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Home My WebLink AboutZ-5035FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z . 5o35..... Date ............March ... ... 1973 THIS CERTIFIES that the building located at VIS. Cedar. .Beach .Road ... Street arkk Map No.Ck-s3.nr. J]IRach)3�oc No ........... Lot No. .18 ..... 8=t.hQ1d... N.Y.•......... conforms substantially to the a uir®mets for one family dw11 elling &Housing code i�t before certificate of occupancy a e ...April .23...., 195.7.. pursuant to which =No.11503.5 . . dated ......... iaar .....14 ..., 1973., 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. 41ve fling ..................................... The certificate is issued to Andrew. .& .Jeanette .Shlpnlfe .......Owners. _ ......... . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...pre -..existing .................. UNDERWRITERS CERTIFICATE No.... pra .-r. exlst ri.g ............................ . IIOUSE NUMBER ... 28.55 ..... Street ..... Cedar.BoAch.Road .............................. ........................................... ....................... I.............. 4W. - Building Inspector HOUSING CODE INSPECTION July 28, 1975 20 Atlantic Ave.*& Bridge St. Greenport, N.Y. Tax,Roll: Lawrence'Lakowitz Occupied - Owner Upon receipt of request for a Pre -Existing Certificate of Occupancy, I made an inspection of this two story framed dwelling. I was.admitted to'building by John P. Kowalski who. accompanied me during the inspection which began at approxi- mately 3:30 P.M. - The first floor consists .of an enclosed front porch, living room, eat-in.kitchen, dining room and half bathroom. The second floor has two bedrooms, -storage room off northwest bedroom, and a full bathroom. A one'car garage'is attached to the north side of building. Heat is furn ished to all rooms on the first floor only from an oil fired hot water heater located in partial full cellar. The following violations of The'Housing Code, Chapter 52, Town of Southold, were found: Front porch - entrance, no means of controlling light in building at point of entry, Article V, Sec. 52-56 B.2 Corner post at south end of porch, supporting porch, roof rotting. Article III, Sec.,52-30 A. Roof - south side, shingles missing.,. Art. - I,II, Sec: 52-31 C. Open Yard:'area - rear of building, accumulation of, refuse in form of old automobile tires and wheels,auto crank case, oil-tank,vaste'paper,.. fire ,hose,,cafts,motor parts„' automotive and marine,.- old wood door and scraps of'lumber. Art. VIj Sec. 52-61 D. Inspection completed at approxi ely 3:50 P.M. pec u•ly submitted, EH:mm wa l cdermann -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 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 Date .,.,,March 9z, 1973 ... New Building .................... Old or Pre-existing Building ......... X................ Vacant Land ............................ Location Of Property Cedar Beach Park, Bayview.... Southold,„ New York oPy .... ....................... Owner Or Owners Of Property ...Andrew J. and Jeaniette R, $h ,,,,,,,,,,,,,,,,,,,,,,,,, ..... ..... ..... .... ........ Subdivision.........MaP ....... of C. dar ... Beach Park ,Lot No. ..18.....� No.....90... 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.. 0.0 ....................... Construction on above described building a er 't ee a I' a es regulations. Applicant . ........ .............................................. .. ................. n, E q., as attorney for Sworn to before me this Andrew J. and Jeany ette R. Shipule 9th day of ...Marchs.J.97.3............... Notary Public ....... Suffolk. „ County (J �`�R ED W. KAELIN, JR. I v Notary Public, State of New YorK Resic'in, in Suffolk Cmgty No, 52-7135315 7V Commission FxF,7,es A9arrh 30, 19 (stamp or seal) );.0.-1'{ f S 3 C1,4,2_ 57 3 5— ;B�y l�