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Home My WebLink AboutZ-9084FOBM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificete Of Occup; ncy No ....zg0~... Date .....~e ....... 26 ......... ,19...7.8 THIS CERTIFIES that the building located at . 320. ¥o.ungs..Ave .......... Street Map No ............. Block No ........... Lot No .................................. , RECtUIRt~ggNT~I conforms substantially to the, Ct~TIFICATE OF OCCUPANCY dated . .April.. 23 ......... , 19..57 pursuant to which ~ No.. Z908/4 dated .. J.unq .... 26. .......... , 19.'~.8., was issued, and conforms to ,Il of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ .P~...IV.ATE..O. NE..~..~I..L.Y., D .?EL..L.I.N. G ................................ The certificate is issued to ........ .~..e.x..~. d.e.~' ..fl:..Kq.k.e. &..~.f.: ..................... (owner, of the aforesaid building. Suffolk County Department of Health Approval ........ .P~..e.-.E~..~.~.~..~. g ............. UNDERWRITERS CERTIFICATE No ................. . .P~..eT.l~..~.~..~.~).g. ............. HOUSE NUMBER .... 3'.Q ...... Street ...... ..: .~u~d,.A.v.e.,: ~.i.. ~:;~ ........... Housing Code Inspection June 23, 1978 330 Youngs Ave Southold, N.Y. Tax Roll: occupied: Alexander G. Koke & wf. owner Upon request of Mr. Koke I made an inspection of the buildings on the above captioned premises. I was admitted to dwelling by Mrs. Koke and began this inspection at approximately 3:20 P.M. The dwelling is a wood framed two story building constructed on clay tile block foundation. First floor contains a living room with fireplace, sun room, dining room, kitchen with laundry facilities and a half bathroom. Second floor has three bedrooms and a full bathroom. Heat is furnished to all rooms on first and second floor from an oil fired steam heat furnace located in partial cellar. A wood frame two car garage constructed on a poured concrete foundation is located in rear yard area. The following violationN of the Housing Code, Chapter 52, Code of the Town of Southold was found: Electrical-ceiling light fixture not working, located in crawl space area under sun porch. Article V, Section 52- 56 B.1. Inspection completed at approximately 3:35 P.M. ! R~pectfu. l~r 2mitted, EDWARD HINDERMANN Building Inspector FORM NO. a TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, H. Y. 11971 APPLIGATION FOR CERTIFIGATE OF OGCUPANG¥ 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 "pm-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: I. 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 New B~ilding ................ Addition ................ Old or Pre-existing Building .... ~ .... Vacant Land .............. Location Of Property ..."~.~......~'~.~.~.~'...~....~.(~.4~_~ ........................................................................................ Owner Or Owners Of Property .... /..~.::.~.~./~..~ ............. ~ .......... :..~.,?.z~..~'.'~^//'.c ............................. Subdivision ................................................................ Lot No ............. Block No ............. House No..,,--~.,.O,... Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fined Certificate ~ Fee Submitted $ ........ ~ ......................... Construction on above described building a~tze~, all a~;l~ca~s and regulations. Applicant ..... ~Z~K,/_..~4Cd~.....~...~ .......................... ~.. ......... Sworn to before me this ................ dayof ............................................ (stamp