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Home My WebLink AboutZ-6527FORM NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk'e Office Southold, N. Y. Certificate Of Occupancy No. 26527....... Date .............Jun!... 7...... 7 19 ?? . THIS CERTIFIES that the building located at ..Old Salt Road ....... Street Map NoSalt ,lake Vi$44Ll1o, .... , . , , ..Lot No. 5.4. pt 6. , . Mattituc.. N.Y. . u req_ iren _me_ ts_ for one family dwellinL& Housing Code conforms substantially to the- iEC W] t before certificate of occupancy ........ Apr. ?.3 ....., 19.. 5.%pursuant to which 7 No.Z .6527 dated ........ June ...�7.....1 1975 ., 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 .. PriYat4 . one .P"47. dWellinit .............. . . .. . ........ . ........ . The certificate is issued to ..44X4rd. Rgynolds................................... . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .pre' existing .............................. UNDERWRITERS CERTIFICATE No. pre— exi.sting. .................................... HOUSE NUMBER .... $55 ...... Street . odd . Salt . AA44......................... ............................................. ii� ............... ...................................... . Building Inspector HOUSING CODE INSPECTION June 17, 1975 #855 Old Salt Road Mattituck, N. Y. Sub. Div.: Salt Lake Village Lot No. 5 and 50 feet of No. 6 Tax Roll: Edward A. Reynolds & Wf Upon receipt of an application for a Pre -Existing Certificate of Occupancy, I made an inspection of this one story framed dwelling. I was admitted to building by Mr. Reynolds who accompanied me during this inspection which began at approxi- mately 10:50 A.M. The building consists of five bedrooms, two full bath- rooms, laundry room, kitchen, two enclosed porches, a utility room and an attached two car garage. Kitchen and all rooms west of kitchen have a cement block foundation with crawl space. Heat is furnished to these rooms from an oil fired warm air furnace located in utility room. All rooms east of kitchen were built on slab and each room has an electric heater element. The following violations of The Housing Code, Chapter 52, Town of Southold, were found: Entrance to enclosed porch on north side of dwelling - no means of controlling light in room on entry, Article V, Section 52-56 B.2. Garage - Two fuel oil storage tanks, located in garage, fill pipes terminate at tanks. Article V, Section 52-59 B.2. Utility Room - Heat producing equipment - no provisions for air supply for small enclosure. Article V, Section 52-53 G.l. Building and open yard area well main4ained. Inspection com- pleted at approximately 11:20 A.M. r Respectfully/ su itted, EH:mm aEa`r d Hina ann Building Inspector �- � �.5 A fi .. L Y. �..cvY � i"''a fv. � a a { !• k I I /+f.r .•fc«-j^ 7 r,<1� d v�♦^ v cy ' L`f ..s♦ 4<v •\,u 4\ �.•r F •� "�/� /// ♦ 4 '•.3� '� .. '. ... n�„V„ y } :{ate \ .r-! .. , a r x•+ 1 i, _-. ,a f` '.,r ,�J� a�• ya .f ' ;�f�c hi �w- \ r „ J1�a� �h :-•rxi.. I.•s J•�y �/ �,� � } 1 X5.7. 0 ,.7J>C� / � / ��v 1 ., r f r�` s yi •�1 �v � s � N�, y •c � ..- � Y IF ,t Lo a44o `, r' . t4 -, • e� , , �'} ate., rr IF J '• � 1•T f� 4 r t t S�1 /� QV .ate r f i J/ P S ti 1 j J o tv SALT o A r.�,. rJ ., Y .•err t ! - ( - p�•a l y � / CL}i a_:. - t I' L Q � �f7�/'' � 1. ' rY < r • /�,,�^•/�/:� ir/�j R' �, p �,// ' i �i /�j UH G%Yl� �S • o ��s� � GS /i�A� ./�%O. � k / 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 t �1 Inspector with the following; for new buildings or new use: to 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 (I 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 // ...........1. .................. New Building ................ Addition ................ Old or Pre-existing Building .... ......... Vac nt Lon Location Of Property l/ "'l. �}lf-IP...�C?-- ................ .... :Nl''�......'��.. �a[ Owner Or Owners Of Property .................a^.. ... .!..1.... ............................................................... %� Subdivision .... ................... .... .Lot No.... ...... Block No............. House No............. Permit No......�...... Date O��f Permit .%(..............Applicant...................................................... Health Dept. Approval ....j 4"- ..........Labor Dept. Approval ...... .. ..................... Underwriters Approval .... ......Planning Board Approval ...�................ Request For Temporary Certificate ........................................ Final Certificate .................................. Fee Submitted $ ... .' ................ Construction on above described building and permit meets all applicable codes and regulations. Applicant.... .......................................... Swom to betore mgV#s jj cc,, :�.7.. day of ............... ... J,..(...7 S..\ (stamp or sealA Notary Public ...... County /Are" +�