HomeMy WebLinkAboutZ-6874No. Z6871......
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
Date ............tTaA . . . . . ., 19.76.
THIS CERTIFIES that the building located at 8/8. No -U. Ros d ........... Street
Map No. A= ....... Block No. X= .......Lot.No. ? $set MarioA N.Y.
conforms substantially_ to the
ba�elt .. before •Apr. 23..., 19.57. pursuant to which
occupancy
Z687%f•
dated ......... Taft.. 30....., 19.78., 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 .Pr;LTOe. qAq. family .dwelli*g.yith. N.C,.reale state off Joe , rental
...............................
cottage do accessory building Best G. Radford Owner
The certificate is issued to ........... ............................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval ..P" Oxistina .................. .
UNDERWRITERS CERTIFICATE No. .prey .exlsittng . ....... . ........... ... .
HOUSE NUMBER ...8900 ...... Street ....Main .ROAA . (4725).. East. M".rion ...
i
Building Inspector
HOUSING CODE INSPECTION
January 29, 1976
8900 Main Road R-3
East Marion,N. Y.
Tax Roll: Ernest G. Radford
Occupied - Owner
Upon receipt of an application for a Pre -Existing Certificate
of Occupancy, I made an inspection of this two story wood
frame dwelling. I was admitted by Mr. Radford who accompanied
me during this inspection which began at approximately 2:40 P.M.
First floor consists of a bedroom, full bathroom, laundry room,
kitchen with eating area, dining room, living room, and a room
on northwest corner where Mr. Radford operates his real estate
business. Second floor has three bedrooms and a full bathroom.
Heat is furnished to all rooms on first floorfrom a gas fired
hot water furnace located in the partial cellar. Second floor
is not heated. Heat pipes have been brought up to this floor
but radiators are not connected.
Accessory structures in rear yard consist of a small barn with
leanto, a cement block cottage which is rented on a seasonal
basis. Cottage contains one bedroom, a full bathroom, kitchen,
and living room.
The following violation of the Housing Code, Chapter 52, Town
of Southold, was found:
Barn - two windows - broken panes of glass. Article III,
Sec. 52-31 B; Article VI, Section 52-62 B.
Inspection completed at approximately 3:00 P.M.
EH :mm
;Rectfllytted,
j rd 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.
S. 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 ...Vf!/�ICIA��
New Building ................ Addition ................ Old or Pre-existing Building .... x...... Vacant Land ..............
Location Of Property ..�,J...l?/..t11.��4�.i4!�.. ..,13cT ..,!�.IQiIZ�f..-:.hd.e�:.....
Owner Or Owners Of Property...........
—�....................................
Subdivision 5.C............................................Lot No...-":.... Block No...-'... House No.�, 01 .0
.............
Permit No .....................
Date Of Permit
--�_
....................Applicant...,..............................................................
Health Dept. Approval
.....�/./.......................Labor
Dept. Approval
...... N�..........................
Underwriters Approval ........ /nllz� .:.....................Planning Board Approval.✓L/ll_.�r.......................
Request For Temporary Certificate ........................................ Fina) Certificate ......../........................
Fee Submitted $ ..415 ... .....................
Construction on above described building and ermi meets a app scab es nd regulations.
Applicant ..... .�.�.. ..............
`I 2-g 76
Sworn to before me I y�
..........� day o ....... ............ ..E' (stamp or sea y 10 /
Notary Public 9��*/'
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