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Home My WebLink AboutZ-5797FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 1579.7 ...... Date .......... F.eb...1.5.......... 19.74. THIS CERTIFIES that the building located at .. Birch. Drive ... South.... Street Map No. xx.......... Block No... xx .....Lot No...xa ...Laurel....".•.......... . conforms substantially to theiremest$ f'p ode fan it wel nn,gg 6 ho in�gg cod* tt �At1€ H&ho9 �X NaMed iefore. April ..23..., 1957.. pursuant to which e of t__e _g 0. 2. 5�9 ncy dated ...... Feb • • ...1.5...... , 19.71, . , 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 .. Private . one . family. dwelling ..................................... The certificate is issued to .Tharesa .irina.......Ywner ........................... . of the aforesaid building. (owner, lessee or tenant) Suffolk County Department of Health Approval . Pre-. existing ................... UNDERWRITERS CERTIFICATE No. . rr.P, . existing ........................... HOUSE NUMBER ...4.o.5 ....... Street Birch .Dr. Jauth ........................ Building Inspector HOUSING CODE INSPECTION February 14, 1974 405 Birch Drive South R-1 Laurel, New York Tax Roll: Theresa Mina Unoccupied 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 picked up Mr. John Moore, Jr. at the real estate office of Silkworth, Inc. in Mattituck. Mr. Moore admitted me to premises and accompanied me during inspection which began at approximately 12:00 P.M. Cellar: Partial full; no shutoff valve on gas piping system house side of meter to shut off all gas supply. Article V. Sec. 52-52 B.1. First Floor consists of eat -in kitchen, dining room, living room, enclosed sun porch, two bedrooms (each containing half bathroom), with heat supplied to each room. Kitchen No shut-off valve. e�7-.4z i-- 1'/jr_ Sun Porch: Entrance, no switch to cantrdl 'Light in room on entry. Art. V. Sec. 52-56 B.2. Second Floor consists of four bedrooms and one full bathroom. Heat supplied to this floor. Inspection completed at approximately 12:25 P.M. Respectfully submitted, -taward Hinde mann EH:mm 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 $1.00 Date ....... Feb.....13.....1974 ................. New Building ................ Addition ................ Old or Pre-existing Building ......... Vacant Land .............. Location Of Property ....Birch Drive South Laurel N.Y. .......................................................................................... Owner Or Owners Of Property Theresa Mina ........................................................................................................................ Subdivision ............... �X......................................... Lot No..?...... Block No. M...... House No... Permit No. ........... Date Of Permit ... P. ........... Applicant ...William„MCKinley, Attorney Health Dept. Approval ........?Te'existing ....... Labor Dept. Approval .........N.R. ............................... Underwriters Approval .......... PP..e-...PX1._$t3.AI.... Planning Board Approval ...... NtR......................... Request For Temporary Certificate ........................................ Final Certificate.........XXX ............................. Fee Submitted $ 5�00 .......................... .... Construction on above described building and rmit meets all a p i bl codes and regulations. Applicant ........ ...... Sworn_!k before me t is d' ('.G 1N /1(�Z is t/- �'�! �97y PL” era se 7 r �Q Qum U �........... (stamp or seal) G -0 otary Public .................................... {ro�aMy, ffla[aaq Public, State of New Yo -k No. 60-6,296200 Qualified in wcutchester county Term rxp�ix��s rluec'.. 1V2' / ��-'A� iii�i�er