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Home My WebLink AboutZ-9541FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No...Z.9.5.4.1. .......... Date ................ Malt. 3,1..~, .........19 THIS CERTIFIES that the building ................................................ Location of Property . ~4 5 ...... Hummel. Avenue,. Sc~utholXl,. New. Yo.~k ....... ~/~r~/e~ House No. Street County Tax Map No. ]000 Section ...063 ...... Block .. 2 ............ Lot .. 3..8 ............ Subdivision .............. ~ ............. Filed Map No.. ~ .... Lot No .... ~-)E ...... ...... Alaril. ·23, ..... 1957. pursu~:[:i~l~i~l~~]~I]~.c,y. 2. gS4~ ............ dated ............ ~. 31., ........ 19.7 9, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... · ~[~ .O-:~Ai.~h3~. D2/,t~,~,d,u ........................................ The certificate is issued to ... J.OA~lPh/,nO. ¢....Turner ................................. {ownor, Ioasoo or t*n~nO of the aforesaid building. Suffolk County Department of Health Approval . .Pre.--,Ex:Lsting .......................... UNDERWRITERS CERTIFICATE NO .......... Pre.-llxtst3.ng .......................... Rev 4/79 Building Inspector BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. Location Subdivision Name of Owner(s) Josephine S. Turner HOUSING CODE INSPECTION REPORT 545 Hummel Ave Southold, N.Y. (number & street) (Municipality) Map No. Lot(s) Occupancy R-2 · j. (type) Admitted by: Mr. Vazquez Tenant (owner-tenant) Accompanied by: Mr. Vazquez Key available Suffolk Co. Tax No. 1000-06~-2-18 Source of request David L. Whipple III Date May 29, 1979 DWELLING: Type of construction Foundation brick Total rooms, 1st. Fi Bathroom(s) Porch, type Breezeway RIGHT APARTMENT wood framed #stories Cellar DartialCrawl space 3 2nd. FI 2 3rd. FI Toilet room(s) Deck, type Patio, type__ Garage Utility room Type Heat gas pipeless Warm Air X Fireplace(s) No. Exits Domestic hotwater yes Type heater Other ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Hotwater Airconditioning,, ~as NONE Storage, type const. Guest, type const. two VIOLATIONS: Location Stairs up Kitchen Back door Front oorch Sidewalls of House Housing Code, Chapter 52 Description stairway too narrow no shut off --gas stove needs reoairin~ badly sills & floor bad lots of broken shingles , Art. Sec. II 52-27 A .III 52~-2 III 52-50 C ITI 52-50 TTT 5P-50 C Remarks: 0nly one 60 AMP electric service for two family dwelling Inspected by: Curtis Horton Date of Insp. May 31, 1979 ~7~ Time start 9:30 end 10:30 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. Location Subdivision Name of Owner(s) Occupancy Admitted by: Key available HOUSING CODE INSPECTION REPORT 545 Hummel Ave (number & street) R-2 (2ype) Mr. Vazquez Source of request Map No. Southold, New York (Municipality) Lot(s) Josephine S. Turner Tenant (owner-tenant) Accompanied by: Mr. Vazquez Suffolk Co. Tax No.1000-063-2-18 David L. Whipple III Date May 29, 1979 DWELLING: LEFT APARTMENT Type of construction Wood Foundation brick Total rooms, 1st. FI 3 Bathroom(s) 1 Porch, type Deck, type Breezeway Garage Type Heat pipeless gas Warm Air X Fireplace(s) No. Exits Domestic hotwater yes Other ACCESSORY STRUCTURES: NONE Garage, type const. Swimming pool Other framed #stories two Cellar partial Crawl space X 2nd. FI 3 3rd. Fi 1 Toilet room(s) 1 Patio, type Utility room Hotwater 2 Airconditionin~ Type heater gas Storage, type const. Guest, type const. VIOLATIONS: Location Back door Kitchen Bathroom Front porch Housing Code, Chapter 52 Description , Art. Sec. needs repairing badly III 52-30 floor is slooping badlv, sills need replacing III 52-32 no floor etc. III 52-32 sill & deck bad III 52-30 Remarks: Should have a new electric service only one for two family dwell- ing. Inspected by: Curtis Horton Date of Insp. May 31, 1979 C/~ ~%~ Time start 9:30 end 10:30 FORM NO. $ TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. ¥. 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 disposa! -(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 New Building ................ Addition ................ Old or Pre-existing Building .... Z ......... Vacant Land .............. Owner Or Owners Of Property ...... ~.o...s..e.~..~..~...~..e....(~.:...~.~..3;'..~..e.,~. ................................................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No ..................... Date Of Permit .................... Applicant ...... ~.o..s...e.~.~.~.n...e....G........?..a..~.~..e..~ .............. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ FinaJ Certificate .....~.. ................................... Fee Submitted $ _..5......0...0. ....................... Construction on above described building ~an~d~ permit me~etsrall al~licable, codes.~, -~/~ ~r/)--~ and regulations. Sworn to before me this .2..~..~ ...... day of ........ ~.~_.~,cj.~.~ .............. (stamp or seal) Notary Publicc...~_.~;~.O.~,~, ............. CountWILUAM H. PRICE, JR. ~~~ ~~NOTARY pUBLIC, STATE OF NEW YORK