HomeMy WebLinkAboutZ-5120FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z .5120 .... Date ............. tay .. 2........ , 19.73.
THIS CERTIFIES that the building located at .. S/P. main. ?i044 .......... Street
Map No.
. XX ....... Block No. XX ....... Lot No.. x= ... S.outhol.d ... .......
conforms substantially to the re ui ,e! t Pr o e f i1 rrel
t before er ifi ete.op occapane
April. 23 19.52. pursuant to which �C1Vo. 25120. .
dated ........... l ay...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......................................
The certificate is issued to ..Rober.t . D.,..Sveezey....... Ovaer .....................
( owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval P.Te-. a.Xisting....................
UNDERWRITERS CERTIFICATE NO..pre. 4 . eX1S!UPg ........ . .............. . ...... .
HOUSE NUMBER.. 5.5810 ..... Street. ..4e 4 .Road ....................................
.................................................................................
EXCEPTIONS TO HOUSING CODEs —
see reverse sides r
Building Inspector
HOUSING CODE INSPECTION
May 2, 1973
55810 Main Road
Southold, N.Y.
Tax Roll: Robert D. Swezey
Occupancy - seasonal
Upon request of the Southold Town Building Department,
I made inspection of thps one and one half story framed
dwelling and found the following violations of Local Law #1,
Housing Code, Town of Southold. I was admitted to front
entrance by Mrs. Swezey and began inspection at approximately
9:30 a.m.
FIRST FLOOR
Room, northwest side of building: Plaster ceiling
cracked and loose - Section 303c.
Kitchen: entry, west side, no means of controlling
light in room - Section 529b.
Bathroom: inside, no mechanical venting - Section 215d.
Room, southeast corner of building: Entry, no means of
controlling light in room - Section 529b.
Cellar: Partial, sewage pipe running into crawl space
through foundation wall,area around pipe, on wall and
floor wet, point of leaking not detectable - Section 502b.
SECOND FLOOR
Stairway: Switch broken controlling light in upstairs
hallway to allow safe ascent of stairway - Section 215c.
Two rooms being used as sleeping quarters do not have
sufficient headroom -Building Zone Ordinance, Article I,
Section 101, Floor Area Livable.
Bathroom: Floor covering at base of toilet bowl rotting -
SecT-303d.
Inspection completed at -,approximately 10:15 a.m.
jRespecWl-rMnermann
submitted,
EdwardEdward
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 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 �.' ! /
Dote........... ....,i .............
New Building .................... Old ..&
Ab Building ......... X............. Vacant Land ............................
Location Of Property s�-S 11!.14 (� IQ D . SO cJ % .Q L� /v:...1/ ....................
. ......... (.:•..
Owner Or Owners Of Property
....... 404.Sxa�"�•••./.... ............. ............................................................'1
Subdivision ................. ................... Lot No............. Block No...Y .......
.u....... Hquse No:5..........
�/�
Permit No ..................... Date Of Permit ....................Applicant k.j..(. A... C.......... .
Health Dept. Approval ............................................Labor Dept. Approval ................................................
Underwriters Approval ..............................................Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate .... X.................................
Fee Submitted $Jc. .......................
Construction on above described building and permit.Meets all applicable codes and regulations.
Applicant...............' V. "// ...................................................
Sworn to before me this LCounty
Zlayday,Qf ............. .....f:7 ..... (stamp or seal) �S1Notary Public.........
3 v1FLEE rout /f/
1107ARY PUBLIC, State of New York 141— f JI
573 Nn_ sz- -
'2j Qualifleu :;u:r:c:!:; Ccunty
Commission E>Inc� ',:2i ch 30, 19 i`'1
I