HomeMy WebLinkAboutZ-4769NoZ1+7b9........
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
Date ............ Aug .. 29 ....... , 19.
THIS CERTIFIES that the building located at Broadwatters Dr ...... . . Street
Map No.. xx ........ Block No.. Lot No. .?PRCCutchogue p 4X •
g dwI ins code
conforms substantially to the�&LMJLV.%,K 4A.LjL &ftJL.,
built before Cort., occupancy
MW...... Ayrl1.... 23.... , 19.57. pursuant to which No. 44769..
dated ...........�91 19. r�, 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 . RXI!iVt~te .one .f4mUT.40VAIlin9 .......................................
The certificate is issued to .���! .N►e)C'Ti11 Richard Cochran
( owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval Pre..existing
UNDERWRITERS CERTIFICATE No ..... M—existing
HOUSE NUMBER. 950........Street. ArgadwaWrA. Df............. ............... .
.................................................................................
fteeptions to housing code: ,
to a& light switch enterance off po3rcf►
Z. not encu& outlets in living room (too many cords)
A.� no,switch for cellar light at eaterance Building Inspector
HOUSING CODE INSPECTION
August 29, 1972
950 Broadwaters Drive
Cutchogue, New York
Tax Roll: Irma Merrill Estate
Occupants: G. R. Merrill family
Upon request of the Southold Town Building
Department I made inspection of this one and
partial two story dwelling and found the following
violations of Local Law #1, Housing Code, Town of
Southold. I began inspection at approximately
10:15 A.M. and was admitted by Mr. Merrill
Living Room - There are two entrances from
outside to this room, no light switch for
controlling light in room at either one -
Section 529b.
Cellar - No light switch at bottom of stairs
for controlling light in cellar area or
lighting stairs - Section 215c.
Inspection completed at approximately 10:45 A.M.
spectfully s mitted,
Edward Hindermann
Inspector
EH:tle
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 triplicate 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 dispcsal—(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.
S. 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 �g
Date...........�. .... v............
New Building .................... Old or Pre-existing Building .......... J(,............... Vacant Land ............................
Location Of Property ........... B�OiQlfitl�s..D�1•s...Ct1Li4)f1081i1y..Iiliw..Eilfk.............................
Owner Or Owners Of Property ......... GAorgt..R.... Mi=Lll.s...RLet=..d..D...C*OcbiAm....................
Subdivision................................................................Lot No............. Block No............. House No ... Z� �-).
Permit No ..................... Date Of Permit ....................Applicant..................................................................
Health Dept. Approval ............................................Labor Dept. Approval ................................................
Underwriters Approval .............................................. Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate ..........................................
Fee Submitted $ ........................
Construction on above described building permit meets all applicable codes and regulations.
Applicant nn
Sworn to before me this
................ day of ............................................
Notary Public .................................... County
(stamp or seal) V.2417 G