HomeMy WebLinkAboutZ-6955FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z055 ...... Date ............. April .. 21976.
THIS CERTIFIES that the building located at /S pain Street .. _ ..... Street
Map No.. XX ........ Block No. XX .....Lot No. Greenport, N*Y*
requirements for one family dwelldwell in & Housing Code
BRIMsubstantially to the
CtIM . Bafore..AprJa .23..., 1957.. pursuant to which W"t No occupancy.5 — -
dated ............ 4xil... I ., 19. 7.6, 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 . F.r�y4te ,one, .family dwelling, with. accessory, building......... .
The certificate is issued to .. Elsie. Xail...0%mex .4f. recQra......................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval pre-existing.. .. . ......... .
UNDERWRITERS CERTIFICATE No. ..Pre- existing ..........................
HOUSE NUMBER .... 820...... Street .. ra0i? Street
Building Insp2--
HOUSING CODE INSPECTION
April 1, 1976
820 Main Street R-1
Greenport, N.Y.
Tax Roll: Elsie Vail
Unoccupied
Upon receipt of an application for a Pre -Existing Certificate
of Occupancy, I made an inspection of this one and one half story
framed dwelling. Accompanied by Fred Baldwin I began the inspection
at approximately 11:00 A.M.
The first floor consists of a kitchen with pantry, dining room,
living room, bedroom with a full bathroom, and a front entry vestibule.
Second floor has four bedrooms and a full bathroom off hallway. Heat
is supplied to all rooms from an oil fired steam heat furnace located
in partial cellar of poured cement foundation. An accessory building
is located on north-east corner of property, rear yard, in form of a
two car, wood framed garage.
The following violations of the Housing Code, Chapter 52, Town of
Southold were found:
Vestibule: front entry, no means of controlling light on
entry. Art V, Sec. 52-56 B-2.
Bathroom: First floor: floor covering base of toilet
cracked and deteriorating. Art. III, Sec. 52-27 B.
Cellar: Stairway, open side, no hand rail. Art.II, Sec.
52-27 B.
Inspection completed at approximately 11:20 A.M.
i
tful y submitted,
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
Date .. Mar h...31.1....1.97.6...........
New Building ................ Addition ................ Old or Pre-existing Building .XX.......... Vacant Land ..............
Location Of Property ... FA/.3..Iiada..StTLet........ GT.G'BX1p.QTS}..A.,...X..................................................
Owner Or Owners Of Property ........EIS.ie...Va.il......................................................................................
Subdivision .........................................................Lot No. 9....... Block No. ....4... House No ..... 820.
Permit No. ..XX ............. Date Of Permit .... XX. .......... Applicant .XX...........................................................
Health Dept. Approval ...N.<A................................Labor Dept. Approval .....NIR...................................
Underwriters Approval ........DI/.R..............................Planning Board Approval.....VA...........................
Request For Temporary Certificate ........................................ Final Certificate.........XX............................
Fee Submitted $ ........ $5R4Q'...............
Construction on above described building and per hmeets all opRlicable codes and regulations.
Applicant .... Cl
/�' /.4L ......................................................
Sworn to before me thiissf�
...... i 1/. day of ..... ,�1. � i'k.. y I)
Notary Public ..... —
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(stamp or seal) �
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