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Home My WebLink AboutZ-6881NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No.Z.6.~,I ....... Date .......... Feb..~]1~ .......... , 197~. THIS CERTIFIES that the building located at ..... ~iccon. D.r..~1. Ar. oad~.~.at~e~r Map No. ~ ....... Block No.~X ...... Lot No. ~x...C. utck~gue...~[, ~.. ......... co~orms suos~anually ~o ~ne~~ built . ~r.t~i~te .0~,occu~ ancy dated .begs. re. A~r.. Z3 .... , 19.57. p~suant to wh~ch~~ ~o.z~... dated .......... ~e~ .... g ...., 19. ?6., was issued, ~d conforms to all of ~e requ~ ments of the applicable provisions of the law. The occup~cy for which th~s certificate The certificate ~s ~ssued to Elizabeth f~.~a~n ...... ~er. ........................ (owner, lessee or ~en~t) of the ~oresa~d building. S~olk County Dep~ment of He~th Approval .~re~.xls~Ang ..................... UNDERWRITERS CERTIFICATE No. HOUSE NUMBER .... ~3~ .p. ..... S~ree~ .. :~son. Dzive ........................... .... :.. :,:/ ............ B~Iding Znspee~¢r HOUSING CODE INSPECTION February 3, 1976 1315 Mason Drive & 580 Broadwaters Drive R-1 Cutchogue, N. Y. Tax Roil: Elizabeth A. Whalen Unoccupied Upon receipt of an application for a Pre-Existing Certificate of Occupancy, I made an inspection of this one story framed dwelling. I let myself into building with key furnished by Lewis Real Estate, Southold, N. Y. and began inspection at approximately 1:15 P.M. The building consists of two bedrooms, one bathroom, living room and kitchen. Heat is supplied to building from an oil fired warm air furnace located in living room floor approxi- mately centered in building. Foundation is cement block with crawl space. Water pump and hot water heater is located in lean-to attached to north side of dwelling. I found no violations of The Housing Code, Chapter 52, Town of Southold, No Y. Inspection completed at approximately 1:30 P.M. There are no accessory structures or fences on property. Key was returned to our office to be picked up by John Nickles of Lewis Real Estate. EH:mm R~.~ectfully. submitted, Building Inspector FOItM NO, 6 TOWN OF $OUTHOLD , Building Depmtment 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 fallowing; for new buildings or new use: I. 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 formation required to prepare a certificate. C. Fees: I, 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 Dote New Building ................ Addition ................ Old or Pre-existing Building ..... ..~.. ....... Vacant Land .............. Owner Or Owners Of Property ..... ~~.......~......~..~ ............................................................. Subdivision ........... ~'~.~'...t~...~.. Lot No ............. Block No ............. House No..J..-~. ...... Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fin~ Certificate .......................................... Fee Submitted $ .................................... Construction on above described building an~p~,~'~t r~ts ~j)/~p~c~,e codes and regulations. Sworn to before me this Applicant ...... ~~/...~ .................................................. (stamp orj,eal) JUDITH T. DC)KEN