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Home My WebLink AboutZ-8964FORM NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .2896.4..... Date ... Marnh ... 28 ............. . 19.78 THIS CERTIFIES that the building located at 1.3705...Main.Rd........... Street Map No ............. Block No........... Lot No................................. . REQUIREMENTS FQR ONE FAMILY DWELLING BUILT BEFORE conforms substantially to the " CERTIFICATE OF OCCUPANCY dated ..April . , .23........ , 19.57. pursuant to which ��gl� No. Z8964 . dated .. March. , .28......... , 19.78., 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 ... H.. Norman. McCullough, &. Linda B. McCullough ( owner, ax�taa of the aforesaid building. Suffolk County Department of Health Approval .......Pre -Existing .............. . UNDERWRITERS CERTIFICATE No . ............... Pre -Existing HOUSE NUMBER .1370.5 ....... Street ........ MainRoad Mattituck, New York ................................................................................ Building Inspector This Dwelling contains a Pre—Existing Doctors Office Housing Code Inspection March 20, 1978 13705 Main Road R-3 Mattituck, N.Y. Tax Roll: Norman H. McCullough & wf occupied: owner Upon receipt of an application for a Pre -Existing Certificate of Occupancy I made an inspection of buildings on this premises. I was admitted to office by Mrs. McCullough who accompanied me during this inspection that began at approximately 2:15 P.M. The dwelling is a two story wood framed structure constructed on a red brick masonry foundation. First floor contains a doctors office that contains the following rooms: Waiting room with entry vestibule, inside half bathroom off vestibule, office for receptionist, consult- ing room, inside bathroom off hallway, two examination rooms and a utility room that provides passage to dwelling. Dwelling area of first floor contains a living room with fireplace, front entry hallway, dining room, sun porch, kitchen with eating area. Rear entry hallway, half bathroom and enclosed porch at rear entry. Second floor contains four bedrooms and a full bathroom. Second floor hallway has a dis- appearing stair in ceiling for access to attic that is used for storage. Heat is furnished to all rooms from an oil fired hotwater fur- nace located in full cellar. Consulting rooms and examination rooms are heated with individual electric heating units. A wood framed two car garage is located in rear yard area. The following violations of the Housing Code, Chapter 52, Code of the Town of Southold, N.Y. were found: Entry -Consulting room, no means of controlling light in room at point of entry. Article V. Section 52-56 B.2. Electrical -Cellar, open elctric junction box on floor joist near ceiling light in west end of cellar. Article V, Section 52-56 A.1. Garage -open electrical junction box on west wall, also wires spliced outside of junction box. Article V. Section 52-56 A.1. Inspection completed at approximately 2:45 P.M. Respectfully submitted, EDWARD HINDERMANN 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 ,March 15, 1978 ......................... New Building ................ Addition ................ Old or Pre-existing Building ..XX.......... Vacant Land .............. Location Of Property .)15...M4><A... at i two)C.,...T.RWA..9f... rS.QL1thplda... N W..1sar ,..... Owner Or Owners Of Property . H. NORMAN McCULLOUGH & LINDA B. McCULLOUGH ........................... ............................................................................ Tax Map Designation: 1000-140-03-31. House No..lr�`1.Q% Subdivision................................................................Lot No............. Block No. 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 $ ..5.00 ......................... Construction on above described building and permit meets all applicable codes and regulations. Applicant............................................................................................... GEORGE C. STANKEVICH, ESQ. as Attorney Sworn to before me this for H. NORMAN McCULLOUGH and LINDA B. McCULLOUGH 15th day of ....March. 1978 ; ..... (stamp or seal) .......... 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