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Home My WebLink AboutZ-9214IrOKM NO. & TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's O/lice Southold, N. Y. Certificate Of Occupancy No .... Z..9.2/.~... Date . .S..el~.t..~1..b.e.r....!8. ........... , 19...7.8 THIS CERTIFIES that the building located at . 7.900..N.a.s..aa!! .Pg.t4A. t., .R.d,... Street Map No... -%56A ..... Block No ........... Lot No. Eas'~erl.y. 1/2.122~..12.3.,..12/~. · REQUIP,~e~NTS FOR ORE FAMILY D~INO BUILT PRIOR TO conforms substantially to the ~ ' '- '~----"' ~ ........... · CERTIFICATE OF OCCUPANCY dated .. April .... 23 ........ , 19.57. pursuant to which ~ No.. Z921/+ dated ...S.ep.t.e.m.b.e.r... J.8 ..... , 19.7.8., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is '- (Guest us issued is Private One F.mily Dwelling...w.i.t..h. The certificate is issued to ............ I~eyb.elle. ~alxle ........................... (owner,~) of the eioresaid building. Suffolk County Department of Health Approval .... Pr.~-.Exiatini ................. UNDERWRITERS CERTIFICATE No ............. .P.r.q.-.]~..i. 6.t;L.n~ ................. HOUSE NUMBER ...'~900 ....... Street ....... l~le.sJ%~..P.o.l,n..t. ~d., ................ ............................................. Cu.t.o. ho~,Ae.,. N...Y., ................. ..... Building Inspector Housing Code Inspection September 12, 1978 7900 Nassau Point Rd. Cutchogue, N.Y. Tax Roil: May~belle T. Carde occupied: ovmer R-1 Upon receipt of an application for a Pre-Exis~ing Certificate o£ Occupancy. I made an inspection of the dwelling on this premises. I began this inspection at approximately 11:00 A.M. with Mr. Carde. Located on this property is a one story, wood framed dwelling. On the rear of the property is located a large utility building. Cellar is a full course cement block for approximately 1/3 of the dwelling, the rest is cement block with crawl space, outside entrance only. Located in the cellear is a oil fired hot air heater which provides the heat for 'the dwelling. There is also the water pump and tank and a oil fired hotwater heater. Dwelling Consists o£ a glassed in front porch, living room with cathedral type ceiling and a fireplace. To the left and rear of the living room is located three bedrooms, fall bathroom, kitchen and dining room. To the right of the living room is a new addition consisting of a bedroom, den and a combination full bathroom laundry room. This addition has been recently issued a Certificate of Occupancy # Z9201. On the outside of this dwelling the sidewalls and cornice are in good shape. A new roof is presently being put on the dwelling. No violations of the Housing Code, Chapter 52, Code of the Town of Southold, N.Y. were found. Inspection completed at approximately 12:10 P.M. Respectfully submitted, CURTIS HORTON Building Inspector FORM NO. 6 TOWN OF $OUTHOLD Building Depa~ment 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 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 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. §. 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 3. Copy of certificate of occupancy $1.00 $5.00 Date ............... ............. New Building .................... Old or Pre-existin~ Building ........../(~.... ............ Vacant Land ............................ Location Of Property ~..~.~).(~)...~...~..~.,~h~..../.~..~.~?:.~........~..O.~.~. .................................................................... Owner Or Owners Of Property ~.~ b.~ j~., ....~..E~. ~,:.~ ........ .. .............. ;...,~. .......................... , ......... ........... .A4u~ / ~-f~ .4 ~:zzc*s~ ~/ '/~ / 2 2~ /2 ~.~ /~ ~ Lot .......... Block No .......... House No ............. Subdivision ............................................................ Permit No ..................... Date Of Permit .................... App 'c .~.~,~.. ...... ~ ................... Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ...~.~ ......................... Request For Temporary Certificate ........................................ Final Certificate .... ~ .................................. Fee Submitted $ q. ................. Construction on above described building and p~.x.~t meet~ all applicable codes and regulations. ............ .............................. , ...... Sworn to before me this ................ day of ............................................ Notary Public .................................... County (stamp or seal) *'6 &