HomeMy WebLinkAboutZ-6066FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. 46066...... Date .............August
.. 23 ...
2 19..71+•
THIS CERTIFIES that the building located at
..'wi/S...Bay
-Ave............
Street
Map No.. xx........ Block No. .xx ......Lot No. ..XX .... Zas.t YC,;r.LQit.. Ki.Y......
conforms substantially to thc� ou Code
aaAt. pefore. ,A 4l .2 . ��te o Occupancy
. P. �. 19.5% pursuant to which °• 26066
dated ......... Augu,st .. 2-3,., 197.4., 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 .....................................
The certificate is issued to . Dr. .Armand . Rose .....Owner ........................... .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval....pror.ex1stIng..................
UNDERWRITERS CERTIFICATE No. . pre-existing ............................
HOUSE NUMBER .... 6.00...... Street ..Bay. Ave ................................
,V
.:.. .............
Building Inspector
HOUSING CODE INSPECTION
August 23, 1974
600 Bay Avenue
East Marion, N. Y.
Tax Roll: ARMAND M. ROSE & WF
Occupied: Owner
Upon receipt of application for a Pre -Existing Certificate of
Occupancy, I made inspection of this one story framed dwelling
arid,the following violations of the Housing Code, Chapter 52,
Town of Southold, New York. I was admitted to dwelling by
Mrs. Rose and began inspection at approximately 10:10 A.M.
The building consists of a kitchen, dining room, living
room, two bedrooms and a full bathroom. Heat is furnished to
all rooms from gas fired steam heat furnace located in full
cellar.
Kitchen -gas range, no shutoff valve at unit.
Article V, Section 52-52 B.2.
Living Room - Lamp cord outlets on bookcase. Article
V, Section 52-56 A.1.
Attic finished and is used for guest sleeping quarters.
Head room is under seven feet six inches (7'6") and does not
meet minimum requirements of Zoning Ordinance, Chapter 100,
Article I, Section 100-13. Floor area livable.
Exterior of building and grounds in good order.
Inspection completed at approxiai�tely 10:55 A.M.
Res, ectfully somitted,
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Building Inspector
P-Lz �k� azel_ - ^ . L177- r 0 6
G 3 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 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 ... A
.`�
New Building ................ Addition ...... ....... Old or Pre-existing Building .. Vacant Land ..............
Location Of Property .....l.aJ.y..... .......... ..............C�!�r.......................
Owner Or Owners Of Property .......a........ °`^ -.L....... ...............................................................
Subdivision .................... .......................................Lot No......L..�Biock No. .... House NoX00...
Permit No ..................... Date
Of Permit ...................Applicant...................................................................
Health Dept. Approval ...1../u.. ............Labor Dept. Approval..............1.....��.....................
a.�
Underwriters Approval ....P .-...."..........Planning Board Approval ..... N....R......................
Request For Temporary Certificate ........................................ Final Certificate ....................................
ao
Fee Submitted $ ....................................
Construction on above described building and rmit meets all a W�aes aregulations.
Applicant....... ....................................
Sworn to before me this
/. day of ....... .............../� % (stamp or sea[)
Notary Public ...... County
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