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Home My WebLink AboutZ-7773FO~M NO. ~ TOWN OF SOUTHOLD BUH,IHNG DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy Date .............. J~u!. y.....~.~..., 19.7.7. THIS CERTIFIES that the building located at -Peeonie. Pay- Rl. vd ........ Street Map No..x.~ ......... Block No... X~ ..... Lot No...XX .... La~el,. ~,X, ........... conforms substantially to the~ 'r ~ s o .on £ 1! . . . built dated befor.e..April. 2~ 19. ~ pursuant to which~~o.Occupancy · '" Z777~ ' ' dated .......... Jll,~....~.2.., 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 . Rriva.~. on~ .~amily. d~elling ....................................... The certificate is issued to . Brla~. & .Am~ Gallagher. .... 0~exs .................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .. P~er..ex.~$.t.!ng .................. UNDERWRITERS CERTIFICATE No.. pr.e,, .exXsting ........................... HOUSE NUMBER .... .1+.830 .....Street ...fit. Ps.coni~ .Bay. ~lv&,...La~el ...... (Mattituck ~c~t office) Building Inspector FO~M NO. ~ TOWN OF SOUTHOLD Building Delmrfmem To~n Clerks Office Southold, FI. Y. 11971 APPLICATION FOR CERTIFICATE OF O~CUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in ~% 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. 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 pertiment in- formation required to prepare a certificate. 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 D te .... ,....! ?.7.7. ............... New Building .................... Old or Pre-existing Building ...~, ...................... Vacant Land ............................ Location Of Property 4600 Peconic Bay Boulevard, Mattituck, New York Owner Or Owners Of Property ..... ]~.~,~1~, i"~, ~,]~.ag~N. ~q,p,~l..,~p,~ .~.,...~.~.&g~t~.~.o...~.i.~...w.~fe Subdivision ................................................................ Lot No ............. Block No ............. House No......~,6.(10 Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate f Fee Submitted $ ..... .5...00. ..................... Construction on above described building and permit meets ct~ ~opplicable codes and regulations. Swor,~to before me this < ~ f'"', ~/,'///~ ...... · ~... day of . ..Iml.y.,...192.7. ..... Np~ry Pub c ...... .~.U.~..~...o...~.~.. County (,amp or seal)(~y/~r~? CATHLEEN C. OATES NOTARY PUBLIC, STATE OF h'EW YORK ~o. ~ "' QUALIFIED Ii' S:J,~ ' , HOUSING CODE INSPECTION July 11, 1977 4830 Great Peconic Bay Blvd. R-1 Laurel, N.Y. Tax Roil: Joseph M. Connelly & wf. Unoccupied Upon receipt of an application for a Pre-Existing Certificate of Occupancy, I made an inspection of this wood framed one-story dwelling. I was admitted to building by Mr. Connelly who ac- companied me during this inspection that began at approximately 1:45 P.M. This dwelling unit contains three bedrooms, a kitchen, bathroom, and living room. A roofed over screened-in porch on rear of building protects rear entry to kitchen. Heat is furnished to all rooms from an oil fired forced warm air furnace located in the cellar of building's cement block founda- tion. The following violations of the Housing Code, Chapter 52, Town of Southold, New York, were found: Water pump - electric hook up to motor, lamp cord plugged into wall outlet, Article V, Section 52-56 A 1-5. Foundation - excessive opening of motor horizontal and vertical joints, Article 52-30 B, Section 52-31 A. joints on III, Section Inspection completed at appr~ately 2:00 P.M. ~.~awara- ~lnuermann Building Inspector EH:med