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Home My WebLink AboutZ-7056gym•, -7•777'7 ., " Yom nQ a No...70 5 .. Date ............. kgs 19 ...76 THIS CERTIFIES that the building located at .. Maw - Road Magxe .Lame Street Map No.. c ....... Block No.. xx.. ...Lot No.... xx - -Southold• • .N Yy• • • • • • • • . conforms substantially to thec ode dat lt. _►er.«)re-tipr-.- .23., 19..57 punt to which .0 Z?p156 cY dated .........ay ... 2.7......, 19..76, 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 ..�r;Lvate..ane . fmily. d-wellJz& ..with .offl-oas- &..soEe,&iory- bldg - The certificate is issued to Dorothy. .Robohm -MD. Owne-r......... ................. . " ( owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval -pre • e xiet in g• • • • • • • • • • • • • • • • • • • UNDERWRITERS CERTIFICATE No.. pre-existing ............................. HOUSE NUMBER ...... 55®oa .. Street ....14ain- -Read ..... 6 mbhold• ............. ................................................................................ Building Inspector HOUSING CODE INSPECTION May 27 , 1976 55000 Main Rd. R-3 Southold, N. Y. Tax Roll : Dorothy N. Robohm Occupied- residence, Dr. & Mrs. Robohm office, Rudolph Bruer Upon receipt of an application for a Pre-Existing Certificate of Occupancy I made an inspection of this two story, partial one story, building. I was admitted to the one story office section of building by Mr. Bruer and began inspection at .approximately 2 :45 P.M. Office consists of five rooms and a toilet room with wash basin . Entry to waiting room from exterior is enclosed with screened porch. Inspection of this section of building completed at approxi- mately 3 : 00 P.M. On May 28 , 1976 , at approximately 9 :10 A.M. inspection was made of the two story residence. I was admitted by Mildred Davis who accompanied me during this inspection. First floor consists of living room, front entry hall, dining room, rear entry foyer, kitchen and toilet room with wash basin. Second floor has three bedrooms and two full bathrooms. Attic, finished, contains sleeping quarters and clothes storage facilities. Heat is -furnished to all rooms from an oil fired hot water furnace located in cellar of cement block foundation. One story office section OM11 rooms are furnished with heat supplied from same furnace. Foundation under office section, cement block with crawl space. A two car garage is attached to east side of -building, accessible from Maple Avenue. The following v-61ations of the Housing Code, Chapter 52 , Town of Southold, were found: Entry to office - no means of controlling light in room on entry. Article V, Section 52-56 B.2 . Stairway to second floor, no means of controlling light for safe ascent. Article II , Section 52-26 B. 3 . . a Housing Code Inspection -2- May 27 , 1976 Dorothy N. Robohm The following violations of the Housing Code, Chapter 100 , were found: Attic, third floor, used as sleeping quarters. Article I , Sec. 100-15 . Floor area livable. Accessory structure in side yd. Article III , Section 100-32 . Inspection completed at approximately 9 : 35 A.M. Re pectfully sub fitted, aid-- EH:mm Edward Hindermann Building Inspector Qy a7, i976 - s o0o yl�crs,,..; ,PvvL i2 3ZVI= �<< i /� �� .!;,� �_ - - -... ��I✓ iii . �. OWN r �i i !a ..cis/,. • NO c f __ '41 ---------- at -576 TOWN OFF 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 disposol�(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 v Date .........May...2 7.t...1 9 7 6.......... New Building .................... Old or Pre-existing Building .. Vacant Land Location Of Property ...Main�:Rd o (corner.Ma�le.pAve_.) ,...Southold,„N....Y:......... Owner Or Owners Of Property .. Dorothy..M e..Robohm............ ... ......... .............................:.......... Lot No. ............. Block No. . Subdivision ....:..............................:.......:,................. ............ {-louse No............. PermitNo. .................... bate Of Permit ....................Applicant ................................................................... Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval .......................................:......Planning Board Approval Request For Temporary Certificate C � F— ........... .... ................ . �, q .,�, i� .. ............ Fee Submitted $ ................ Construction on above described building'a e a a li able codes and regulations. Applicant ... .................. ... .............................................. 1 lam ickham ��Sworn to before me this 'k .�/ /7� day of..27th.... ....... ............... (stamp o s� Suffolk 1134 Nota Public'.. . ......�....................... County JOAN HINDERMAN14 O /, / NOTARY PUBLIC, Sthotq of NOT,Yoe" �. /l�� (lv No. 52-6909650 Qa�lilteel i;� Salioltc County "C am Sx,ses Mach 30, 19-7 0p 1 s / 6Gf>+li �.30��, ttt�ll�( LO p j i 0 0 ;d 6 a6'30"Vv, /7.S'm 00 AZ .Sa17)< 7'r-u.�r CL�o4US H. .00A-,:'07H A-7. 1 oL��.�r�r i /9 T` G �0. Jyor l G p J ,/ :' r.. t` `r��4-:�' O G ✓ r� �� i L L..J C�/:�•CCU L�i 1:.'f'` �:1�`k`'�'�::I':�' p .� t'7-7 CJ/•"1!.� r}: ��'1_�+