HomeMy WebLinkAboutZ-5048FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Cleric's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z5048 ..... Date .............
Mgr ...
26
.... 19.73
THIS CERTIFIES that the building located at
p?t
.Rd).. Street
Map No. ....... Block No. ..XX...... Lot No. X= ... Dist. 10..4rBeAport N •Y..
req , rements f, r. on family dwellin & housing code
conforms substantially to the
before tjfigate..of, occupancy
... Apr.23 ...... 19.5?. pursuant to which 4 CC7�,JFp�UM o. Z5048..
dated .......... March ... 2 . , 19-73., 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 . (summer. occupancy) ................ .
The certificate is issued to valentine. Ruch .IV...... Owner ....................... .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval Prer..axist.ing....................
UNDERWRITERS CERTIFICATE No..Pr!k eP#sting..................................
IIOUSI: NUMBER..1}�5.......Street...Ruch .L•R... ( pvt. -Rd) .........................
$X.ception . to. housing . cods s ..................................................
1. Enterances-fronts kitchen] bath no light switch at point of entry 529b
2. Bathroom: floorcovering deteriorating at base of toilet 303d
3. No heating system -summer occupancy only 513a ........................
Opening in foundation under rear porch 302a u;lding Inspector
HOUSING CODE INSPECTION
March 23, 1973
#425 Ruch Lane ( Pvt. Rd. )
Tax Roll: Valentine V. Ruch
Unoccupied, summer occupancy
Upon request of the Southold Town Building Department,
I made inspection of this one story framed dwelling and
found the following violations of Local Law #1, Housing
Code, Town of Southold:
I picked up Mr. Ruch at his residence, he admitted
me to this building and accompanied me on inspection.
Front Entrance: to living room, no light switch on
entry to control light - Section 529b.
Kitchen: Rear entrance, no light on entry to control
light in room - Section 529b.
Bathroom: outside entrance, no switch to control
light in room on entry - Section 529b. Floor covering
at base of toilet bowl deteriorating - Section 303d.
The building consists of three bedrooms, living room,
kitchen and full bath and is built on a foundation with
crawl space. The bedrooms have no ceilings or wall coverings;
building is not insulated and is not heated - summer occupancy
only - Section 513a.
Foundation is open under rear porch - Section 302a.
Inspection completed at approximately 2:50 p.m.
R pectfully submitted,
Edward in ermann
Building Inspector
EH:tle
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 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"
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 f
Date .... �J'...3.............. 3
New Building .................... Old or Pre-existing Building ......X............... Vacant Land ............................
Pc
Location Of Property ..f ......:'.�f `�.`.�:.K...1, P......... .��(T.. D.).........5.d.: r/-).6) . . .............
Owner Or Owners Of Property 4� ...............................b.�1l�`.......:.`1 ..•.••
....................................................................
Subdivision ..................... k ...................................... Lot No....... Block No......!�.. House No ... ..QZ �r'
Permit No...... ........ Date Of Permit ..... X .......... Applicant ...... .. `:..�.:.IZ ...............................
Health Dept. Approval .........L�X % Dept. Approval ...........�
.......................
Underwriters Approval ........................ ................... Planning Board Approval ...:..x. � �.......................
Request For Temporary Certificate ........................................ Final Certificate .......... 1..�,...........................
Fee Submitted $.:.................................
Construction on above described building and perm' e s all applica code and regulations.
Applicant.. ..........................r............................
Sworn to before me this{�L�13
c�..da o� (oto. �7 "5-0 4(
a`i y .................1...... i (stamp or seal) l/
Notary Public ounty ,� �L G 0 7
TERRI LEE FLAK
NOTARY PUBLIC, State of New York l� /
No. 52-616b_,:
QWiiied in Gd
CoIhoftion Expacs f,larc'a 30, 19
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