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HomeMy WebLinkAboutZ-7738FOF, M NO. 4 TOWN OF SOUTHOLD BUH~ING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificnte Of Occupnncy No. Z~d~ ...... Date ............ .J.I~M~ ..... 2.~...., 19~.. THIS CERTIFIES that the building located at . .~//8. C~d~ A~..(.~) ..... Strut Map No.. ~ ........ Block No.~. ~ .... Lot No, . ~ ....... ~t~d... ~,Y,... ~d dated ........... J~.. ~.., 19. ~, was issued, ~d conforms to ~ of ~e req~ ments of the applicable provisions of the law. The occup~cy for which this ce~ificate is issued is . ~a~.~ .0~..t~.~. ~ll~g ....................................... The certificate is issued to .Oda .~berg. ..... ~er. ~..~c~ ................. (owner, lessee or ten,t) of the aforesaid b~lding. S~olk County Department of Health Approval p~. e~et-~ ...................... UNDERWRITERS CERTIFICATE No.. p~ .e~at~ ............................ HOUSE NUMBER .... ~5 ...... Street . ~ad~. A~e. ~.~) .... ~u~old ........... /& HOUSING CODE INSPECTION June 22, 1977 605 Cedar Drive R-1 Southold, N.Y. Tax Roil: Oda Wahlberg Occupied: Owner Upon receipt of an application for a Pre-Existing Certificate of Occupancy, I made an inspection of this one and one-half story wood framed dwelling. I was admitted to building by Ms. Wahlberg who accompanied me during this inspection that began at approxi- mately 10:40 A.M. First floor has a living room, dining room, kitchen, full bathroom, and two bedrooms. Second floor contains two bedrooms. Heat is furnished to all rooms from an oil fired forced warm air furnace located in full cellar of building's cement block founda- tion. North end of cellar partitioned off with cement block provides storage for one car. The following violations of the Housing Code, Chapter 52, Town of Southold, New York, were found: Fuel oil tank - located in cellar, fill pipe terminates within building, Article V, Section 52-59 C 2. Stairway - to cellar storage of highly flammable materials in closet under stairway, Article IV, Section 52-40 B. Grounds and building in good condition. at approximately 10:55 A.M. EH:med Inspection completed Re s~c~t fu 1 ly/submit t ed, Building Inspector FO~M NO. S TOWN OF SOUTHOLD Building Department Town Clerk~ 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 oil 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 o~ property showing all property lines, streets, buildings end unusual natural or topographic features. 2. Sworn statement of owner or previous owner os 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 o 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 ....... ~./~....'Z ...... ~,. ~4x~.~.. ........ New Building ....~.....rc~... ...... ,,~ ~ ,~-~-- ,az ~/~~ ,~ . ,Old or Pre-existing Building .... .~...~._ ................ Vacant/Land ...L ..................... Location Of Property ..... ~..,~;[:~.~..,,...~~....-~. .~~/..,~:..~..: ..... ./...//.?.~.../. ............. Owner Or Owners Of Property ........... ~:~'.~f.~.~.., ...... .~.~//f.~ .......................................... Subdivision ................................................................ Lot No ............. /~lock 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 ............ ~ .................... Fee Submitted $ ..~..-..~ ........................ Cons true ti on on ab ove de sc ril:~ ~p ,bi~itn .~ ;~.d. ~....m.e ~.~.t ~.a.l~..~[] .c~~ .~t.i....on.s.: .......... 7 Sworn to before me t~s ~ /7~ ........ ~../day of ..... ~;~;~;...~.~.~... (stamp ~ ~ ~TM~ ~ .........