HomeMy WebLinkAboutZ-7878roses Na 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z787-8 ...... Date ..............Sept ... 9. .... , 19.77.
THIS CERTIFIES that the building located at ..C)jj. ,a1t..ho&d .......... Street
Vi a. e
Map NoyA1t �a3 E; oL�k No...........Lot No. .....14att-i:tuck...N Vic, ........
conforms substantially to then code
buiAedbef'or�*.Y;pr 23 ......., 1977.. pursuant to which ccupanc�
Zg878'
dated ........... ;;opt .. c ..., 19.7.7., 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• i:aTily • dwelling • • • • • • • • ...............................
The certificate is issued to . Art-liur- lis • E•1.1rich • • • owner ........................ •
( owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval pre— -existing • • • . • • • • .. • • • ...... .
UNDERWRITERS CERTIFICATE No rewexist•in • • • • • • • • • • • • •
HOUSE NUMBER .... 3.1.5...... Street ..Old.,;.a.1t• 4load• • • • • • 1i-at;tstuck
'(...... . ..r .................
Building Inspec4r
HOUSING CODE INSPECTION
September 8, 1977
315 Old Salt Road R-1
Mattituck, N.Y.
Sub Div.: Salt Lake Village, Lot #8
Tax Roll: Arthur H. Ullrich
Upon receipt of an application ;for a Pre -Existing Certificate
of Occupancy, I made an inspection of this one-story dwelling. I
was admitted to building by Mr. Ullrich who accompanied me during
this inspection that began at approximately 1:00 P.M.
The dwelling is a wood framed structure constructed on a
cement block foundation and consists of three bedrooms, a full
bathroom, kitchen, dining and living room with a fireplace and
a sunporch. Heat is furnished to building from a gas fired warm
air floor furnace located in hallway, connecting living room and
bedrooms. A one -car garage is attached and provides utility area
for gas fired hot water heater and electric water pump. Crawl
space of building's foundation is accessible from trap door covering
pit in utility area.
The following violations of the Housing Code, Chapter 52,
Code of the Town of Southold, New York, were found:
Lamp cord outlets - located in southwest bedroom and in sun
porch on ase oard of south wall, Article V, Section 52-56
A 1. (Mr. Ullrich stated he would see that they were removed.)
Inspection completed at
EH:med
apprornately 1:20 P.M.
Res "cffully su itted,
waK00
6 Hin ermann
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 roust 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
unusual natural or topographic features. buildings, property lines, streets, and,
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 responsiblefor
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:
L Accurate survey of property showing all property lines, streets, buildings and unusual natural
or topographic features. 9
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
formation "required to prepare a certificate. pertinent in-
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 .. ..............
New Building ................ Addition
M ........ ... Old or Pre-existing Building ....A
..:. .Vacant Land ..............
Location Of Property
........ ":3 ��.'���� Ao
� .A,....................................................................
Owner Or Owners Of Property
L c.....u11........
Subdivision
........ r........... Lot...
No. Block No............. House No.J���J.,.
Permit No..................... Date Of Permit ...................,Applicant
....'.
Health Dept. Approval
.....Labor Dept. Approval ................................................
Underwriters Approval ................... .... Planning Board Approval ..
................
Request For Temporary Certificate ................ Fr Certificate
. ...........................
Fee Submitted $ ...: :.............
Construction on above described building and per t eets I licable es d regulations.
Applicant ...... .,..
Sworn to before met 's
......� day of Q�.... � �! (stamp or seal) .
Notary Public ..:.....,".......... ,MARY R. CURRY
Notary Public, State of New York
` No. 52-0830410
Qualified in Suffolk-County
Term Expires March 30, 197
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