edward Hin ermann Building Inspector Gt7iG_.P _ s 31, 5-2 -30 /1111_ L/��r�" ,�% j, _ i ,� :._ /, �y J