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Home My WebLink AboutZ-5170FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Cerli[icate O[ Occupancy No..g~.l.~.O. ...... Date .............. ..~ ..... ~..., 19.~.3. THIS CERTIFIES that the building located at .Founders. Path ............ Street Map No.F.o..U~. ~le?.s.. E~I~I~No ........... Lot No..k~. & .~-7 ..... .~ottthol¢l..E ,Y.,.. conforms substantially to the t of 1 1 e~ code ~t ~_~ oaeupallcy · .b~fox~..Ap.r;. 23...., 19.5.7. pursuant to which t~~,,. 'Z5170' dated ............ Fay .... 29., 19-~.3., was issued, and conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is . P. ri~fate, one. family, d,w~ll~,~ ...................................... The certificate is issued to . WS.11iam .E ,. Bzsze~..&. W&fa .... l~nera .............. of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant) · pta-. exl, atlng ............... UNDERWRITERS CERTIFICATE No. p~e.-,e.xl$~l]o.g .................................. HOUSE NUMBER...670. ...... Street... ~.oulld~l~$. F&th .............................. EXeS.preens: ........................................................................ ~. Enclosed poreh$ no light switch at point of entry ~29b /[ Building Inspector HOUSING CODE INSPECTION May 29, 1973 9670 Founders Path Southold, N.Y. Tax Roll: William E. Besser and wife Occupied - owner Subdivision: Founders Estates Lots 26 and 27 Upon request of the Southold Town Building Department, I made inspection of this one story framed dwelling with partial finished attic and found the following violations of Local Law 91, Housing Code, Town of Southold. I was admitted to front entrance by Mrs. Besser and began inspection at approximately 11:00 a.m. Enclosed heated porch: No light switch or means of controlling light on entry - Section529b Southwest entry vestibule: Floor is platform of stair leading from kitchen to platform and ~latform to cellar. Closet under this platform being used for paint storage - prohibited storage area - Section 40lb. Inspection completed at approximately 11:35 a.m. ~. ct f~ly ~ubmitte~, Building Inspector EH:tle ~O~tM NO. S TOWN OF SOUTHOLD Building Depa~ment Town (:Jerks Office SouthoJd, N. Y, 11971 APPLI(:ATION FOR (:ERTIFI(:ATE OF 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. 13. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. ~ccurate 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 o certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 New Building .................... Old or Pre-existing Building ...~ ................ Vacant Land ............................ / Location Of Property ~.~..~ ._~..Q..~..f.~ . ~.~.~ .~.~L.~.. ~.C~ .......................................... Owner Or Owners Of Property ..~i~.lk~.~....~..~..c~.....~.~.?];~.;.~.....~.~S.~ .~. .......... .?.~..~..:.~...~..~.~....~..:~' ~' ~' Subdivision .~.~.~e.~.~.......~.~J~'~.~..¢.~ ...................... Lot No. ~..~...~..? Block No ...... ~ ..... House No ............. Permit No ........ ~ ......... Date Of Permii ....~.~'.. ............ Applicant ..~L~.Ii....L~.~ ~.~ ..):. ........ Health Dept. Approval ..... ..~.~.~'~.:.~:?.'.~.~. ................. Labor Dept. Approval .................../~..;..'.~.. ..................... ,, ,' . Underwriters Approval .............................................. Planmng Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ~ .................................... Fee Submitted $ .....~..,.~...~. ................... Construction on above described building and permit meets all applicable codes and regulations. Applicant .~. ~....~,~ .................................................................... Sworn to before me this .......~.~. ...... day of ......... ~.~ ...................... ~ \C~ .~. T~ . Notary P ubl ic ~.%~L~...~.,~_ County T£RRI LEE EL.AK I~TARY PUBLIC, State of New York No. 52 L Qualified in Su;,.~k County Ga~mi~ion Expires [Viarch 30, (stamp or seal)