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Home My WebLink AboutZ-6403FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. U4.03...... Date ............ April ....1.4....1 19.7.5 THIS CERTIFIES that the building located at .lds..in • Rd. A . Maple - Ave.... Street Map No. . XML ...... Block No. ....xmc ..Lot No... xux... 1!attituck...N*Y...... conforms substantially to the iniz code bl� before Apr 23 er if occupancy a e ...................... . 19..5,? pursuant to which V. Z6403. dated ........April . • • 14 ..., 19.7.5., 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 . Private - one • famil • dwelling ......t4i b. accessory (private) Garage The certificate is issued to Ruth. Gilder -sieve• .. • • • •Owner• • • • • • • • • • • • • • • (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval pre-. existing .................... UNDERWRITERS CERTIFICATE No. ..pre existing• • • • • • • • • • • • • • • • HOUSE NUMBER ......114..55 .. Street ...P.tain -Road ............................ Housing Code & Pre- C/O Inspection April 14 1975 14455 Main Road & 45 Maple Ave R-1, Mattituck, E.Y. Tax Roll: Sidney Gildersleve L Wife owners; Unoccupied. Upon receipt of an application for a pre-existing dwe'�7,ing certificate of occu}-ar.cy, I made aninspection of this one story framed dwelling. I picked up the key for the building from Wickham & Lark, P.C., Mattituck, and began the inspection aproximately 10:30 A.M. The dwelling consists of three bedrooms, kitchen, dining room, living room and full bathroom. Heat is sup�liedto all. rooms from an oil fired hotwater furnace located in a full cellar. I found the following violations of the Housing code, Chapter 52 of the code of the Town of Southold: Cellar: electrical hookup to the water pump moter - pigtailed to electric wall outlet, two wire - no ground; Art V seetion 52-56 A 1. Accessory building - One car garage, no Violations. Buildings and open yard area in good con�_ition. Inspection completed at aproximately 11.(_0 A.M., key was returned to v4ickham & Lark, F.C. Respectfully submitted Edward Hinderman Housing 8. Building Inspector FORM No. 6 TOWN 07 SOUTHOLD Building Depflrtment Town Clerks Office Soutbold, N. Y. 11971 APPLICATION FOR CE:tTIFICATE 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 certificat":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 X 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Dote ..Ayril..11.0... 197,`1 ............. New Building ... Old or Pre-existing Building = ....... Vacant Land Location Of Property................ Owner Or Owners Of Property ................. RIM ..rumm zaE............................................................... Subdivision..........:.....................................................Lot No............. Block No............. House No............. Permit No ..................... Date Of Permit ....................Applicant.................................................................. Health Dept. Approval ............................................Labor Dept. Approval ................................................. Underwriters Approval ..............................................Planning Board Approval ........................................: Request For Temporary Certificate .... :.................................... Final Certificate .......... Fee Submitted $ 5..(?0.......................... Construction on above described building and p4i" I pl' I d regulations. Applicant ........ ......... ..................iickham !� /f /,�/ 74 Sworn to before me this z 6yo3 ...filth.... day of ..kX:11a... X975 ............... (stamp or seal) 9) q %'a ry Public .. ty **Key available at the office of .....15. . Coun WIC= M&LARK,P.C. ,.,County �'� Main Road, Mattituck, N. Y. MY. L DGR93K1 140-FARY'f UBLIC, Sste of New Yoft No. 52-1600353 Suffelk County Commission Expires March 30, 19'7 _ - JakrT C3ahh , N +1 ay ., Q MAP or �. PNC) t.sACI`( LrC 11ou5� ;) ��s`+✓�Mw...S-n.��wew� �\I W� ', ITsYa 1 \ps✓!� \A'�v'. l..N, �.J ,.-�\✓1,�i A7 � HOLD, m O - UNAUTHORIZED ALTERATION OR ADDITION i0 THIS SURVEY IS A VIOLATION _ �J > * OF SECTION 77C9 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LARD SUGVEYOR'S. INRSD ` 5 19.rld �/}9 - 5 A OR EM'OSSED SLAL SHALL N ,T CE CONSIDERED - TO BE A VALID Ti,uE C:; PY., _ S (p$ 0,44;w' 5lc,q / .. .fes - GUARANTEES INDI(A7 p 1{ p;�iN SHALL RUN ONLY TO THi �C. � AT f IS PREFARED, V11,1 -'M THE SURVEY + AFD O• TITLEH'S CJIALF TO THE G3V G IIPANY, LENDING 1'.MLNTAL AGkNCY AND LENDING P,5Ti7UTIJN LISTED HALON, AND TO - + ' THE ASSIGNEES CF THE LENDING INSTI• TUTION, GUARANTEES ACE NOT TRANSFERABLE TO A"IJONAL 1NSIITVUBSEQUENT !Lgys Psi I Guarafti ec� o�NEFsE L: - - 1 Y Scaal�<;3d-ly` moi" Tiil�? 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