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Home My WebLink AboutZ-7689FOF, M NO. 4 TOWN OF SOUTHOLD BI~wLDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at . .. Ige.st-La~. ~. · (.~ Street Map No .... ~ ....... Block No. ~ ........ Lot No..~ .... ~o~- · .N ,~., .......... the~reBe~s ~or. O~ conforms substantially to dated ........... J~e. 1 ..... , 19 ~.~., was issued, ~d conforms to ~ of ~e req,]ir~ ments of the applicable pro~sions of the law. The occupancy for which this certificate issued is p~ova~ .one..fa-~ ] y. d~ll~ ........................................ The certificate is issued to . ~o~e~e. (~cocE) .E~o~. · ~er. of. r~o~ .... (owner, lessee or ten,t) of the aforesaid building. S~olk County Department of Health Approval pre- .exie~g, .................... UNDERWRITERS CERTIFICATE No.. pine-.e~ti~ ........................... HOUSE NUMBER ... 1 ~ ...... Street .. ~est. ~..R~' '{ · ~ '~')'' '~o~5 ....... /~uilding Ins~~ .... HOUSING CODE INSPECTION June 1, 1977 1085 West Lane Road (Pvt. Rd.) R-1 Southold, N.Y. Tax Roil: Florence Hancock (now F. Etzkorn) Occupied: Owner Upon receipt of an application for a Pre-Existing Certificate of Occupancy, I made an inspection of this one and one-half story wood framed dwelling. I was admitted to building by Mrs. Etzkorn and began this inspection at approximately 9:15 A.M. The first floor consists of two bedrooms, living room with fireplace, full bathroom, and kitchen. Second floor is unfinished and is used as storage area. Heat is furnished to all rooms on first floor from an oil-fired forced warm air furnace located in full cellar of building's cement block foundation. A one-car garage is located on the east side of building and is attached with an enclosed breezeway. The following violations of the Housing Code, Chapter 52, Town of Southold, New York, were found: Kitchen - gas cooking range, no shut off valve at unit, Article V, Section 52-52 B 2. Front entry - to living room, no means of controlling light in room at point of entry, Article V, Section 52-56 B 2. Exterior - of building, all trim and window sashes, paint peeling exposing wood to elements, Article III, Section 52-31 B. Inspection completed at app~r~imatel~ 9:40 A.M. Building Inspector EH:med I~OKM NO. 6 TOWN OF SOUTHOLD , Building Depar~ment Town Glerks Office Southold, H. Y. 11971 APPLIGATION FOR GERTIFIC:ATE OF OGGUPANG¥ 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, /V~ultiple 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 $1.00 ~"/"/'"'/~Z/?'' Date New Building ................ Addition ......... ,/z/ '"'~ -,~ ,,Z //---.~Z~ ~ a,/~,/~Z~('~' .-/~: Old or Pre;xis~lding .--"~"V~,/c~. L~d~ ........... ................................ ................ .o..o .......... .......... ............. Permit No ..................... Date Of Permit ,~ .................. Applicant ................ ,.~*c7~,-,~-..--..o.-... ........ Health Dept. Approval ................./~'..~y/~.. ................ Labor Dept. Approval ....... '/~/,"//rY~ ...................... Underwriters Approval ............. .~../~- ..................... Planning Board Approval .... ~/./~. ........................ Request For Temporary^Certificate ..... ..~..[.~.~..¥i~.~.'~'i.~'.~.' ......... Find Certificate ..~. ................................... Fee Submitted ~..~,,~.~...~. .................... Construction on above described building~~/~s.~l~~?~reg,,u,~ns- .... Sworn to before me this ~ / ~,Mz,~*(~<~ /._,,~,,~/c~-~ .... ..~.l ..... day,(,,_~. //^ ~2/_~°f ....../...~.~ ......... ~'X~"'"4/ ia ,stamp or seal) ~c~ Notary Pub~ie~/.~,-. County BE$,~IE L. AUSTIN ~ ~ · c~4--~'~%(~ornrnission Expires ~larch F /~'~AP OF LAND .S URVEY~fl FLORFNCF HANCOCk( BAYVlEW 7-014/N OF' ,~OU THOLD EO' I'~ ~c ~1¢ = ~ ~ ~v ~m r ~l /vi. .I