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Home My WebLink AboutZ-5516FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Sonthold, N. Y. Certificate Of Occupancy No. Z~[l.6. ...... Date ............ OCt.. ].0. ...... , 19.73 THIS CERTIFIES that the building located at 'anaton .Road ............. Street Map~l~6o.. I~.a~,,. ~t. ~o ........... Lot No.19~ .... ~tchc~*...N,~.. ........ conforms substantially to the ......... ~ B~lt. befe~e Ar~ .¢19.[7. pursuant to which ~Z' '~16' · dated ........... Oci ... ~O..., 19.7~, was issued, ~d conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Private..~e. f.~il~. (. s)~m~er). ~ell~g ............................ The certificate is issued to .F~.da .$....~arlag ....... ~eR ....................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .P~Ome~$~g .................... UNDERWR TERS CERTIFICATE No.l:)r~.':e.~c~:s.~.J:.U-g ................................... tlOUSE NUMBER ..... ~'0 ..... Street..¥~-~.a~,OP-. ~'&d ................................. Building Inspector HOUSING CODE INSPECTION 0¢to~er 10~ 1973 # 540 Vanston Road R-t Cutchogue~ N.Y. Sub-Division Tax Roll : Unoccupied : Nassau Point~ Map # 156, Lot # 195 Freda B. Dearing Upon request of the Southold Town Building Department I made inspection of this one family framed dwelling and found the following violations of Local Law # l~ Housing Code Town of Southold. I picked up the key from Mrs. Charles Rausch~ Broadwaters Road~ Nassau Point and began my inspection at approximately 10:50 a.m. The building consists of two bedrooms~ one full bath~ living room~ dining area and kitchenette. There is a partial full cellar with accessable crawl space from inside cellar. Access to cellar from exterior entrance. An open screened porch is on South side of building with entrance to dining area. Entrance ~om screened porch: No electric light switch on entr¥~to control light in room-Section 529 b. No heating system~ occupancy seasonal only-Section 513 a. Exterior: Electric service to building-house side of meter conduit not secured to building and meter box- Section 528 a. Building and grounds well maintained. Inspection e~ded at approximately 11:15 a.m. and key was returned to Mrs. Rausch. R~pectfull~ s~mitt~d, Building Inspector FORM NO. $ TOWlq: OF $OUTHOLD Building Department Town Clerks Office Southold, Iq. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter aP, 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-eXisting'' land uses: --4 I. 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 $5.00 3. Copy of certificate of occupancy $1.00 Date ..... .Qc.l;.ab.~;~...2.,...;Lc~2 ~ ...... New Building ................ Addition ................ Old or Pre-existing Building ........ .X. ..... Vacant Land .............. Location Of Property ~/..~..D~r1~CD~`3.~3~Q~`~.~.~]~g~r~.~e~..~*~~.~n~ Owner Or Owners Of Property ........ ~....~....~.~.....~..~...~..~..A...~..~?~...G. ........................................................................ Subdivision ..N~.-qSsal~...l~o.i~..M~Lp...~6 .............. Lot No....~..~..~'... Block No.....~ ..... House No ...... ..~. .... Permit No ..... TA~.~{~ ....... Date Of Permit ......... .o. ......... Applicant .... .~..~..A...~.......~..~...A..~....]~...G.. ....................... Health Dept. Approval ........ 33Dz3{i .......................... Labor Dept. Approval ................. .~.~.m.~, .............. .............................................. Planning Board Approval ......... .~]~d.o.,w~. ............... Underwriters Approval z~oz~e · Request For Temporary Certificate ......... ~ ............................ Final Certificate ......... 3'.~.~ .......................... Fee Submitted $ ,,~00 ................................. Constructionknowled~e o°n above described building and permit~~meets all applicable~ ~~:'~";~'c°des and,regulations. ~o my Applicant .............. ~ec].~. ]~. ~)®~.z,i~ ....................... Sworn to before me this ...~ day of ......... .0.,c.?...o.~.e.z'. ...... .]...~.?..~.... (stamp or seal) ~),~//o Z~'/~ ~T NASSAU STATE OF NEW YORK ) ) COUNTY OF WESTCHESTER) SS: FREDA B. DEARING, being duly swo~n, deposes and says that she resides at 5 01d Mamaroneck Road, Wlxite Plains, New York. That the deponent is the owner of premises known as Lot 195 on amended map of Nassau Point, filed in the Suffolk County Clerk's Office as Map No. 156. That on or about August 22, 1953 the deponent caused to be cmapleted on said lot a one family dwelling . That said dwelling has been used by the deponent primarily as a s,~er cottage and has been oo used by the deponent from the date of its construction in 1953 to the present year 1973. That the condition of the building is good. To the deponent,s knowledge, there has been no inspection made of the said building by any county or town authority. SWORN to before me this srQMo~o ~. SAR~OWSn NOTARY PUBLIC, State of Now y~ No. 41-$4S$$00. Queens ( Term Ex.res Mm'eh 30, 197~6