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Home My WebLink AboutZ-6009FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z.6PQ9..... Date .............Ju] -y ... 9 ...., 0.4.. THIS CERTIFIES that the building located at ..$/S..Indlan. peak........ Street Map No. xxx ........ Block No.. X3= ..... Lot No... X= .. Pe.C.=10. A .X.•. conforms substantially to th built before Apr. 2 Ce�ficate of occupancy dated ........... p.... 3 ..... , 19 5 .. pursuant to which 7�1 �3GS�JQV o. Z. 6009• dated ........J147- i 9 ...... 1974.1 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 i1tiC , private one family dwelling .................... The certificate is issued to . Anna. ys4t;;kq 1.....Owner ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval pre— existing UNDERWRITERS CERTIFICATE No. P2'® -existing ............................. HOUSE NUMBER ..14t 5 ..... Street . Indian Neck .Lane.......................... Building Inspector Pre-existing & Housing code Inspection July 18, 1974 # 1415 Indian Deck Lane, P conic Tax Holl: Anna Vasiliou Owner Upon request of Law office of Richard Cron, Cutchogue, I. ., I made an inspection of this one and onehalf story framed dwelling and found the following violations of Chapter 52, Housing Code of the Town of Southold, PT.Y. I picked up the key from the Joseph Saland Realty office, 'i,iain Road Jamesport, and began inspection about 2.20 P.M. The first floor consists of "eat in "kitchen, dining room, and full bathroom, and living room. 1. Kitchen: no shut off valve at gas range No vent for products of combustion Art V Sec 52-52 B2 it tl " 52-53 H3 Secondfloor consists of three rooms - interconnected, two suitable for sleeping quarters in that privacy can be provided Art V Sec 52-24 D2 Cellar, Partial, 2. Cellar: Electric n anel box cover not in place, open electrical boxes, unshielded light socket, water pump hook up requires connector fitting Art V Sec 52-56 Al Floor beams for first floor( living & dining room) are deteriorating & need re -enforcement Art III Sec 52-32 A Heat supplied by oil fired warm air heater with grilled register to second floor Open reay yard area: Partially filled well or old cesspool, must be completely filled or heavy cover. ArtV Sec 52-61 D Inspection completed about 2:50 P.I.., and key returned to the Saland reaty office Respfull-y-)submittec� rdward. Hi dere an Housing & building Insyector 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 Date................................................ New Building .................... Old or Pre-existing Building ......... ?�................ Vacant Land ............................ Location Of Property ..Easterly. side. of Indian Neck Lane,...?e ic, New York ......................................... ......... Owner Or Owners Of Property .....Anna...Va.siliou.. .................................................................................... Subdivision................................................................Lot No............. Block No............. House No............. Permit No ..................... Date Of Permit ....................Applicant.................................................................. Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ............... X........................ Fee Submitted $ ... 5,.,00....................... Construction on above described building a pep�ix,�Aee;,A/ap4 le/codes and regulations. Applicant/... Sworn to before me this 16th day of ..... July.r... 1974 .............. Notary Public ........Suffolk County ,;��1W �i\#SPI r�Yrk "-_T�d"a iino '�rgrw. `:,ake+res tl::rcti ;U,, IRX *attorney for Anna 4 (stamp or sea l) ^ 5- 42,9 c A :, 1 /11 1 < a - - -- - --- - - --- -- - - - - - , -- G�-L-- --�i �4 zlf %J - - --- -