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Home My WebLink AboutZ-7090FORM NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 4709! ...... Date .......... S1We...... 1.8 ......, 19715.. THIS CERTIFIES that the building located at . Tuckers . Lane ............ Street Map No.. XX ........ Block No. .xx....... Lot No.. xx ... Southa id .. X.Y .......... eq reme t f, orlefaml del n .6 ou�tn�g code conforms substantially to the .r X b It c r, ,fic to 0 occuoc rcy date .... before ..fpr .. ?3., 19.17. pursuant to which 40• & •7090 dated ......... June...18 .... , 19-76., 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 .Pr;I.Vate..Qne. farpiJyt.dk'e:,3.1zg....................................... The certificate is issued to ..Qarl ,4-, Je4n. S.iieppowsl�i .. f'r'Qm. J....firomaich ...... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval PrQ-. ex#.St-3ng.................... UNDERWRITERS CERTIFICATE No.Pre ext -1W 9 ............................ HOUSE NUMBER ...... ?N .... Street .... Tuckers Lane ....................... ............................................................................... 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 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: 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 i Date ............... ....1j.,Jj.... . New Building ................ Addition ................ Old or Pre-existing Building .... ,-A. Vacant Land .............. Location Of Property ...� Q�... �." Owner Or Owners Of Property ...... .. .7 ............Cj��2!uGLC/� Subdivision.....( ...........................................................Lot No............. Block No............. House No............. Permit No. ....... rl� .... Date f Permit .......:......Applicant .........`................................................... Health Dept. Approval .....'.' .........................Labor Dept. Approval .........././.......................... Underwriters Approval ........ P :......................... Planning Board Approval .... . 2......................... Request For Temporary Certificate ........................................ FinQ1 Certificate ..... ....................... Fee Submitted $ .;.a.�..................... Construction on above described building and permit meets all opplicc Applicant Sworn tobeforeme this 15.7. qq -7 ...... day of..l...l.../....�..... Notary Public ... County HOUSING CODE INSPECTION June 18, 1976 500 Tucker Lane R-1 Southold, N.Y. Tax Roll: John Hroncich & Wife Occupied: Carl Stepnowsky & Wf - new owner. Upon receipt of an application for a Pre -Existing Certificate of Occupancy, I made an inspection of this two story framed dwelling. I was admitted to building by Mrs. Stepnowsky and began this inspection at approximately 11:10 A.M. The first floor has a kitchen, dining room and living room. Second floor has three bedrooms and a -full bathroom. Heat is furnished to all rooms from oil fired, forced warm air furnace located in full cellar of building's foundation. An enclosed porch runs the entire length of south side of building. Accessory structures consist of a two car garage and two small sheds in rear yard area. The following violations of the Housing Code, Chapter 52, Town of Southold, N. Y. were found: Lamp cord outlets and lighting fixtures are wired in following area: Cellar, living room, enclosed porch, second floor hallway, exterior light at kitchen entry, and line running from cellar to garage in rear yard for light fixture. Article V, Section 52-56 A.l. Stairway to second floor, no means of controlling light for safe ascent or descent. Article II, Section 52-26 B.3. Sheds in rear yard on westerly line deteriorating and deforming. Article III, Section 52-30 A.B., Section 52-31 B.C. Inspection completed at approximately 10:40 A.M. Re ectfull submitted EH:mm Edward ndermann Building Inspector Ldp ---- ol:zZ Q,-- �D —7o4 �,. A�i n • A -4--Alr- -