The URL can be used to link to this page

Home My WebLink AboutZ-4770FORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificale Of Occupancy No.Z.~.??0 ....... Date ............ &3~xLst.. 29 .... , 19.7k THIS CERTIFIES that the building located at .. W./~3. li~w .$u-~foM~ Lsno.. Street Map No... x.x ....... Block No .... X~ .... Lot No. I~..C~it~hoguo...I~.Y., .......... conforms substantially to the re $ em nt f d~el & ~lt...]0.s.f.o.r.~' A!~I,. ~-~ .... , 19 2. pursuant to which ~~o.~.n.c~ dated ......... &~gus.t... 2.9, 19.72., 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 ... p.r.:Lvcge, on~ .£a~,tly. d~.e~l~g ..................................... The certificate is issued to . .l~.r~'~h. G.~ .l:e~he ..... O~.~ex' .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .p~,9.-.e.,$3.~.~.g .................... UNDERWRITERS CERTIFICATE No... p.r.~-. ~s.'(,~l/l~ ................................ HOUSE NUMBER. b.7.fl ........ Street .... ~.~.. J$l~-q~..C].k L~e .......................... Bxo_ept~ons t~ I~ous~n! coder 2, eoll~aF needs l~gh~ ~iteh to f~t~o ..... Building Inspector HOUSING CODE INSPECTION August 29, 1972 470 New Suffolk Lane Cutchogue, New York Tax Roil: Hannah Beebe Occupants: G. Dickerson and family Upon request of the Southold Town Building Department I made inspection of this two story framed dwelling and found the following violations of Local Law #1, Housing Code, Town of Southold. I began inspection at approximately 1:05 P.M. and was admitted by the Dickerson childred. Entrance - east side (front) - no light switch to control light in room - Section 529b. Half Bathroom - Switch for wall light fixture over sink wired with extension cord - Section 528a. UPSTAIRS Bedroom - southeast - no light fixture - Section Cellar - Drop lamp over stairway providing light plugged into light fixture in cellar which is controlled by light switch top of stairs - Section 528a. Inspection completed at approximately 1:25 P.M. ~pect fu~ ~i. tted , Inspector EH:tle FO]B~! NO. E TOWN OF SOUTHOLD Building Department Town Clei4a Office Southoid, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Im~ructlom 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 all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dispcsal--(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 completod 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 bT 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 hou~ing code or safety inspection of buildings or premises, or other pertinent in- formation ~required to p,~ePare 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 Date Au~.. 23~ 1972 New Building .................... Old or Pre-existing Building ......~.. .................... Vacant Land ............................ Location Of Property W/S New Suffolk Road, Cutchogue, N. Y. Owner Or Owners Of Property ......... .~..~..~......G..:...~.e.e...~.?. .......................................................................... Subdivision ................................................................ Lot No ............. Block No ............. House No..,~...7,..6,. 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 $ ....~.~.~. ...................... Construction on above described building a~~~ ?nd regulations. Applicant ..... ........................... Sworn to before me this .... ~.. day of ..~.z..~ ............. (stomp or seal) Nma~ Public ...... ~.~ ~.~.~ .......... C~n~ jo~N . - No. 52.6905~50 ~erm Expires March 30, 19f~