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HomeMy WebLinkAboutZ-7006FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z.7.006....... Date ............ Kay .... 5........ 197.6.. THIS CERTIFIES that the building located at . r/. S •.last • Greek. •Ave . . • • . Street Map No. .XX ........ Block No. .XX ...... .Lot No. Xx ... CRtGhogue... ........... r•eq�irements f. o e far ly dweJ.lin hou ing code conforms substantially to the 3 € OPJQhx� 1 ,e,� Qj( ttx udiit certificate of Occupancy da e b.e�gxe, .Qnr,., ,23.., 19.57. pursuant to which 00"6W2t3110.Z7006" dated .......... �,aY...5...... 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 1'X iVate. Azle. rA411y, AV9r 1 a .111 g,wi,tkl. , two. ccgssory, puil.d.i;2ige... The certificate is issued to .&dvPXd.G. Gertxude. � Ylie.....'vg1erg................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .pre-..ex3 sting ................... . UNDERWRITERS CERTIFICATE No. .pre -..existing ............................ HOUSE NUMBER ....152.5 ..... Street ..... est..Cre ek .::•.ve ....... Cutahogim . . l C7 >s: 'i'his, C/O.covers, the, mein• puilr ini .l efor�, the, arc ition-permit#6507? C/C Z5210 Building Inspector HOUSING CODE INSPECTION May 4, 1976 1525 West Creek Ave.R-1 Cutchogue, N.Y. Tax Roll: Edward C. Wylie 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 framed dwelling. I was admitted to building by Mrs. Wylie who accompanied me during this inspection which began at approximately 4:00 P.M. The building consists of a kitchen, living room, full bathroom, bedroom on first floor with a sleeping balcony on second floor half story. An addition to first floor constructed under Building Permit #6507 contains a dining room and den. An enclosed front porch runs entire width of building. Heat is furnished to all rooms with the ex- clusion of front porch. These rooms contain electric baseboard heating elements. Foundation of building is cement block with a partial cellar; balance of building's foundation is crawl space. An accessory building constructed under Building Permit #64372 and one car garage which was added under Building Permit #78552 are in the rear yard. The following violation of the Housing Code, Chapter 52, Town of Southold, was found in the Pre -Existing portion of dwelling which this inspection covered: Front entry - no means of controlling light in room on entry, Article V, Section 52-56 B.2. Inspection completed at approximately 4:15 P.M. kar Zne EH:mm rma� Building Inspector 766 -1 e3s 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 New Building ................ Addition ................ Old o�r�Pre-eexisti Building ../�.......... Vacant Land ........... Location Of Property ..... ....?......�f✓. !'...`✓.. `' i! ... Owner Or Owners Of Property Aew�k.l... ......... .. rl Subdivision...................� .............................................Lot No.....1..1.. Block No../.�...... House No // r/..S.......S. Permit No...—........... Date Of Permit ..—..........Applicant .Tri' S !17.....4. e .... Health Dept. Approval ...Y... t^ y.....Labor Dept. Approval .........1.....� - 1 Al, Underwriters Approval ..t��? .'.. ......,.Planning Board Approval ....... y+ ...................... Request For Temporary Certificate ........................................ Final Certificate............(/.1.,......................., Fee Submitted $ ... Construction on above described building d permit meets all applicable codes and regulations. Applicant............................................................ T 6 Sworn to before me this .........y. day of ...........1.1..17.... Notary Public ....... .. County (stamp or seolvx, � �f��236 X, �I/�_w� C��-fie. ���r_��,�..��,�, _ . '��j y� i 9 76` - �L�6.Y�.�6�9g (.GLC.. �.LL.Cd Z�lX.