HomeMy WebLinkAboutZ-7967 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No, Z7907. . . . . . . Date . . . . . . . . . . . .Ret. . .21. . . . . .. 19. 17
THIS CERTIFIES that the building located at . .Ste•rling• Place . . .. . . .. . . Street
Map No. . xx . . . . . . . . Block No. . . xx . . . . .Lot No. xx. . . .Greenporx. . .L',Y. . . . . . . .
re uirement fo one fim 1 dwellin & housing code
conforms substantially to the =&� �� (K ��CXX
b4ilt lr fictccupancy
ate� . before. .Apr. .23. . . . .. 19. 57. pursuant to which toof
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Z7967.. .
dated . . . . . . . . .Qct. . .21 . . . . . .. 19. 77., 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 . Priv4te .pne,- ,f4Lmily.dwell�ng, ��ith, .�ecessory building . . . . . .
The certificate is issued to . .14111 I= X!-. Lev li s. .4.W i f e. . . .mme,r. . . . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .pre.- .existl.ng . . . . . ... . . . ... . . . . . . .
UNDERWRITERS CERTIFICATE No. pre-.existi,ng. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOUSE NUMBER . . . 570 . . . . . . . Street . . .Sterling. P.l zce. . . .. . Greenp.art. . . . . . .
. . . . . . . . . . . . . is...P.0.,. delivery. No.). . . . . . . . . .
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Building Inspector
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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.
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 9
Date ..Oct............1.....i......1977......................
New Building .................... Old or Pre-existing Building .....XXXX............. Vacant Land. ............................
Location Of Property ....(524) Sterling Place Greenport
Owner Or Owners Of Property ..Willia.m..E.. Lewis. kwife..............................................................
Subdivision ................................................................Lot No. ............ Block No. ............ House No.............
Permit No. .....XX.......... Date Of Permit ...............Applicant M.............................................................
Health Dept. Approval ... Te-exist..u............Labor Dept. Approval ........N..R................................
Underwriters Approval Qre- existing Planning Board Approval ...N.R.............................
Request For Temporary Certificate ........................................ Final Certificate ..........;Lg=...................
Fee Submitted $ 00
Construction on above described building and it meets all ap able es and regulations.
/ .�dl
Applicant ............. ,ri.:.. ................... . ......
Sworn to before me this
19 _Oct. 1977 (� ��z �,7
.. day of ............................................ (stamp or seal)
Ik1
Suffolk 3
Notary Public ..:................................ County
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HOUSING CODE INSPECTION
October 19 ,. 1977
570 Sterling Place R-1 y
Greenport, .N.Y.
Tax Roll: William E. Lewis & wf.
Unoccupied
Upon receipt ,of an application for a Pre-Existing.
Certificate of Occupancy, i made an inspection of the
buildings at this location. With key from Irving L. . Price,
Jr. ,' Attorney, Main Road, Greenport, New York, Iadmitted
myself and Mrs. Lewis to dwelling and began th- ,s inspection
at approximately 1:45 P'.M.
The dwelling is a 'one-story wood framed building con-
structed on a- cement block and clay block foundation 'and' '
consists of three bedrooms, a Living room, dining room,
kitchen "and- full bathroom.;', Heats is furnished to ally rooms
from an' bil fired hot :water furnace located in full cellar.
Roofed' over open porches protect`'Yentries 'to living room and
kitchen on front and rear of building.. A wood framed acces
sory, building is located- in, ,rear, yard;, area.
The following violations of the Housing Code, Chapter 52 ,
Code of the ,Town, of •Southold,, New ,York, were found=
Stairwu - stair to cellar within dwelling requires
handrail on open side, Article II, .Section 52-26 B.
Fuel' oil tank - piping for filling terminates .within
building, Article V, .Section 5.2-59 C 2 .
Entries - no means of controlling light in f;oom at
points of entry, Article V, Section 52-56 .B 2 .
Inspection completed at approximately 2;:20 P.M. ' Key
was returned to .office 'of'--Irving L. Price, Jr. , 'in accordance"
with his instructions.
Res c 11 ubmitted, '
dward F. indermann
Building Inspector
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