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HomeMy WebLinkAboutZ-5113 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Zc'l 13. . . . . . Date . . . . . . . . . . . . Lpr.jj . . . 3p . . . ., 19.73. THIS CERTIFIES that the building located at I . .c,a mp-im. I:Jay . . . . . . . . . . . Street Map No.tiq_iie.ko sa. No. . . . . . . . . . .Lot No. .20. . . . . . .Southold. . x0 Y 19. . . . . . . re Uirement s oz faTa� Y d ell n �c Qus'ri€; code conforms substantially to the , r�t�,�ergto, nrei e}=,sip t ips}o rce�c b 1 t before r:, � C i if'cate .f occupancy . . . . . . . ..wox. l. P,> . . . ., 19.5 7. pursuant to which �.�,.�uru'R o. Z. .51.13. dated . . . . . . .APr11. . . 3©. . . ., 1973. ., 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 1:rival te. -ane . family. dwelling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to Richard .i:::.. Yirriel -Winters • • • . •Ckmer•s • • • . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval pre-, Existing. . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. .pre-. .QXIat��g. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER. . 50. . . . . . . . .Street. . .1ampum .Nay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EXCCept i on to 1110us Ong code 1 . hain gnteranee hall- no light sari tch / cat point of entry 529b /A t(I �,�!aA ':� ��- + Several missing s-vitch plates and loose recep'ticals 528a. Building 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 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. nn 5. Submit Planning Board approval of completed site plan requirements where applicable. 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 ...... .`�`..�.5 .�.................. New Building .................... Old or Pre-existing Building .........!.................. Vacant Land Location Of Property ....4.5 .� .!✓iyl G 04!Tl�. `.'I.�..4`!.. .l..�J/vr! l�vb?� 40CI�. ... ... �. .. ,� Owner Or Owners Of Property .. .. 1 1k4l... .±..#A1r1.1 )....q) q��Pr1:................................................ Subdivision ..Mftl.t61^n ..... .... .............Lot No. ............plock No. .. House No............. Permit No. .................... Date Of Permit ....................Applicant �- A .............. Health Dept. Approval ...✓ . : :: :............Labor Dept. Approval ..............�....2...................... UnderwritersApproval ...... .......................................Planning Board Approval ...... ./'.. .............................. Request For Temporary Certificate ........................................ Final Certificate .......... ................. Fee Submitted $ '.................................... Construction on above described building and it eets oll a plicobl cod and regulations. Applicant ....... .. . . : . ..... ..<.. . . . ............................................. Sworn to efore me this r q . /.. .-day of .]4re4.... fir ...... ..........JI Z3 (stamp or seal) �7,2 35 Notary Public ..... County Y / 4:LL'� U r i' e I Vl✓i i U iN� l/MgpELYN M. BAKER / NOTARY PUBLIC, State of New York V Y I ,SeS No. 52-0138300 - Suffolk County Term Expires March 30. 197ul— HOUSING CODE INSPECTION April 26, 1973 #50 Wampum Way Southold, N. Y. Subdivision: Nunnakoma Waters #5126 Lot 20 Tax Roll : Richard A. Winters & wf Occupied: Muriel Winters 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 was admitted to the Laundry Room entrance by Mrs. Winters and began inspection with this room at approximately 9 ;50 A.M. FIRST FLOOR - Main entrance hall.: exterior doorways north and south side - No light switch to control light on entry - Sec. 529 b. Two electric wall switches - No plates- Sec. 528 a. Living room: electric wall switch - No plate - Sec. 528 a. , SECOND FLOOR- Hallway: ceiling fixture - light socket not securely mounted - Sec. 528 a & b. Electric wall switch - No Plate - Sec . 528 a. Bedroom: Northwest;electric .wall switch- No Plate, switch loose - Sec. 528 a & b. Bedroom: South; electric wall switch - No Plate - Sec. 528 a. Base outlet. - No Plate - Sec. 528 a. Master Bedroom: No plate on electric _baseboard outlet - Sec. - 528 a. No Plate on electric wall switch - Sec. 528 a. Dressing Room: Open electric box on wall Sec. 528 a. Ceiling electric light fixture not securely mounted - Sec: 528 b. CELLAR Furnace,blower motor, electric junction box No Cover - Sec. 528 a. BX cable running from b�l� �r�motor to stack switch draped over '=. shut-off valve on furnace - Sec . 528 a & b. Main electric fuse box - panel off - Sec. 528 a. Open electric Pg. 2 - Housing Code Inspection April 26 , 1973 junction box over main electric fuse box; open electric junction box on girder northeast end of cellar. Sec. 528 a. Inspection completed at approximately 10 : 40 A.M. Re ectfully sub itted, dwar�ind mann e/2 Building Inspector MI �/ v �a.��wN�Fizs wse,a6 _. _ _. L� �s-Ce - �aa,zc �. G(/...r�r:. Fe� ter„�o �uf�.L , _ //'/�.�<E� /�i:ti,-ems __ ��Xc�� _ ki �ee-�zF'�z_ , - <. � _ � '�� ��C'��-t%,�C.� /.,cam , ", ok ell, -1/IC oll ------------ -----------