HomeMy WebLinkAboutZ-5214 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Cleric's Office
Southold, N. Y.
Certificate Of Occupancy
No. �521?+. . . . . . Date . . ... . . . . . ... . . . . J.unQ. . 0. . ., 19.73.
THIS CERTIFIES that the building located at .WAS Yew. .Suff.olk. Rd -.(5th et
Map No. .XX. . . . . . . . . Block No. Xx. . . . . . .Lot No. XX. . New Suffolk Y�:Y.
conforms substantially to thereq '�reme is o family dwell3n & housing code
Bunt be-fore Certificate of occupancy
..Apr 11,.23 . . .,. 19.57. pursuant to which
dated . . . . . . . .June . . 2•U . . . . .. 19.73., 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 t r� ate. oAe .f°PAm !y, dwell3;4g . . . . . . . .
The certificate is issued to . . .Charles. jarukoski. . . . .Q�mer: . . . . . . . . . . . . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department_of Health Approval Prey. e.xi.sti.ng. . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE No.prer. .d.xis•tiny. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOUSE NUMBER. . 7. .050. . . . .Street. New. ,.Suffolk .Roa.d .(La.,or. 5th .Si). . . . . . . . . . .
Exceptions. to .hous.ing. wade:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
See reverse side:-
Building Inspector
,1
� 1
11
. Ili
Exceptions to Housing Code:
to First floor: Kitchen, Water shut off
" No shutoff valve at gas range 508b
" Needs new perminent seal at chimney flue 523a,b,524
SA exit, toilt room needs new waterproof
floor covering 303d
" Need new door on crawl space under exit 302a, 604b
Enterance N/S need switch to controll light at
point of entry 529b
2. Second -f'loor: four bedrooms & bath no heat - summer occupancy only 513a
N/W Bedroom - loose ceiling boards 3030
3. Cellars No cover on lsgh.t stitch box @ top of stairs 528a
No hand rail on cellar stairs, 216b
Improperly connected electric wireing to pressure switch
on water pump 528a
1+. Accessory buildings (2) need repairs 301a,302c, 603h
HOUSING CODE INSPECTION
June 20, 1973
#7050 New Suffolk Lane
New Suffolk, N.Y.
Tax Roll : Sophie Krukoski
Unoccupied, R-1
Upon request of the Southold Town Building Department,
I made inspection of this two story dwelling and found the
following violations of Local Law #1, Housing Code, Town of
Southold. I picked up keys from Four Sails Realty, Main
Road, Cutchogue and beganiinspection at approximately 1:25 p.m.
letting myself into north side entrance.
FIRST FLOOR
Kitchen: (water shut off) - gas range, no shutoff at
unit - Section 508b. Flue, connection to chimney -
dormant stuffed with rags - Section 523a, b, and
Section 524 . .
Small addition southwest corner of kitchen with exit
to outside contains toilet, floor covering rotting at
base of fixture - Section 303d. This addition has cement
block foundation with crawl space — inspection door at
north end missing - Section 302a and 604b.
Entrance, north side, no light switch to control light
on entry - Section 529b.
SECOND FLOOR
Bedroom, northwest: Ceiling board loose (requires renailing)
Section 303c . A total of four bedrooms and one bath on
second floor, no heat supplied - Section 513a.
Cellar: Light switch top of stairs , no plate - Section 528a.
Stairs - open side , no hand rail - Section 216b.
Electrical corenection to pressure switch on water
pump (BX) no connector - Section 528a.
Accessory Buildings : Two sheds - in general deteriorating
state - Section 301a, 302c, 603b.
Inspection completed at approximately 1 :45 p.m. and keys
were returned to Four Sails Rea �O�fLfice.
ectfull su mitted,
44
Edward Hin
—
ermann
Building Inspector
EH:tle
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 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 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.
Date .....Tune„.19 r...197.3............
New Building .................... Old or Pre-existing Building ..........X............... Vacant Land ............................
Location Of Property ....Southw.es.t....co.rn.er...o.f..New..Suffolk...Lane...&.....F..a..n. ning Road,
.... .... .... .. .. ........ .. .. .. .........
OwnerOr Owners Of Property ....,Charles. ...Krukoski. ... .... .... .... .................................................................................
Subdivision .........�( .................................................Lot No. ... .... Block No. I....... House No...�D�D
Permit No. ......:=^... Date Of Permit ....'...-:........Applicant .... ...................
PC
Health Dept. Approval .....P......4 ....fX".....T.......Labor Dept. Approval ............NI/ ... ............... ...
Underwriters Approval ........10...................\.............Planning Board Approval ....... ./.`:........................
Request For Temporary Certificate ........... Final Certificate X
............................. ..........................................
Fee Submitted $ ....................................
Construction on above described building and r i et all odes and regulations.
Applicant .,.. .......:.. ... .. ... ... .. ... ...............................
olph Bruer, at for
Sworn to before me this Thomas E. Christianson and Beverly Christianson
19th............ day of ... ........ (stamp or seal) 19 2-3
Notary Public ......$14.f;4XJ�.............. County
LEFFERTS PATNE EDSON"T '
NOTARY PUBLIC,Stet® 6f Now York
No. 52-1077685 - Suff6l.k County
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