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Home My WebLink AboutZ-6943FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 269.43 ..... Date ................ 19-76 THIS CERTIFIES that the building located at ..Qa1i:. "I I 1L * * Street Map No. ]�!:�Y49R .S4. Block No. P ....... Lot No, Southold 9�-Y* ............. ......... 0 eme t :C s1mg Code g ose f e" Y. e conforms substantially to the. PV -KXX ate.o occupancy built before fpr 23... Chl 0-7,691+3 dated .................... , 19. pursuant to whi dated ........ A4:? .... �3 ...... 19. 26, was issued, and conforms to all of the require- ments of the applicable provisions of the -law. The occupancy.for which th/i's certificate is r. issued is .... Pj?iv.ate. o.ne. f gr4tjy. A-krgl1iAg. jgi.th. ac.c.e s S01.37. 9A3°49P ........... The certificate is issued to PaYi4.L. iahipple Oime.r ........... .............. (owner, lessee or tenant) - of the aforesaid building. Suffolk County Department of Health Approval_ pre- - existing .............. UNDERWRITERS CERTIFICATE No. ....pmq-�exiating .............. .............. HOUSE NUMBER ... 4.5.Q ....... Street .. ...0ak.Drive ..... Smit.b.Q.1d. ........... : ........................................ .......................... 1 ............... ........... . Building Inspec,io'r HOUSING CODE INSPECTION March 23, 1976 450 Oak Road R-1 Southold, N. Y. Subdivision: Reydon Shores, Sec. D, Lots 34-39 incl. Tax Roll: David L. Whipple Occupied - owner Upon receipt of a request by Mr. Whipple for a Pre -Existing Certificate of Occupancy, I made an inspection of this one story framed dwelling. Accompanied by Mr. Whipple inspection began at approximately 9:15 A.M. The building consists of three bedrooms, living room, kitchen with dining area, half bathroom, and front and rear entry vestibules. Heat is furnished to all rooms from an oil fired forced warm air furnace located in full cellar. An unattached three car garage is located in the rear yard. The following violations of the Housing Code, Chapter 52, Town of Southold, were found: Cellar - Open electric junction over washing machine. Article V, Sec. 52-56 A-1. Front Entry - No means of controlling light in room on entry. Article V, Sec. 52-56 B.2. AccessoryBuilding - Three car garage - electric outlet, plate and outlet not securely fastened. Article V, Sec. 52-56 A.1. Cellar containing shower room. This completes the plumbing fixtures required for a dwelling unit. Inspection completed at approximately 9:40 A.M. 4ward. cVHin dermann EH:mm 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 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 JL Date.//(/. ��/<l ..�:�:.. Z..��. J•..l.�.l.." New Building ................ Addition ................ Old or Pre-existing Building ... /..�........ Vacant Land .............. Location Of Property ...V&,<.... ..—.... y.. Owner Or Owners Of Property.....................................................�........:...............................................4Z7 %y -.7'? /►yCter Subdivision �CCll�.i�/G�...............Lot No............. Block No............. House No_..1..4:.t1.. Permit No ..................... Date Of Permit Health Dept. Approval ........ d -II .............. Underwriters Approval ........ ............ Request For Temporary Certificate ...... Fee Submitted $ .................... Applicant................................................................... .......Labor Dept. Approval .../.V.,/if:.�/......................... .......Planning Board Approval .�'f.117........................ Final Certificate .... ............................... Construction on above described building and fpe rmit meets all applicable codes and regulations. ApplicantX....1V.. t: ...`�t!r............I...................... Sworntobefor . day Notary Public emet' n s / of .....' .11..�.t, .` .......�.1..1 6 (stomp or se 02 3 180 b Ir County L