HomeMy WebLinkAboutZ-7182 FOB~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk'e Office
Southold, N. Y.
Certificate Of Occupancy
No..Z71B2..... Date ~~...18......, 19. ~6
THIS CERTIFIES that the building located at Fleetwood. Road, , , . Street
Map No. XXJL7CZ...... Block No..%XX .....Lot No. XXXX....Cut,~~0¢s~ P.~yr.... .
conforms substantially to the T~g]~iresent ~9x OMB Psta119 8velhia ~ Houei~ Code
~~~~11t before Apr 23 aerti~iaste of oconppaney
~a~ed . 19.57. pursuant to which No. Z'j182 . .
dated ..........Attg 18 1976 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 ...txQ...NBC...Q10.e..t'~9~1.Y..dW.elf..t~¢B
The certificate is issued to . I~~r2'8~~ .1??tAbU~eF Owner, , , , „ . „ „ .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval P.re-. existirx(~ . _ , .
UNDERWRITERS CERTIFICATE No. . P.r~' , existing . . . . .
HOUSE NUMBER . $3S ..lR. $.7.5. Street ...F~.eetyood ,Road , . Cute~ioque. , , , .
Buildin ins
g P
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HOUSING CODE INSPECTION
August 13, 1976
835-875 Fleetwood Road R-1
Cutchogue, N.Y.
Tax Roll: Lorraine Dunhuber
Occupied: Seasonal tenants
Upon receipt of an application for a Pre-existing Certificate
of Occupancy for two single dwelling units, I made an inspection
of the buildings at this location. I met Miss Dunhuber on the
premises and began this inspection at approximately 9:45 A.M.
A previous inspection was made for a Pre-existing Certificate
of Occupancy on February 11, 1974, for owner of record Ottomar
J. Gerhardt. A copy of report of previous inspection is here-
with enclosed. The violations of Chapter 52, Housing Code,
Town of Southold listed in report were found to have been cor-
rected. Also, in addition, each unit now contains a hotwater
heating system suppling heat to each room. Bathrooms have been
renovated and contain required fixtures to meet minimum re-
quirements for a living unit.
Dwellings were found to comply with Housing Code for one-family
occupancy.
Inspection completed at approximately 10:15 A.M.
C
Respectfully ubmitted,
~Hinde~~/i~Q-c
Building Inspector
EH:med
FOB.M NO. 8
TOWN OF SOUTHOLD
Building DapoRment
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 DUPLICATE to the Building
Inspector with the following; for new buildings or new use:
1. Final survey of property with accurate location of ol1 buildings, property lines, streets, and
unusual noturol or topographic features.
2. Final approve{ of Health Dept. of water supply and sewerage disposal-(S-9 form or equaq.
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commerciol 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 noturol
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 $1.00
Dote ~y.~~..'./~
New Byildin Addition Old or Pre-existin Buildi I/~~~nt Land
g 9 9
?~n
Location Of Property ......~~~".:;,..1.,-r~.~.>~,.~,C~,1.:P."~.~ st`.:`~:4:A.......
W /
Owner Or Owners Of Property ~,~.Q~~!u1l...GX': ~.:~.'•'L'~~
.........................~g~$-
Subdivision ................................................................Let No............. Block No......~..~..f,. House No..~.7
Permit No Date Of Permit ....................Applican~_'~L~..'C:C~tc4~'~~c.~!................................
Health Dept. Approval ............................................Labor Dept. Approvol
Underwriters Approval ..............................................Planning Board Approval
Request For Temp~o-rary Certificate Final Certificate
Fee Submitted $ at.~.~
Construction on above described building and ermit meets all applicable codes and r/e'gnulo_tio'ns.
Appl icant~...~....(„~
Sworn to before me this ~~3/,~
~QZ 7l ~
day f (stamp 6r seoq `/7~3
Note Public County WALTER F. LUGS
ry 1~~H \ \ 110rABY PUBLIC in the SroN of Nm YotY / f
bfiding In Suffolk County G~1
\ ~ .Suffolk County Clerk'. No.5 2-7 6118 0 0
~ 1,\~ ~ Commtvion Expirer Marrh 30,197
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UNAVi11ORIZED ALTERAII^N OR
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LO'(" I SFCTION 7]09 OE THE NEW Y0r
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