HomeMy WebLinkAboutZ-4747 FORM NO. 4
t
TOWN OF SOUTHOLD 'i
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z ~ 7.~ / . Date ~ . A.V E' . , 197
THIS CERTIFIES that the building located at~3$5.M~NNE H~rHA HlY'„bStreet
Map No....." Block No..."'"...... Lot No .
reLvrr~rntnTs for owe ~,r;1 dw~1?,.~...#'itoriyaNi. Godat...
conforms substantially to the
$uii3- prr,or fo 23A~i~ dert~;rew t a d~cN-~~ne~r/
d~il . 19~r. 7 pursuant to which B1~i~l.~e:.'~`.~ .Z..`~7 `t7
dated ~ 7 ~ U Fr 19 was issued, and conforms to all of the require-
ments of the applicable provisions of trhe law. The occupancy for which this certificate is
issued is ...~Y!yc+~e....Che....?C'.?~? ~.~5/...4.k!C.~.~.!?1~
• JUSEpNINE 73UT~i~IGt
The certificate is issued to .
(owner, l~e~ltt)
of the aforesaid building.
Suffolk County Department of Health Approval re ~ X r 5 r Ta
UNDERWRITERS CERTIFICATE No......? .
HOUSE NUMBER..~~.~-~. $.S...Street.......N~.i N N L" /-1 A ~'1 A 'BQUj t.V/~~rj. .
...........................................$DUTHD ~l7 N Y.
Building Inspector
HOUSING CODE INSPECTION
August 17, 1972
3385 Minnehaha Boulevard
Southold, New York 11971
Tax Roll: T. Duringer
Unoccupied
Upon request of the Southold Town Building Department
I made inspection of this one story framed dwelling and
found the following violations of Local Law #1 Housing
Code of the Town of Southold. I was let into this home
by Mr. Ray Gifford at approximately 1:10 P.M.
Kitchen: No light switch at entry for controlling
lig-
ht room - Section 529b.
Cellar: Water pump electric motor drop line cord
to outlet - Section 52.8a. Light fixture with short
pig tail for outlet - Section 528a.
Building Drain (Sewerage line): No house trap, no
fresh air inlet where sewerage line leaves building
Section 501a.
General overall conditions good. Yard nicely kept
and free of obstructions.
R ectfully su fitted,
dward Hin a mann
Inspector
EH:tle
~ 5 °i
FOBSK NO 8
TOWN. OF SOUTHOLD
Building Department
Town Clerks OIFKce
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, ono
unusual natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equoU.
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 pertinent in-
formation required to prepare a certificate.
Date August,.17„_,1972,,,,,,,,,,,,,,,
New Building Old or Pre-existing Building .............X........... Vacant Land
Location Of Property ...Minnehaha_,Boul,evard,..Laughing„y,~ater,,,,,~Q~,~~p~~,,,,~,_X_
Owner Or Owners Of Property ..Josephine Duringer
Subdivision .Lau~hing.Water.....,. .Lot No Block No............. House No..3,.38s
Permit No........./....... Date Of Permit ...../.......Applicant ...:T.Qsephine,Dur}nger,,,,,,,,,,,,,,,,,,,,
Health Dept. Approval ..........................-..............Labor Dept. Approval
Underwriters Approval
..............................................Planning Boar val
Request For Temporary Certificate F' al rtifi at
Fee Submitted $ ....5.. ~Q i C' ~ ZN' /7~ /97Z
Construction on above described building and permit eets al a able codes and///r/e//gu/la 'off
Applicont - ;
nary F anner en, attorney for Josephine Duringer
Sworn to before me this
....,17th day of August,,,.1972 (stam or seal)
p
Notary Public .............517.f~Q~kf.......... County
v ~C/ ~ )q
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O~ptrfNd in Suffolk Car~A
TMm ~rPlra March 30, t9 ~J