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Home My WebLink AboutZ-9112NO. ,& TOWN OF SOUTHOLD BUH.nlNG DEPARTM~.NT Town Cl~k% Office Southold, N. Y. Certificate Of Occupancy ~uly 17 78 Date ............................ ,19 .... THIS CERTIFIES that the building located at .1..90.0. M..i.1.1. .L..a~..e. .......... Street Map No...1097. ..... Block No ........... Lot No ..... .3.6. .......................... REQUIRIDggNTS FOR ONE FAMILY DW~T.~.ING BUILT BEFORE conforms substantially to th .. ' ' __'__'__ _ ' ~ ' ' C~TIFICATE OF OCCUPANCY dated . .April... 25 ........ , 19.5? pursuant to which ~ No. Z9.1.'12.. dated . .Jul.~ .... .%7. ......... , 19..78, 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 PRIVATE ONE FAMILY D~ELLING The certificate is issued to ............ .T.h.o.m..a.s..B..a.t..e~..ar~. ........................... (owner~) of the aforesaid building. Suffolk County Department of Health Approval ....... . .P~.q.-.E~. %.s.~.~.n.g .............. UNDERWRITERS CERTIFICATE No. Pre-Existing HOUSE NUMBER 1900 ~+~+ /~ Mill Lane Peconic, ~ew York Building Inspector Housing Code Inspection July 14, 1978 1900 Mill Lane Peconic, N.Y. Tax Roll: occupied: Thomas Bateman owner Upon receipt of an application for a Pre-Existing Certificate of Occupancy I made an inspection of the dwelling at the above captioned premises. I picked up key from Lewis Real Estate office and began this inspection at approximately 1:55 P.M. This building is a one story wood framed structure constructed'on a cement block foundation with crawl space and contains a bedroom, an L shaped room with living, dining and kitchen facilities, full bathroom, toilet room with storage area and a utility room. Heat is furnished to all rooms from a forced warm air furnace located in utility room. I found no violations of the Housing Code, Chapter 52, Code of the Town of Southold, N.Y. Inspection completed at approximately 2:10 P.M. to Lewis Real Estate. key was returned ectfully tted, Building Inspector FORM NO. 6 TOWN OF SOUTHOLD 0 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 dispasal--(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 Dote July 10, 1978 X New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ....... ..~.~..~.!...~..°.~..d..~.....~...e.~,?.~?..%...~..e..~....~.?.,.~. .......................................................... Ow ...... Thomas Bateman and Loretta Bateman .................. her ur uwners ~ trapeze, ..................................................................................................... Map oE Ba:ley Park P. rop- Map. --- -~ ,, Subdivision .,~.~.~.Y.....°.f....C..a..~.~..e..,..A..;...~.a..~.];..~Y.....Lot No....3..6... EIf~a6~ No...[..U..~.7., House No./~..~.~..~. Permit No ..................... Dote Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ '~ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ..................................... Final Certificate .......................................... Fee Submitted $ ........ ~:...0..0. ................... k Construction on above described building and permit meets all applicable codes and regulations. Sworn to before me this 10th day of ............ ..J..u...1..Y..:....1...9.7..8.. ....... · - bUEEO I_K ~. .,ceo Notary hc ............................... Co (stamp or seal)