HomeMy WebLinkAboutZ-6787FORM NO. !
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. ZMY ...... Date ........... Nov, ,18......, 19.15
THIS CERTIFIES that the building located at ..N/S. .tiecljanic..St. East.. Street
Map No. ....... Block No... X= .... Lot No, =.... goutholc�: Dl y ........ .
reqgJrpma t o o e fly dwe3lin & Rousin code
conforms substantially to the
....07-8neqdatAu'lt.. before. 19..�? Pursuant to which 267
dated ......... N ov....18..... , 19.7.5., 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 Ps3va,ta .one..fanzj..i.y. (uxo? king...with .accessory.blailding .........
The certificate is issued to . Chas.. i'urner •&. i I.Ve..(..11argurite. Turnex) . owner.
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval Prew . existing ....................
UNDERWRITERS CERTIFICATE No. ..pro -r. existing ...........................
HOUSE NUMBER ......185..... Street ..... l+iechanic . St .East .................
......
Building
.
Building Inspectol
HOUSING CODE INSPECTION
November 17, 1975
185 Mechanic St. East R-1
Southold, New York
Tax Roll: Charles Turner & Wf.
Occupied, tenant, Thomas Czelatka
Upon receipt of an application for a Pre -Existing Certificate
of Occupancy, I made an inspection of this two story framed
dwelling. I was admitted to building by Miss Czelatka who
accompanied me during this inspection which began at approxi-
mately 10:10 A.M.
The first floor consists of a living room, dining room,
kitchen, bedroom with a half bathroom. Second floor has three
bedrooms and a full bathroom with a walk-in closet. Heat is
furnished to all rooms from an oil -fired hot water furnace
located in cellar.
Foundation is cement block, partial full with crawl space
at north end section.
The following violations of THE Housing Code, Chapter 52,
Town of Southold, were found:
Bathroom, second floor, wood floor, no moisture
resistant floor covering. Article II,
Section 52-26 A.4.
Bedrooms, second floor - northeast room accessible
from north and southeast bedrooms only.
Article II, Section 52-24 D.2.
Cellar, no hand rail on open side. Article II,
Section 52-27 B.
Accessory structure, two car garage, cement block construction.
Buildings and grounds in good condition. Inspection completed at
approximately 10:30 A.M.
;Re,'ectfull submitted,
EH:mm 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 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 /(%�J�� _
Date .. .�.7.Z� Z� .....
New Building ................ A/d�dii ion ................ Old or Pre-existing Building . L .. Vacant Land ... .....
Location Of Property .. ! r.....rf••►A.^ ....�F.:......Rr�t.:......�
Owner Or Owners Of Property .... U.!`. . .
Subdivision.......X....................................................Lot No. .X..... Block No............. House No..l0..t1..
Permit No. ....... _><�....
Health Dept. Approval
Underwriters Approval
Date Of Permit S...............Applicant ............................................................
1/�r 7*!a..s ..............Labor Dept. Approval...........1:/....'L.......................
. ................. Planning Board Approval ... . .�'............................
.... . .... ..
Request For Temporary Certificate ........................................ Final Certificate......�...........................
QZ7
Fee Submitted $......... ...........................
Construction on above described building and i appli able c s and regulations.
Applicant............................. . ..................... ..�.�/.................
Sworn to before me this �! "
9 67� 7
.........[. day of ... `..�.°...1 ��.7. .......... (stamp or seol)
�L�!r
Notary Public ...... .... County C=�� � `
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