HomeMy WebLinkAboutZ-7970VQWK ao. a
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No.M79....... Date ............ Oct... 21......., 19.77
THIS CERTIFIES that the building located at . WA. WO. JAW.......... Street
Map No... XX ....... Block No. ..Zit ...... Lot No.. XX.. ft.4e4p43t.. AJ?.........
qqujconforms substantially to the re eh s o o f llNJ & u Code
built o r fic to of occupancy
dated ... before •Apr. •23• • ., 19.§7. pursuant to which o. 27970
dated ...........Oct. 21 ...... 1977.. , was issued, and conforms to all of the require -
meats of the applicable provisions of the law. The occupancy for which this certificate is
issued is .PrIvate..Que. .......................................
The certificate is issued to . X9=eth .Q,. Rngers. A.w1fe.... owners ...............
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .pmAxl.%UD9.....................
UNDERWRITERS CERTIFICATE No. .PF® q4,A ung ............................
HOUSE NUMBER ..... 1$5..... Street .... Xnlet .Lana......QreeRRQrt.......... .
................................................................................
Cu%ti
......................................
Building Inspector
HOUSING CODE INSPECTION
October 20, 1977
#185 Inlet Lane R-1
Greenport, N.Y.
Tax Roll: Kenneth C. Rogers & wf.
Unoccupied
Upon receipt of an application for a Pre -Existing Certificate
of Occupancy, I made an inspection of this one and one-half story
wood framed dwelling. I was admitted to building by George
Wetmore Realtor, Main Road, Greenport, New York, who accompanied
me during this inspection that began at approximately 2:00 P.M.
First floor has a living room, bedroom, full bathroom,
kitchen, dining room and front entry hall. Second floor has
two bedrooms and a half bathroom. Heat is furnished to all
rooms from an oil fired forced warm air furnace located in
full cellar of building's cement block foundation.
The following violations of the Housing Code, Chapter 52,
Code of the Town of Southold, New York, were found:
Second floor - ceiling above top stair landing, paint
is peeling from wood trim, wood is moist and floor
below was wet from apparent leak in roof, Article III,
Section 52-31 C.
Entry - front door, no means of controlling light in
room at point of entry, Article V, Section 52-56 A 1.
Electrical - in cellar, open junction box on south
wall, connection for underground wire for pole lamp.
Wall outlet on north wall requires plate. Light switch
on north wall east of exterior cellar stairs requires
plate, Article V, Section 52-56 A 1.
Stairway - interior from first floor to cellar, open
on two sides, Article III, Section 52-27 B.
Inspection completed at ap oximately 2:20 P.M.
Res ec va lya mitted,
Edward indermann
Building Inspector
EH:med
FORM N0.6
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 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 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"
fond 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 .....10/12177 ........................
New Building .................... Old or Pre-existing Building .......N................... Vacant Land ............................
Location Of Property ........ 11410t...TAkn.a ..Qr.P.QAP. rt......Nebo..XQ3zX..................................................
QSwner Or Owners Of Property ..........wi;�e.....................................................
ubdil ision 1 .�..!f v �' 3
......................................... Lot No............. Block No............. House No.............
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 $ .5...R0 ..........................
Construction on above described building and permit meets all pplicable codes and regulations.
Applicant....... �.:... . .............. ..........................
Sworn to before me this 10t
0/b elo
day of..� ti �:�..,.�i!��r�.. (stamp or seal) ,D
Notary Public >4.U.(aSQ/j........ County
MARY ELLEN 11"GILAArE
NOTARY PUBLIC OF NEW J>?SEY
My Commission Expires May 3,1971?
ZO 1?77