HomeMy WebLinkAboutZ-4960FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
Date
THIS CERTIFIES that the building located at
............ po"Aber .. 28 . , 19.72
9/8. - Harboo Law . Street
<r
Map No. .. ix= ...... Block No. ... x...... Lot No.. xxx ... fttihogus... N *Y.« ......
P.
conforms substantially to the Application for Building Permit heret'pfore filed in this office
dated ..... . .. . .........Mar.. , 19.66. pursuant to which Buildi4 Permit No. . 3011Z.
dated ...... ....... Mar ...... 19.66., 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 .Pitivate• .one. family. .dwelling........ • ....... i . I ..................
The certificate is issued to ..Richard. Sterling.....Owner• . .............. .
( owner, le4oe or tenant)
of the aforesaid building. 1
W
Suffolk Cou ty Department of Health Approval prs.Xi=tink.....................
UNDERWRITERS CERTIFICATE No... pro- . existing ..........1 ......................
HOUSE I1�UMC3ER............. Street .......................... j:F .....................
Rouain c,6d _ ins ectorin. Dea...27-197-2. .
8xce do to ousing code
1. KitchePs
o fight svithe at point of enter? 529b
2.Living ,o light switith at point of entry 529 ` �� �� ��•y
. Cella ,no lightsv
ithe at point of enterance 21
" ''two lObse electric junction boxes 528b 5��iiltling Inspector
5• " electa box no cover 528&
r
HOUSING CODE INSPECTION
December 27, 1972
1465 Harbor Lane
Cutchogue, New York
Tax Roll: Richard W. Sterling
Occupied: J. Accaso, tenant
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 of the Town of Southold.
I was admitted to the kitchen entrance by Mrs. Accaso
and began inspection at approximately 2:05 p.m. This one
family residence consists of kitchen, dining room and living
room which run together, two bedrooms, bathroom and full
cellar. Heating is central warm air, with.:outlets goineb to
every room.
Kitchen: Entrance, no switch controlling light in room
on entry - Section 529b.
Dining room: North entrance, no switch controlling
light in room on entry - Section 529b.
Cellar: No switch controlling light before decending
cellar stairway - Section 215c. Open junction box to
left of stairs - Section 528a. Two junction boxes not
secured as required - Section 528a, b. Outlet on east
wall of cellar near outside entrance, no plate -
Section 528a.
Inspection completed at appr
EH:tle
Building
Inspector
p.m.
tted,
FORM N0.6
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 $1.00 December 28 72
Date................................................
New Building .................... Old or Pre-existing Building .......XX................ Vacant Land ............................
Location Of Property ..... A/A.... H3Tpor ... J'AA0....................... ............:
............................................ .........
Owner Or Owners Of Property ... Ri h4,rd...5.terl�zg............................................................................
Subdivision ............. .............................................Lot No. ..... =.. Block No. .XX..... House No.............
Permit No..... C........... Date Of Permit ...... XX ......... Applicant ...R.�G e.`�'QX.ry.....Att-Qrx1ey....�!!.�.. °.2..��n
Health Dept. Approval ...... pmer... emiztin$...... Labor Dept. Approval..........N.J14.............................
Underwriters Approval ........ P.re- ... PAiSU149...... Planning Board Approval .... X2EL.................
Request For Temporary Certificate ........................................ Final Certificate......XX...............................
Fee Submitted $ ...5.•.00 .......................
Construction on above described building and it meets all applicable codes and regulations.
Applicant ... .. ... h, !.. � . dal .... ..'./................„, 01 ..�.�”
Sworn to before me this lrV c -7
......... 28.. day of ..... Y..x.4'........ :1972. .............. (stamp or seal)/5/0,?:
Notary Public .................................... County
� c�
---._r___.-..
k