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Home My WebLink AboutZ-6795FORM NO.! TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z6.795 Date ............. Dee .. 3........ , 19-75. THIS CERTIFIES that the building located at ......... Street Map No. X=........ Block No. x= ...... Lot No... XaC .. &QUA iiald .. K. Y........ . conforms substantially to the JP*Qvjrqjw1Ltx Me f&WUY del � ui t e9c occupancy ate .b .oPote . A>>:� .23 .• • • • , 19.rj7 . pursuant to which2 i�0268795... dated .......... DaC..... 3..., 19.75., 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 .P.r.Ipate .PAe..:Vem113.Y. aaces.sory. buildings ....... w The certificate is issued to . Marie. Gates -zl=Ltla...... .Owner . • • ................. . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval rro--. Pxist'_tg.................... UNDERWRITERS CERTIFICATE No. . Pr". m;iWng........................... HOUSE NUMBER .. 53.1.55• • .... Street ....Hain . Road q . Southold ............... ................................................................................ G C Building Inspector HOUSING CODE INSPECTION December 3, 1975 53155 Main Road R-1 Southold, New York Tax Roll: Marie Gates Smith Occupied - Owner Upon receipt of application for a Pre -Existing Certificate of Occupancy, I made an inspection of this two story framed dwelling. I was admitted to building by Ms. Smith and began inspection at approximately 11:00 A.M. First floor consists of a laundry room, kitchen with pantry, one half bathroom, dining room and a two room living area. Second floor has four bedrooms and a full bathroom. Heat is furnished to all rooms from an oil fired furnace located in partial cellar; balance of building foundation is crawl space. The following violations of The Housing Code, Chapter 52, Town of Southold, were found: Pantry, ceiling light fixture broken. Article V, Section 52-56 A.l. Bathrooms (1st and 2nd floors) no moisture resistant floor covering. Article II, Section 52-26 A.4. Bedroom, (northwest), open electric junction box in closet; wall light fixture, broken light socket. Article V, Section 52-56 A.1. Bedroom, (north), broken ceiling light fixture. Article V, Section 52-56 A.1. Bathroom and Hallway (2nd floor), broken and loose plaster on walls. Article III, Section 52-32 C. Secondary.8tatrVay, from second floor to kitchen. No light for safe ascent or descent. Article II, Section 52-26 B.2. Housing Code Inspection Marie Gates Smith 53155 Main Road Southold, N. Y. Pg. 2 December 3, 1975 Hallway from kitchen - ceiling light fixture not securely mounted. Article V, Sec. 52-56 A-1.2. Cellar, electric panel box has no cover, electric junction mounted on floor jdst under laundry room requires cover. Article V. Sec. 52-56 A.l. Chimney - Smoke pipe from furnace and vent pipe from gas fired hotwater heater requires sealing at chimney connection. Windows (cellar) broken panes of glass on east and north walls. Article III, Sec. 52-31 A., Sec Accessory Structure: Two car garage - Four windows, broken panes of glass and window sash missing. Article III, Sec. 52-31 B. Open Yard Area - rear yard, excessive accumulation of plastic garbage containers and large pile of refuse. Article VI, Sec. 52-60, Sec. 52-61 D., Article VII, Sec. 52-72 E. An unfurnished accessory structure in rear yard was con- structed under Building Permit #48272 dated June 29, 1970 for storage. Permit has expired and no Certificate of Occupancy has been issued. Inspection completed at approximately 11:35 A.M. 1pectf bmitted, EH:mm Edward Hindermann Building Inspector 52-63 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 pp.. Date .... C�..... D.... / .. .�.J `.. New Building✓ ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. .. ... . , ... ............................... Location Of Property.................................................::....................�....:......:..:.. Owner Or Owners Of Property ......,,,,,..................................................... ...........................Lot No. — Block No....... � 1. 5 Subdivision .................................... ......... House No Permit No....... ......... Date Of Permit ....................Applicant ?/-5pQSti~st�':� .. Health Dept. Approval ...........:...l.``.........................Labor Dept. Approval ............ . Underwriters Approval......................�.T� .....................Planning Board Approval ........................................... Request For Temporary Certificate................6....................... Final Certificate .......................................... Fee Submitted $.................................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ........... ................ Sworn to before me this . day of .... ......... ............../......... (stamp or seal) /0? 5.5-, Notary Public ....... County liple! o I 1�1661(z- -7�gZZ �-- 77- -Ar Y, -at' - - --- - - -.-- -- --- - --- i wt_,__ -- - - 4r,) a