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Home My WebLink AboutZ-6518FO~M ~0. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z6E.1.8 ...... Date .............. J,~me...1.1 ..... , 19..7~ THIS CERTIFIES that the building located at ... Br. eak~ater. ~oa5 ....... Street Map No...XX ........ Block No.. ~ ...... Lot No..xl~..~t.titu~.. N.,X, ........ ., rpq~r~en~s~0~..,~n~ fa~ly ~ell~ .& .~us~g c~e conforms subst~tially to me ~ , ~ :~ ~ ..~r fi ~. ~c~ before .Apt. il. 23.., 19~. p~suant to which 't--,m-~,,-.,~o. Z6~8' dated ............ J.~. 1.1.., 19~., was issued, ~d confoms to ~1 of ~e reqoir~ ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .P. gi!t&.t~..oRe., fe.~J,1, y..d~s ~.1..ing.. ¥~kt.h. &.e.c.$ $.s.o..ry..(.2.c.a. 1~. ~a..r,.)..b.¥.t ldtng The certificate is issued to .. A~lat .It~ckl~u~ ...... O~a®r ....................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .... pl~.-..~X~.S.~lrl[ ................ UNDERWRITERS CERTIFICATE No.. P.r~..-..exls.ting .......................... HOUSE NUMBER ....~28~ ...... Street ...B. r~?..hY4~.t.e.~. ~P.a4..(..L.t~$he.~$. ~ ) .... Building Inspector FOlt~l NO. 6 TOWN OF SOUTHOLD , Building Deportment 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 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: i. 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 $!.00 Rte ..... ..~../~.~.....~'~ ......................... New B~ilding ................ Addition ................ Old or Pre-existing Building .....~.. ....... Vacant Land .............. · oca.on Of Property .......... ,...~.~.~.~....~.~~___~ ,~ . ..... Z.v...~.~.~.~..~.a.~r~..~.~ ......... Owner Or Owners Of Property .... ..~.~'~.~.~. Y~.r~./~.~,..~. ~,~ 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,oCL%'tificate ........................................ Fin.~.__.,,~ Certificate .......~. ................................. Fee Submitted $ .... .~...~.~ ............. Construction on above described building and Per,~it ~eet~lf/6pplicable cpde~s~aj:ad' regulations. App,, cant .....~. '~~~--~ ~× ~/..~.~._~......~ ........... ,. ............... Sworn to before me this ................ ~o~ ............................................ Notaw Public .................................... CounW HOUSING CODE INSPECTION June 9, 1975 1285 Breakwater Rd. R.1 Mattituck, N. Y. Tax Roil: August Hacknauer Occupied: Owner Upon request of Gary F. Olsen, Attorney, Main Road, Mattituck, N. Y., I made an inspection of this one story framed dwelling. I was admitted to building by Mrs. Hacknauer who accompanied me during this inspection which began at approximately 2:30 P.M. The building consists of two bedrooms, one bathroom, living room, dining room, kitchen and laundry room on the ground floor. Heat is furnished to all rooms from an oil fired hot water furnace located in full cellar. Southeast end of cellar is being used for a one car garage. The following violations of the Housing Code, Chapter 52, Town of Southold, were found: Cellar - inside stairway, open side - no handrail (Article II, Section 52-27 B)- Six electrical junction boxes require plates (three in garage area, one over ~furnace, one over ~ r old dormant furnace,bat north end of cella , Article V, Section 52-56 A.1.) Accessory structure, two car garage in rear yard - buildings and open yard area in good condition. Inspection completed at approximately 3:00 P.M. EH:mm Re~ectfully submitted, ¢~---~Edward Hindermann Building Inspector