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Home My WebLink AboutZ-5986FO~tM NO. 4 TOWN OF SOUTHOLD BUH~rHNG DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at E/S. l~equ~sh. A,V~. (Fleet;. ~r~eet1~1) Map NoFteetwood. C~I~ck No ........... Lot No.$3. &..pt~l, ..... Cutchogue.. Il.Y, conforms substantially to the ~ code dated ........ ~[t~llf...~ ......, 19~.~.., 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~.lva~e, on~ .fam:Lly. d~telltng. ...................................... The certificate is issued to -¥~.tll~l& .B~rrows ...... .O~m,l, ........... .............. of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant) · pre-etd, et ~.ng .................... UNDERWRITERS CERTIFICATE No. l~re-~x:Ls.t~.g .............................. HOUSE NUMBER ...1+~.~.5 ...... Street ...Pequ~sh. ~ve. (F. leete .Neet~ .Road)... Building Inspecttr HOUSING CODE INSPECTION July 1, 1974 4515 Pequash Avenue R-1 Cutchogue, New York Sub Div. Fleetwood Cove, Lots 13 and Unoccupied Tax Roll 14 Upon request of the Southold Town Building Department I made inspection of this one story framed dwelling and found the following violations of Chapter 52, Housing Code, Town of Southold. I admitted myself to rear entrance with key picked up from Mr. Henry who lives on the west side of Pequash Avenue, beginning inspection at approximately 2:00 P.M. The building consists of two bedrooms, one full bathroom, kitchen, dining room, and living room with open stairway to unfinished attic. A one car garage is attached on northwest corner. Cellar is partial full accessible from exterior only. An oil fired steam heat furnace located in cellar supplies heat to all rooms. KITCHEN - gas range, no shut-off valve at unit, Article V, Section 52-52 B.2. CELLAR - Water pump, electric hookup, two wire plugged into outlet. Article V, 52-56 A.1. Inspection completed at approximately 2:20 P.M. returned to Mr. Henry. EH:mm Key was Building Inspector FORM NO. 6 TOWN OF $OUTHOLD Building Depnrtment 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, an~ 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 Apri~ 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 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 Date June 24, 1974 New Building ................ Addition ................ Old or Pre-existing Building ....~. ........... Vacant Land .............. Location Of Property .... ~..~...q.~..b~..~.~...e.~.~.~.~.i.~.].~.~..a.~.e.~.~.~..V...e..~..u...e.;.~.~9.~~.~ Owner Or Owners Of Property Matilda Burrows ............................................... 13'"~'fl' ......................................................... Subdivision ~.9~...9.~...~-!r...e..e...~..~..o...o..c!..~..o. Ye....9.~ ....... Lot No. Pa~.~....O~ock No .............House No ............. Cutchogue Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Lobar Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .....~. .................................... Fee Submitted $ .5......0...0. .......................... Construction on above described building and permi ~~~ Applicant ......... : ....................... Sworn to before me this Matilda ~,~ws, by ~f6-~olph'H'. Bruer, AttOrney ..... 2.~.~.~... day of ..... ~.p,~.~.~....~..9.7..4. ............... Notary Public ........S..~j. ~ ~..o..1...~. ............ County I~OTARY PUBLIC, State of New York No. $2-3203050 - Suffolk County ~omrn~ssion Expires Mar~h 30, 1975