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Home My WebLink AboutZ-7335NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No. Z73A5 ...... Date October 29 19 76 THIS CERTIFIES that the building located at . 2..67.5.5...1~..i.n...I~..a.d ......... Street Cutchogue, NY Map No...-.-..-r.-. .... Block No.. r-.rT.-...Lot No... Ur.tUTTi.-. ..................... requirements for one-family dwelling & Housing Code conforms substantially to the-~l~pllcalic, nfc, r Euildln~-Pe~i~ hclet,~o, 6 fik, d-in-i~hi~offi~e built prior to Certificate of Occupancy ~ ........... April..23., 1951. pursuant to which BuiMh,g i~rmit No. $7.3.~..5.. dated . .October. 2.9. ......... , 19.7~., 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. onerf~ily..dwelli~g ...................................... The certificate is issued to . Marion .l~lcAf~e,..0 .w~.e.r. .............................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...Pre.-.exis.tlng ................... UNDERWRITERS CERTIFICATE No ..... P..r.e.-.e.x..i.s.t.i.n.g .......................... HOUSE NUMBER ...2.6.7.5.5 ...... Street ...Ma..i.n...a.o.a.4 ............................. ! Building Inspector HOUSING CODE INSPECTION October 28, 1976 26755 Main Road R-1 Cutchogue, N.Y. Tax Roll: Marian McAfee Occupied: Owner Upon receipt of an application for a Pre-existing Certificate of Occupancy, I made an inspection of this one-and one-half story, fzamed dwelling. I was admitted to the building by Mrs. McAfee and began this inspection at approximately 1:00 P.M. The first floor consists of a living room with fire- place, kitchen, full bathroom, and two bedrooms. The second floor is one large room used for sleeping. Heat is furnished to all rooms on first and second floors by an oil-fired, steam heat furnace located in the cellar of the building's cement block foundation. I found no violations of the Housing Code, Chapter 52, Town of Southold, New York. Inspection completed at approximately 1:20 P.M. ae/~ectfully sub~tted, ~ard Hindermann Building Inspector EH:med 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: ]. 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 ]957), 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 os 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: l. 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 D~te October 22,1976 New BHilding ................ Addition ................ Old or Pre-existing Building ...,~ .......... Vacant Land .............. Location Of Property .......... .~...~..~.~.~.~.~..~...~..d.~'~.C.~.u.~.c.~.~.~.~.~.~.e.~.~..e.~.~.~.~..9~ ....... i .......................................... Owner Or Owners Of Property Marian C. McAfee Subdivision ................................................................ Lot No ............. Block No ............. House No Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ......D./.~ ............................. Labor Dept. Approval ..... ](t./..a... ................................... n a Underwriters Approval ........ .~../..a.. .............................. Planning Board Approval ..... /. ................................. Request For Temporary Certificate ........................................ Fincd Certificate .......................................... Fee Submitted $ ..5..:..0...0. ......................... Construction on above described building and permit meets all applicable codes and regulations. Applicant Sworn to before me this ~....x~,.~. day of/~.'. ~,~ .../.~....~...~. · ..... (stamp or seal) Nota~ Public =,~ ..... Coun~