HomeMy WebLinkAboutZ-9122NO. ·
TOWN OF $OUTHOLr}
BU~.r}ING DEPARTMF~T
Town Clerk'e Office
Southold, N. Y.
Certificate Of Occupancy
Date Ju.ly 21 19. 78
THIS CERTIFIES that the building located at 2905.. ~Bayshore. Road ..... Street
Map No..~.32t~ ....... Block No ........... Lot No ...... 5ri .........................
REOU~S FOR ONE FAMILY D%rl~LING BUILT BEFORE
conforms substantially to the fl~,.ti~.~
CmTIFIClTE OF 0CCI/PANCY
datea .... ~.?.r.~5...2~ ....... , ~.7.. p~uant to
da~ .... g'.'~r..2~ ........... , ~.
men~ of ~e appUcable pro~sions of ~e law. The occup~ for w~ch
~ ~ ....... ?~y~.~ .~..~?~. ~~ .................................
The certificate is issued to ...... V..e.r.a..R.:. R.a.s..c.o.e. .................................
(owner.~~.~9~
of the aforesaid building.
Suffolk County Department of Health Approval ......... . .P~.e..-.E~..i.s..t.t~..g. ............
UNDERWRITERS CERTIFICATE No ................... P.z'..e.-..~c.t..~.~.i.n..g ............
HOUSE NUMBER 2905 Street ;B~.shor. e Road , ...
Building ln.~pector
~o
TOWN OF ~OUTHOLD
Building Delm~tment
Town Clerks Office
Southold, N. Y. 11971
ct77 - I ? ~ ~
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
Inspector with the 'following; for ~ew 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.
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
Dote ~2 --/'7- 7f/
New Building .................... Old or Pre-existing Building ....... .'~ .............. Vacant Land ............................
........-- ...........
Location
Of
Or ...... ...................................................
Owner
-- ~~.~..~~ ......... ~o~ No..~... ,,~ .o ............. .o...o .............
Subdivision
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 and~ermit meets all applicable codes and regulations.
Applicant ....~.~.~....~/~ ..... ~,~~
Sworn to before me this
................ day of ............................................ (stamp or seal)
Notary Public .................................... County
Housing Code Inspection
July 20, 1978
2905 Bayshore Road
Greenport, New York
Sub. Div.: Peconic Bay Estates, Lot 50
Tax Roll: Vera R. Rascoe
occupied: Adam J. Rascoe
Upon receipt of an application for a Pre-Existing Certificate
of Occupancy I made an inspection of the buildings at the above
captioned premises. I was admitted to dwelling by Mr. Rascoe who
accompanied me on this inspection that began at approximately 10:50
A.M.
The dwelling is a wood framed one and one half story structure
constructed on a clay tile foundation. First floor contains a
kitchen, dining room, living room with fireplace, three bedrooms,
full bathroom, half bathroom, glass enclosed porch on rear of
building and a side entry vestibule. Second floor contains three
bedrooms and a full bathroom. Heat is furnished to building from
an oil fired warm air furnace located in partial full cellar with
heat outlet in dining room floor. Domestic hotwater is furnished
to all plumbing fixtures within building from a gas fired hotwater
heater in cellar. Accessory structures consists of a wood framed one
car garage and a wood frame storage accessory shed. These buildings
are located in front yard area on premises.
The following violations of the Housing Code, Chapter 52, Code
of the Town of Southold, N.Y. were found:
Entry-to vestibule, no means of controlling light in room at
point of entry. Article V, Section 52-56 B.2.
Half bathroom-floor covering at base of toilet not tight and
deteriorating. Article II, Section 52-32 D.
Bathroom-second floor, inside room no mechanical ventilation.
Article II, Section 52-26 B.4.b.
Inspection completed at ~
approximately 1~3~10 A.M. ,
Re~tful/y~submitted,
EDWARD~HINDERMANN
Building Inspector