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Home My WebLink AboutZ-5754FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No.g.~...~. ....... Date ........... J.a,~l.... ~]. ......., 19~... THIS CERTIFIES that the b~lding located at L~.~st. ~ .L~~. ~ Street Map No. ~0~F~. ~B~ek No ........... Lot No. ~. ~ .&~... ~.~h~d. N..~. ~... ther Ir · ts f o f 1 d el & ou g c~e conforms substantially to ...................... , .... : dated ...{~..2~. ........... , 1~.., was issued, and conforms to all of the requffe- ments of the applicable provisions of the law. The occupancy for which this certificate is The certificate is issued to 8.~bas.gl~. & .~. ~biga ..... ~s ............... (owner, lessee or ten~t) of the aforesMd building. Suffolk County Department of Health Approval ~. v. ~$~%!~g .................... UNDERWRITERS CERTIFICATE No. ~. ~. ~$~ ............................ HOUSE NUMBER ..... ~7~ ..... Street . L}H~loK ~ ........................ 680 HOUSING CODE INSPECTION January 23, 1974 #575 L'Hommedieu Lane & #680 Locust Lane R-1 Southold, New York Subdivision: Tax Roil: Founders Estates #1178 Lots - 1/2 57-58 Sebastian R. Labita & Wf Upon request of the Southold Town Building Department, I made inspection of this two story framed dwelling and found the following violations of Chapter 52, Housing Code, Town of Southold. I was admitted to the south side entrance by Mr. Labita who accompanied me during inspection beginning at approximately 9:10 A.M. First floor rooms consist of kitchen, living room, three bedrooms and full bathroom. Second floor; two bedrooms and one full bathroom. Heat is supplied to each room from forced warm air, oil fired furnace located in partial cellar of building. Kitchen: Gas range, no shutoff valve at unit. Art. V, Sec. 52-52 B-2. Living Room: Outside entrance: No electrical switch or means of controlling light in room on entry. Art. V - Sec.52-56 B-2. EH:mm Accessory Building: One car garage. Exterior of buildings and yard area in good condition. Inspection completed at approximately 9:40 A.M. ~spectfully submitted, Building Inspector FORM NO. 6 TOWN OF $OUTHOLD Building Depnrtment 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 Dote ..... .~.~.~.~.~.....2..2.. :.....Z. ~..?.~ .... New Building ................ Addition ................ Old or Pre-existing Building ..... .~.. ........ Vacant Land .............. Location Of Property ....... ..~.~..~...~...r~....e..d...J~.e...q.....T~...~...e....~..~.....~..~..~...q.s...~;..~9.~..~ ................................................ Owner Or Owners Of Property ...~..e..b.~.~.~..~.......~.~..~..J:...~.9...~.~...d....~.~..~.~.~.....~..:.....~.~..~.~c~. ..................... Subdivision .~.Q.~,~.ql~3?~ [.s..~.~..%.~..s. ........................ Lqt 58 ....... & ~ I~o~ ............ Block No ............. House No ............. Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......X.. ................................. Fee Submitted $ ...5...D.0. ....................... Construction on above described building an?~p~eet ~all/gppl'~le~cx~'e/s/,~J.~, // //~ xx x regulations. ~stian R. ~Labita', by Rudolph Sworn to before me this Attorney 22 January, 1974 ................ day of ............................................ (stamp or ,eal~~ ~-7 Notary Public ........... .S...u..f...f..o...1..k. ........ County - //,~ ,. BESSIE L. AUSTIN {--"c"-~ ~Tf"" ~"'~/~ (~,~,. ~ngsslon Expires Maron av~ ,--- £ f /_ILL/AN .m/-'- ,,..~MtTH .,4 T k