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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 / ` 0.. CURRY 1 ``T ~ t h.-P.tl . ~ ` AAA / ' NoFOrY Publ . Stote of New YpM ra. s2-os3oalo j ~ . r O~ptrfNd in Suffolk Car~A TMm ~rPlra March 30, t9 ~J