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Home My WebLink AboutZ-7084FORM X0.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z.70Q ....... Date ............ June .. 1.5 ...... , 1976.. THIS CERTIFIES that the building located at Tors[. pLinq ... Town ..Street Map No..?:FX ....... Block No.. .....Lot No. ? ... Southold# , N.Y., ...... . DE conforms substantially to the a r e t o d 1 builtc r is to o occupaney dated .before. April, 23 ..., 19.57. pursuant to which oZ70 • • . dated ........... 44e...15.., 19*%6 .. , 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 .�!C... Private. one. family. dwelling.. The certificate is issued toJAxev. ,I.ndIvel.(. Formerly. Babcock) .....owner..... . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Pxs OX1.$t;.A$ ..................... UNDERWRITERS CERTIFICATE No. pr® -existing ............................. HOUSE NUMBER ... 1.150...... Street .Terry, .Lane . , , Southold .... . .......... . ................................................................................ �..�...(.�'�`. Building Inspector HOUSING CODE INSPECTION June 23, 1976 1150 Terry Lane R-1 Southold, N. Y. Tax Roll: James Indiveri Occupied - Waimey & others Upon receipt of an application for a Pre -Existing Certificate of Occupancy, I made an inspection of this one story framed dwelling. I was admitted to building by Stanley Waimey who accompanied me during this inspection which began at approximately 9:30 A.M. The dwelling consists of four bedrooms, living room, dining room, kitchen, laundry room, and one full bathroom and one toilet room with lavatory sink. Foundation is cement block piers skirted with stocco and wire lath. Heat is furnished to all rooms from an oil fired, forced warm air furnace located in attic space. Accessory buildings on property consist of a two -car garage and beach house in rear yard area. 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 52-52 B2. Living Room: lamp cord outlet on base board of south wall, Article V. Section 52-56 Al. Entry door, no means of controlling light in rooms on entry, Article V, Section 52-56- B2. Beach House: lamp cord outlet and three open electrical boxes, Article V, Section 52-56 Al. Buildings and grounds at approximately 10:00 A.M. EH:med in good order. Inspection completed Respectfully s bmitted, I ain ermann 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 June 15 1976 Date................................................ New Building ................ Addition ................ Old or Pre-existing Building ....XXXX.. Vacant Land .............. Location Of Property Lane... ;, Town Creek,,.....gm th91A.,,,N. '.......................... .......... .... Owner Or Owners Of Property ..'L ... ames Indiveri.................................................................................. Subdivision ........ Lot No. ...x 4?4. Block No... X.. House No ..... 1.1„50 Permit No...... P ......... Date Of Permit ....... x?�....... Applicant ..Ehm.a.n ..&...Mar.irio.... attory..evs... ....... Health Dept. Approval .....P.re– existing Labor Dept. Approval ...........N.R. ........................... Underwriters Approval .........PXfe o Xxi„st,in�;.....planning Board Approval .....N Ft. ......................... Request For Temporary Certificate ........................................ Final Certificate........XXXX ......................... Fee Submitted $ ... 0.0 ......... Construction on above described building and permit meets all i e c es�and regulations. Applicant..../ .............. .............. .......................... Sworn to before me this �..... da of ............................................ p Yvw�7(stom r seal) Notary Public County /I P06ft, swe of NM YGrk / � � 1b. n4mff7i0q, •nNoMc Cour” (( Term Embee N&O 306 IM I 1p ,ro Oki/. 1'I Ulf I All' A!P \� s - WsawiTm 1z LR MMAPOr EDOEMERE rARK, -0 .: L ERK 3 OFFtCC AS MA P NQ o4 2 , 4 fav Y r,,Jt,ov�.Y rOR JOSEPH L. OWOURKE L, - 'R E L re�vyloi, or SOUTHOLD 15VFFOLK COUNrY, N.Y. OUAftAhTFEV TO, SCALE 1"c 3d APRIL 221 0W LAN:. I. --O-Act,- a