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HomeMy WebLinkAboutZ-9166No.. z 91.E � ..... FORK NQ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy Date ............ August ,11.•.... , 19 78 . THIS CERTIFIES that the building located at 3 6 0 South Harbor . Road . YggMX Map No.....XXXX ... Block No... XXXX ... Lot No..... x]mxx...................... Requirements for One Family dwelling built prior conforms substantially to the Abp g9kcxitkk Jfflk oX to Certificate of Occuancy �X gapr i 1 2 3,,, . , .... , 19.. 57 pursuant to which l t No. Z316.6.. . dated .....August. 11.1 ....... 19..7.8, was issued, and conforms to all of the require - meets of the applicable provisions of the law. The occupancy for which this certificate is issued is . , PRIVATE . ONE .FAMILY, DWELLING ..................................... ..... ... .. . .. . . . . The certificate is issued to P.•. ANP..CX-aRA X,. GAL1,4QHF.9 ................... (owner, wazi tt� of the aforesaid building. Suffolk County Department of Health Approval .... PRE-EXISTING UNDERWRITERS CERTIFICATE No . ............. PRE-EXISTING................. HOUSE NUMBER ..360......... Street . Road, Southold, New ......York.................................................................... �.. •,tet% .. ... ..... . Building Inspector HOUSING CODE INSPECTION August 11, 1978 360 South Harbor Road R-1 Southold, New York Tax Roll: Fames D. Gallagher & wf. Occupied Upon receipt of an application for a Pre -Existing Certi- ficate of Occupancy, I made an inspection of the dwelling on this premise. I began this inspection at approximately 11:00 A.M. with Mr. Gallagher. Located on this property is a one story, wood frame struc- ture. No accessory buildings are located on the property. Cellar is a ten course, cement block, full cellar, no out- side entrance. Hot water boiler, electric panel, fuel tank, and washing machine located in the cellar are all in good condition. Dwelling consists of a large foyer with closet, combination living room and dining room, kitchen with eating space, full bath- room, three bedrooms with one bedroom having a half bathroom. There is also a large attached one car garage. On the outside of this dwelling, the roof, sidewalk, cornice and gutters are all in good condition. No violations of the House Code, Chapter 52, Code of the Town of Southold, New York, were found. Inspection was completed at 11:45 A.M. Respectfully submitted, Curtis Horton Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department 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 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, 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 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 ,� -. /f Date,.............. .................. New Building .................... Old or Pre-existing Building .....(,r :.:............. Vacant Land ............................ LocationOf Property ...:� ,.Gc....,� .......?` .l9.�4..f . .(.:........ . rs......� ...... ............ ................................. Owner Or Owners Of Property ....... ::.:..........::.............. ...... .t.%. . r. Subdivision................................................................ Lot No............. Block No............. House No4�.�.... Permit No Date Of Permit Applicant ..................••••• Health Dept. Approval...............................Labor Dept. Approval.............i`.�........................... IK 2 Underwriters Approval .....................................Planning Board Approval RequestFor Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted - ..... .'J ....................... Construction on above described building and permit meets all applicable codes and regulations. ..r„r.... 1 ... ............................... Applicant ............ .y.....,..F..'. .--G''�'•'�,' �. Sworn to before me this ................ day of ............................................ (stamp or seal) Notary Public .................................... County 7 A) 70 i s,UP� 0,////7' i © PER Y MAP F PMf �. _ _ . _. _'� it _ 9Ut2VE'YED ROR ► VMES CL APA E. G-ALLA"-.`7'HF1) A -T MWIN OF SE' LtNOL C:,iv.Y, ry C7uARAN1'EP-D rT'ME NO"E nrLE D;y! 14N'' C1iK,+t1�iD��t.� + ,—.yy. :two Asx - i VAN TUYLC50►a O fi4QELhFi�tt'i rit.� . '� • i4 �.. areae �''. S ..y. ; ..•. �.... :. .... y„r a ar. �.A., �. . - .....,.• �,.r.,. d°`w�+a�'4^',va<+¢ _ _ ,_ y.•' .i .. � ,._ `.Y'Pi^ .J. d:i .tam