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Home My WebLink AboutZ-6744No.z(71P ....... FORK NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy Date..........Ocober 22 a 19 75 ...t. ... THIS CERTIFIES that the building located at �. Oak Ave. Str t Goose Bay EstatesSoizthold,I'... Map No. .11.7.5 ...... Block No. .XZ ....... Lot No. 2281. t.Q .28.5 .iw,) .............. requir•ei.'ents for one fa ;ily dwelling 6 -housing code conforms substantially to the built -efore Certificate of Occupp�ancy dated .... -hp ril .23.7........ 19.57. pursuant to which �� in No. Z674 .. is dated .....Qcto.b.Qr. 22, ....., 1975.., iiis 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..Qne. (.Seasonal) .......................... The certificate is issued to .penis .G.. IUchaal. Salziaann ... (owlnQxs)............... ( owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .... Pre-Existi g ................. I........... UNDERWRITERS CERTIFICATE No. .... pre -:existing . ............................. HOUSE NUMBER .6 59 ......... Street .. yak Ave ............................... ........................................................................... ............ .......... . Building Inspector 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 or topographic features. 2. Sworn statement of owner or previous owner as to 3. Date of any housing code or safety inspection of formation required to prepare a certificate. lines, streets, buildings and unusual natural use, occupancy and condition of buildings. buildings or premises, or other pertinent in - 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 .. .t......rJr.�..... New Building ................ Addition ................ Old or Pre-existing Building ... ..... Vacant Land .............. Location Of Property'A �` - ll 1. Owner Or Owners Of Property . /1�1. .... �. Q...��.�r%.0. 1/ . ................................................ do ;i� d&.A.f�j s QT .... Lot No. ��... Block No.... G :.. / ~� .House No.. .� Subdivision ................�{.i.� �Yil7s' ltK11-• Permit No. .......... Date Of Permit ...... ...........Applicant.................................................................. Health Dept. Approval .... .✓�- ........................Labor Dept. Approval ....../.1/ ....�......................... Underwriters Approval ....�//i� .........................Planning Board Approval ..................... Request For Temporary Certificate ........................................ FinQ] Certificate ................................. Fee Submitted $ A%......�......................... Construction on above described building and permit meets allicable codes and regulations. Applicant.�! ...�. ..............:.............................................. Sworn to before me this ................ day of ............................................ (stomp or seal) �`,je/c)e/Z Notary Public .................................... County / HOUSING CODE INSPECTION October 20, 1975 650 Oak Avenue R-1 Southold, New York Sub. Div. - Goose Bay Estates Map #1175 Lots- 1/2 281 to 285, inclusive. Tax Roll: Denis & Michael Salzmann Seasonal 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. Denis Salzmann and began this inspection at approximately 2:10 P.M. The building consists of three bedrooms, kitchenette, bathroom, living room, enclosed porch and an attached one car garage. Construction is light framing, vertical siding, shell only. Heat is furnished to building from an oil fired warm air floor furnace. Foundation is cement block with crawl space and partial cellar. A utility room on the east side of garage contains water pump and gas fired hot water heater. The following violations of The Housing Code, Chapter 52, Town of Southold, were found: Kitchenette: Gas cooking range, no shutoff valve at unit. Article V. Sec. 52-52 B.2. Fireplace Inner hearth disintegrating (no fire brick), entire poured cement structure shattered through to rear, (Bedroom side) - wood trim above fire place opening charred. Article V, Sec. 52-41 B -C. Space Heater: Free standing in living room - gas fired, no shut-off valve at unit - vent pipe not securely connected to unit. Vent pipe not insulated (properly) through opening of building's wood siding. Article V, Section 52-52 B-2, Sec. 52-54 A.1.2. & B. Housing Code Inspection Page 2 Denis & Michael Salzmann Goose Bay Estates Map #1175 Bathroom Floor covering not tight. Article III, Section 52-32 D. Waste line from tub run through wall to exterior of building above ground and is connected to dry well on westerly side of building. Article 52-51 C.l. Floor joist:End joist and sill under porch door and porch flooring rotted and deteriorating. Article III, Sec. 52-30 A. - C. Cellar: Cement footing near cellar entrance, supporting foundation on north side bearing soil being undermined. Article III, Section 52-30 A., Section 52-31 A. Inspection completed at approximately 2:45 P.M. Respectfully submitted, EH:mm E ward Hin ermann Building Inspector RENSSELAER G. TERRY, JR ATTORNEY AT LAW 52645 MAIN ROAD N SOUTHOLD, N. Y. 11971 (516) 765-2300 d 7- 9� _ �. 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