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Home My WebLink AboutZ-9135NO. 4 TOWN OF $OUTHOLD BI]w.F~ING DEPART~RNT Town Clerk's Of Eice Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at .?~...M~...d~..9.~..n..R.o.a.d. ..... Street Map No... t ~5~''' 'S'E~N°' "'~'~ ..... Lot No ...... ~.Q .......................... conforms substantially to th S . F Y . ~ .OR .................... , which ~~0~o.0CCUPANCY dated . Ap. rtl 25 19 ~.7.. pursuant to . ~,~.. dated .... .J..~-.Y .... 2..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 issued is ........ pz,..l.v.a.~..e...o~..e. ~ .a~t...17...z~.e.~..3,..ln_~ ................................ The certificate is issued to ..... .~ .er..e..D.a.v..i.a..&..W.~: ............................... (owner, ~ of the aforesaid building. Suffolk County Department of Health Approval ........ P. rer-. Exis.t,~ ............. UNDERWRITERS CERTIFICATE No .................. .P?..e:~...E~i..a.~...t3~ ............. HOUSE NUMBER... ~}5. ....... Street ....... ~...q.~.o.n..R..o.~.0:...../ / ............................................. ..q~rr~..e.e.n.p.o. ~,...~ .~. ~.k. ........... ,?/ --/' ./--: Buildifig Ihspector Housing Code Inspection July 28, 1978 755 Middleton Road & 35 Wilmarth Ave Greenport, N.Y. R-1 Sub. Div.: Tax Roll: Fleetfield, Greenport, Section II, Lot #10 Steve Davis & wf. Upon receipt of an application for a Pre-Existing Certificate of Occupancy I made an inspection of the buildings on the above captioned premises. I was admitted to dwelling by Miss Patty Davis and began this inspection at approximately 10:55 A.M. The dwelling is a wood framed one story structure constructed on a cement block foundation. Ground floor contains three bed- rooms, full bathroom, kitchen, living room and dining room. Heat is supplied, to all rooms from a steam heat oil fired furnace located in partial full cellar. The full cellar area has been divided and one section has been completed and provides recreat- ional facilities. The accessory structure is a cement block two car garage located in the side yard area with driveway to garage off Wilmarth Ave. The following violations of the Housing Code, Chapter 52, Code of the Town of Southold, N.Y. were found: Entries- to dwelling-no means of controlling light at points ~. Article V, Section 52-56 B.2. Gas cookinE range-no shut off valve at unit. Article V, Section 52-52 B.2. Exits-for emergency use-recreation room in cellar area- co-~ins only one means of egress as a primary exit. Article I, Section 52-15 Reference to New York State Building Construction Code A 206-1B. Inspection completed at approximately ~ ~ _____ / R~ ~ bmitted, Building Inspector FOB,,M NO. 6 TOWN OF SOUTHOLD Building Department 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. 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 os to use, occupancy and condition of buildings. 3. Dote of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare o certificate. 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 / 'L_L/,/,, ...~..~ ./~Z..~,., Date ...:~-.~ ......... ,. ............ New Building .................... __Old or Pre-existing Building ....._/~. .................. Vacant Land ............................ Locot,on Of Pr err ................... ~..~.d..~../....~-.~...~. ......... ,~ ................. ~. ~- ..... ~ ....... ap y -- ~ -- - Owner Or Owners Of Property ..~.'~.....:.',..¥....'~%.........~.....~...:....G..P~.........~... ...... ..,~..~..,h~ ....................................... Su iv,s,on No. ~ No ..... ~,... House No ............. 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 $ .~..-....Q.G. ...................... Construction on above described building ar)d'~er~nit meets all applicable code~/~and regulations. Applicont .................................... Sworn to before me this ................ day of ............................................ (stamp or seal) Notary Public .................................... County