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Home My WebLink AboutZ-7400 FORM NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z��t00 ... . . . . Date . ... . . . . . . . . . . DeC: . :3'. . : . . . 196. THIS CERTIFIES that the building located at . : S. .. Bayv ew ;Road.. Street Map No. x. . . . . . . . Block No. 'Xx . . . Lot No. . : . . 01 Sout .'. .Y re uirements for one faniil . dwellin conforms'substaritially.to the91VQm&VQ=;iKK111 loll built certificate of occupancy dated .before ApP. 2 19. ?7 . pursuant to which No.Z?400 .. dated , . . . ` 19. 7 ' was issued, arid- 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 family. dwelling _.& accessory buildings, some. fencing The certificate is issued to . ,Mary Manasek Ouiner . (owner, lessee or1`tenarit) of the aforesaid building. Suffolk County Department of Health Approval p P"..8.�dst3l3� ; . . . . . . . . UNDERWRITERS CERTIFICATE No. . .yare existing ;I . HOUSE NUMBER . . . .534.0 . . . . . Street . . . . esyview Road , . . . . ... . . . . . . . . . . . . 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 .similor 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 ....,,��.. C.:... .1...�..1...�. New Building ................ Addition ................ Old orPre-existing Building ....X..... Vacant Land ............... f ` Location Of Property .,. /� ^. .......... . ............`,(= � .. ... ...... .. .,. . . .: . Owner Or Owners Of Property ....../&X . ........... ..... �1 !:!.. ?.. .1..'.,..................................... Subdivision .......... ....................................................Lot No. ............ Block No. ............ House No......... ... PermitNo. .................... Date Of Permit ................... Applicant ...................:................:............................. Health Dept. Approval ............................................Labor Dept. Approval .................. .............................. Underwriters Approval ..............................................Planning Board Approval ......................................... Request For Temporary Certificate v........................................ Final Certificate .......................................... Fee Submitted $ �� ....................: Construction on above described building and ermitt ll applicable codes and r ulations. ..Applicant ... / l1 . ... n y,... Sworn to before me this (/ p� �v 7-� ..w2_...0'_.day of ..ct7:..... . . ....�. (stamp or seal,,U 2- �y Notary Public .... .. .. .. .. ........... County HOUSING CODE INSPECTION December 2 , 1976 5340 Main Bayview Road R-1 Southold, N.Y. Tax Roll: Benedict A. Manasek Unoccupied Upon receipt of an application for a Pre-existing Certificate of Occupancy, I made an inspection of this one-story, framed dwelling and the unattached two-car garage on premises. The door of the dwelling was left unlocked and I admitted myself, beginning this inspection at approximately 2 : 30 P.M. The building consists of an entrance vestibule on the east side of building, utility room, bathroom, kitchen, dining room, living room, and two bedrooms . Heat is supplied to all rooms from an oil-fired, forced warm air furnace located in the cellar of building ' s cement block foundation. The cellar is partially full; the balance is crawl space. ' The following violations of the Housing Code, Chapter 52 , Town of Southold, New York, were found: Utility room - gas hot water heater, no shut off valve at unit, Article V, Section 52-52 B (2) . Smoke stack of this unit is rusted away and does not carry the products of com- bustion to the exterior. The section of stack which runs through the wall does not run through a metal sleeve AAW is in contact with combustible materials, Article V, Section 52-53 H (3) . Kitchen - gas cooking range, no shut off valve at unit, Article V, Section 52-52 B (2) . Cellar - electric water pump, pressure switch, no cover on unit, Article V, Section 52-56 A (1) . Inspection completed at appro imately 2 :55 P .M. Res ctfull submitted, ard- H 'ndermann Building Inspector EH:med Y1 �L �as-csv G t - LANE XN p L� -- ---= ----- - ->� - -- .( c �t4% f ou fr Nr��c.�fttr� Suc�t �c� Fl ` ,�^pkt Y \ ,•�id�.t'j�f.Q�S(J v (J f�Cit� � rk ~ . //'/..,f: t�� ' -`� laC f` { �fTu S`'-'Y• •, t. ' �: .7Y;%.Q?'1Lld��r'I I' Li 1._ ( � ,JNAUTHOFff'• ALTE2A7(ON'ORASSfSli _ 4 "r • AT - 'T THIS P.VEY IS A V{OLATION OF j `,�J 7209 OF THE NEW YORK S t� :1Y i,E+f� o.r '(�.:'. �:._ �,. ': i' Y'Y ED` TION*LAW. ^ S�tr 'NIG�ri. "r'it Jrttt(p'acr'� Crsr��/{lTcxYltt THIS SURD Y IAAP NOT 6EARIN�. t J' •..• I �.W J ,'C .I�. 7rs.•�J I..I� f�R�JG is�:s`[ Y 7NC LAXD SU,.Vc.JP 5 u D SEAL.OR - �' ff - ,. .. - NSfDE j +. EM5455D dS �fl1•' tef <. NO +r7�-�7K3 C L`HALL N..iT Bq CO RED . rTO BE A VAUD-(,Jlz C PY. - �� GUAP,ANTCES•iNDIC4i£U I?'r'.E.^,N SHALL RUN ONLY-TO,THr,lE,.So;4 FOR ViiIGi,4 7F',E SURS:LS, ' IS:PRFrARED,'ANDCIi� H,S �,'t -�,% .a't:" b._s•�t t.,J GINALF•TO=.THE ! y F'' _ y- i .a'• iITLv.COMFJ^-�Y GJVERi`,ME„AL AGLkCY A40'; .-y ;.Y..•;.y".x:..a ,yz+ � r �' LENDft;G p 7iTU i;ON LtSi 2D HECFON,'AND ,. -..; TO.iHE pSSIdNE. ^F TiiE LENDING INSTI- Llce.�r'�c! �44?v. Or s 'TUTi01�l: GUARANTEE'S ARE h�4T IRANSF'ERABli '• tr ++� •' TO ADD TION L {MSTti U710N5 OR SUBSEQUENT. 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