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Home My WebLink AboutZ-9154FOSM NO. & TOWN OF SOUTHOLD BUH.IHNG DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No.. 91.54 Z ..... Date ...... August. 7, ........... , 19 18. THIS CERTIFIES that the building located at .1805..Inle~ Dri.v.e ........ S~w~ve~x Map No ..... ', ,~3. ....Block No.. i ........ Lot No..1~ ,. Dart. o.f. lo.~ .59.,..all..Qf. 66 and :(i:QU.~tENTS FOR ONE FAMILY DWELLING BUIL~IpRIOR conforms substantially to the gl~l~li~tto~d(E:I~~~~~ CBRTIFICATE OF OCCUPANCY dated ........ April .23..., 19.53. pursuant to which ]~Dd~KIg6 .... 9~L54 Z dated ........ August. 7., .... , 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 ...... Pr. ivafia .One..Family. Dwelling ................................. The certificate is issued to ......... .T.h..e.o..D.e..ly.a.n.i..s ............................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . ~..R~.?~.I.~7.I.N.G. ................... UNDERWRITERS CERTIFICATE No ....... P~.-~XIST. I~;G ........................ HOUSE NUMBER .... ~.~05 ..... Street ...In~e.t .Ori.v.e,. Mattit.uc]~,. New. York. Building Inspector HOUSING CODE INSPECTION August 7, 1978 1805 Inlet Drive R-1 Mattituck, N. Y. Tax Roil: Theo Delyanis Occupied Upon receipt of an application for a Pre-Existing Certificate of Occupancy, I made an inspection of the building on this premises. I began this inspection at approximately 11:15 a.m. with Mr. Delyanis. The dwelling is a one story, wood framed structure with an attached garage. No other buildings are located on the property. The dwelling has a 5 high cement block foundation, no floor. Located in this crawl space is an oil fired hot water boiler. The dwelling consists of a kitchen, living room, enclosed porch which is used as a dining room, full bathroom, three average size bedrooms and one small bedroom. Baseboard heat is provided in all rooms. The electric panel is located in the garage. The outside of this dwelling is in very good condition. No violations of the Housing Code, Chapter 52 Code of the Town of Southold, N. Y. were found. Overall, I find this dwelling to be in good condition. Inspection completed at 11:45 A.M. Respectfully submitted, CURTIS HORTON Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Deportment Town Clerks Office Southold, N. Y. 11971 A'PPLICATION 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: I. Final survey of property with accurate location of alt 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. 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 celtificate of occupancy Sl.00 $5.00 New Building ................ Old or Pre-existing Building ........ ...v~..'i .............. Vacant Land ............................ Location Of Property ~./~/~.~../~/~..~..~.~.~Z~/~`~..~.~.~..5~.~.~....~..~~Z<~f~ ..... Owner Or Owners Of Property ..... ~'~/.~-~ .....~..C.L..~Z~'~.'~`. .................................................................... Subdivision ............................................... Lot No ............. Block No......~, ..... House No ............. Permit No ................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ...................................... Labor Depl. Approval ................................................ Underwriters Approval ........................................... Planning Board Approval ........................................ Request For Temporary Certificate ..................................... Final Certificate .......................................... Fee Submitted $ ,~'.:...~..~..:! ................. Construction on above described building andJ:l~'mit meets all applicable codes and regulations. Applica ~.~. '(~/ : ' ' ' ............................................... Sworn to before me this ................ day of ......................................... (stomp or seal) Notary Public .................................. County