HomeMy WebLinkAboutZ-4796FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z479.6 ...... Date ............ Ropt... 5 ....... , 19.
.72
THIS CERTIFIES that the building located at ..H,*. Somd. Ave........... Street
Map No. . =........ Block No. .....Lot No. a=... Mattituek.... N*y.r ......
conforms substantially to the AM 11,41AXASIXXXXI3Xxx
e e
8� before Apra -23 - 19.57. pursuant to whichA occupancy
dated ........ Sept.... 5...... 19.7.2, 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 .16C . Mu] tiplw - res-idene* • (three •apartment -s) . • ... • ......... .... .
The certificate is issued to .Adelaide• -Tuthill • & Kathersne • Baker • - • • - Owners
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .pre-existing• • • • • • . • • ........... .
UNDERWRITERS CERTIFICATE No ..... pr*"0..X141t1A$ .............................. .
HOUSE NUMBER32885....... Street.... Sound- Avej • MOttituak.....................
.................................................................................
Szeeptions to Housing code & Mult. Res law..
see reverse side 1
Building Inspector
Apartment on second floort-
1. No second exit from apartment Sec
2. pantry - need outlet ex for referigerator (using lamp cord)
j. Bedrocmg east. jury rigged lamp cord outlet
.
Living roomq no switch at point of entry, jury rigged lamp
cord outlet no fixture
5. Bedroom, NIB cracked coiling
Rear Apts
1.Bedroom, easts loose fixture in closet
Front apts O.K.
Cellars O.K.
52 21 a
8 a
528S,&b
303 e
528 b
HOUSING CODE INSPECTION
September 1, 1972
12885 Sound Avenue
Mattituck, New York
Tax Roll: Henrietta A. Tuthill Estate
R-3 Tenants: Rear Apartment - Anthony Gorgie
Front Apartment - vacant
Upstairs Apartment - Edward Kugler
Upon request of the Southold Town Building
Department I made inspection of this two story framed
dwelling and found the following violations of Local
Law #1, Housing Code, Town of Southold. I began
inspection at approximately 11:25 a.m. with the
upstairs apartment and was admitted by Mr. Kugler.
Pantry - Lamp cord extension for refrigerator
to socket type outlet in ceiling fixture -
Section 528a.
Bedroom - east - lamp cord outlet on south wall -
Section 528a.
Living Room - Lamp cord outlet - Section 528a.
No ceiling fixture - Section 208b.
Bedroom - northeast - cracked ceiling - Section 303c.
REAR APARTMENT
Bedroom - east - Closet light, fixture not securely
fastened - Section 528b.
FRONT APARTMENT
No violations
CELLAR
No violations
Foundation - outside - plaster loose and pulling away from
wall - Section 302a.
Accessory Buildings - windows broken panes of glass, loose
and missing siding, roof missing on one section - generally
deteriorating - Section 603b.
I completed this inspection at approximately 12:25 P.M.
ectfulWe
fitted,
J
Edward Hin
EH:tle Inspector
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 dispcsal—(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 ........ A1?'ffl...3la... 1972........
New Building .................... Old or Pre-existing Building ....... g.................. Vacant Land ............................
Location Of Property A/ Sound .Ave ue+ Ka�.it.udg! �M York
...............................................................................................................
Owner Or Owners Of Property Adelaide B. Tuthill and Katherine Tuthill Baker
_ ........................................................................................................ ....
Subdivision .... .45 &... 17z..ke.jN/..� L.. Lot No ............. Block No............. Hous€ No.114 46
PermitNo ..................... Date Of Permit ....................Applicant..................................................................
Health Dept. Approval ............................................Labor Dept. Approval .......................................
Underwriters Approval ..............................................Planning Board Approval ........................................
Request For Temporary Certificate Final Certificate Z
.........................................................................
Fee Submitted $ �.Opo........................... /1 d
Construction on above described building and
Applicant ..............
Sworn to before me this
....Plot.. day of ..August* 1972
a .. .............Suf
Nota Public Notary ................. County
227 4
Notary rubilo
rIf.i
(stamp or seal)
MARY LOU DOROSKI / V
NOTARY PUBLIC, State of New York
No. 52-1000858 Suffolk County
Commission Expires March 30, 1973
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