HomeMy WebLinkAboutZ-5690FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z56.90...... Date .............Dec ,.11......., 19.73.
THIS CERTIFIES that the building located at .4/A .Youngs. Ave .......... Street
Map No. xx ......... Block No. XX .......Lot No. .XXX .. Southold ... N.Y...... _ . .
e uirements for one ' agi3y dws.".lin
conforms substantially to the A�.CjJttrachoioai�t�ri�trnY
at before Apr 23 19 5.7. pursuant to which fNoecupancy
dated ......... Dec .....1.i.... , 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 ..P.rivate . one. family. Ave.' ling ......................................
The certificate is issued to ... Zrne.st.,!,.:LUth..itositzke ......Gwtzers..............
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .... pre -!.existing ................
UNDERWRITERS CERTIFICATE No. nre,- . ex! s t .n g ............................
HOUSE NUMBER .....670• • • . • . Street .... Your•F.s .Arc ......................... .
( . ................
Building Inspector
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z56.99 ...... Date ............. Dec... 1 1....... , 19.73.
THIS CERTIFIES that the building located at lD .Xgppg;. Ave.......... Street
Map No. XA- ......... Block No. = .......Lot No..xxx .. Southold .... .Y •....... .
re uirements for one ` ar.:Ily c3:: . lin
conforms substantially to the Q}¢tX1Rlj¢{�'y�x���tDLS X
�c�t before p p '�e occupancy
........ A x..23..... 19 5.7.. pursuant to which � o. zrl90. .
dated .........C-ec......t.i...., 19.7-3., 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 . Yrivate. one. fanily..dwe-.ling......................................
The certificate is issued to ...rnevt...::ati..du3i:;;;be...... 6,WL. --rS ..............
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .... pre- . eristing
................
UNDERWRITERS CERTIFICATE No. .nr. e-. Q.xl s.+.i.n g . ............................
HOUSE NUMBER ..... ;,...... Street .... Yourrs ..4.-e ......................... .
....... �... ........ .
Building Inspector
TOWN OF SOUTHOLD
OFFICE ❑F BUILDING INSPECTOR
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y. 11971
HOUSING CODE INSPECTION
December 10, 1973
670 Youngs Avenue
Southold, New York
Tax Roll: Susie Thompson Est.
Unoccupied - New Owner: Ernest Rositake
TEL. 765-2660
Upon request of the Southold Town Building Department,
I made inspection of this one family framed building
and found the following violations of Chapter 52
Housing Code, Town of Southold. I admitted myself to
front entrance with key left on premises per Mr.
Resitzkes' instructions.
The building consists of two bedrooms, living room,
dining room, kitchen, bathroom, and has a full cellar.
The building is heated with a warm air furnace located
in cellar with floor outlet located in northeast end of
living room.
Bathroom: No moisture resistant flooring. Sec. 52-56.
A-4 (Toilet bowl removed in process of repair - rotted
section of floor).
Kitchen: water pipes not connected to sink, in
process of replacement. Gas range, no shutoff of valve
at unit. Sec. 52-52 B-2. Refrigerator and gas cooking
range in unsanitary condition. Sec. 52-62 A. Cabinet
over sink covers wall light fixture. Electric box and
fixture not secure. Sec. 52-56 A-1.
Cellar: Inside stair - no handrails, two open sides.
Sec. 52-27 B. Opening at seal of smoke stack for
furnace at chimney thimble. Sec. 52-54 A 1-2. New
hot water heater not hooked up.
Housing Code Inspection
December 10, 1973
670 Youngs Avenue
Southold, New York
Front entrance: Wood platform and two steps, bottom
step and front board loose and end rotted. Sec. 52-30 A.
Inspection completed at approximately 10:45 P.M. Key
was left on premises.
R pectfully submitted,
Edward Hindermann
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 complionce 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...
November 15 1973
t.................
New Building ................ Addition ................ Old or Pre-existing Building XX........... Vacant Land ..............
Location Of Property .... NewYork.......................................................
Owner Or Owners Of Property Ernest.....Rosit2ke........aand...Ruth....Rosit2ke........................................
PY............................................................
Subdivision..............................................................Lot No. .... -...... Block No............ House No... .......
Permit No. ...--............ Date Of Permit ..... .--.......... Applicant ...-............................................................
Health Dept. Approval ..Labor Dept. Approval 7:7 ....................................
................................................
Underwriters Approval -- ...................................Planning Board Approval .-- ........ I.........................
Request For Temporary Certificate ....-- ............................... Final Certificate ..........................................
Fee Submitted $ 5.•.00 ..........................
Construction on above described building an� eets a p licable codes and regulations.
Applicant .... l
nn ..............
Sworn to before me this /`4-c- f 0 l S 73
November 19 73 ow, o Z ` Q d
........i..... day of .......................:.................... (stomp or seal) y $ C1
e• L.. •• County ROBERT L. POUCEL, JR.
NotaryPublic ... Notary Public, State of New York
No. 62-8421625, Suffolk County
Commission Expires March 30,19 4
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