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Home My WebLink AboutZ-5931FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.?...59.x 1...... Date ........... r'9Y .. 20 ......... 19.14 THIS CERTIFIES that the building located at lJlortY<• ,3,?a.• IIT..... • ....... Street Map No. . xx ........ Block No.XX,;A ..... Lot No.. .... S t,+y c>.', t...1lr.Y e ....... conforms substantially to the code C�� oee9p1... b4� before. k.�,i1 ..L:�.., 19.7. pursuant to which X5131•' . dated ...........addaY ..28...., 19. 74, 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 P.^ivate. Ano. fari;.1y. Awe11Ing........................................ The certificate is issued to . -Es-tate- iof- ienry Pohl • • • • r • • • • • • • • • • • • • • • • • ( owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .. pro.existin.g ................... UNDERWRITERS CERTIFICATE No. ..?;-.mx3sting ........................... . HOUSE NUMBER ...1230 ...... Street .. Nor thSea. DxSve....................... �`�:...��... Building Inspector a 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 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 ....... a.... 2...x...19 74............ New Building .................... Old or Pre-existing Buil�ing .......... X............... Vacant Land ............................ Location Of Property ... QLA4Xth..�ci..zwiv~...... $.Q:4A01Q..W..... NQw..XQxk4............ Owner Or Owners Of Property .......E:S.ate of Henry,,,...kohl........................................................ Subdivision................................................................ Lot No............. Block No............. House No.E3p PermitNo ..................... 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.,.Q.Q:................... Construction on above described building an per ' ap is le codes and regulations. Applicant• .. ....... ., g ........ ........ ............. n, );'sg as Attorney"'fo'r Sworn to before me this tate o Henry L. Yoh1 l9t �gr ....day of.....NAXa...19.7.4 ................. (stamp or seal) Notary Public .. Suffolk ..... County '`¢ /0 e--� y93 1 FRED WtELRJ, JR. /A' :. � y Notert F't t•lir, ''taflte M Ne. YnrR Ra i� r it Sjffr iF as ,jv No. 19 /_� t HOUSING CODE INSPECTION May 24, 1974 #1230 North Sea Drive Southold, N. Y. Tax Roll: Henry Pohl Occupied - Mr. Fallan, new owner Upon request of the Southold Town Building Department, I made inspection of this one story framed dwelling and found the following violations of Chapter 52, Housing Code, Town of Southold. I was admitted to the building by Mr. Fallan who accompanied me during inspection which began at approximately 3:20 P.M. The building consists of two bedrooms, one bathroom, living room and kitchen. Heat is furnished to all rooms from an oil fired hot water furnace located in the basement. Kitchen: Gas range, no shutoff valve at unit. Article V. Section 52-52 B.2. Lamp cord plugged into wall outlet running through hole in kitchenfloor, termina- tion indeterminable. Article V. Section 52-56 A.1. Exterior: Deck on west and north side of building - plank rotted near kitchen entrance, Article III, Section 52-30 A. Wooden ramp from roadside to front steps to deck, duck boards on west side, running to rear of building, several broken and rotted planks. Article VI, Section 52-61 C. All trim of building requires painting. Article III, Section 52-31 B. Inspection completed at approximately 3:40 P.M. EH:mm Building Inspector NoR-ftA Unauthorized alteration or addition to this survey is a violation of section 7209 of the New York State Education Law. Copies of this survey mop not bearing the land surveyor's, inked seal or embossed reel shall not be considered to 6e a valid copy. c! cCrtllicC`Ib; s indicated hereon shall run only to the pe- *nr whom, t:ie survey is prepared, and on his behalf to the '!t!c company, governmental agency and lending institution listed !—ncon, and to the assignees of the lending institution. Guarantees ar certifications are not transferable to additional institutions or subsequent owners. SURVEY FOR MARLOR ASSOCIATES AT SOUTHOLD TOWN OF SOUTHOLD REFERENCE: 0• W Np ?Z1 GUARANTEED TO: SUFFOLK COUNTY] N.Y. "CHICAGO TITLE INSURANCE CO. EASTERN FEDERAL SAVINGS d LOAN ASSOC. SCALE: 1 40' MARLORASSOCIATES MAY 16p 1974 LAND SURVEYOR N_Y& LIC.Na2*n6 7;vicxr740,wvz7.� ,C� c� �l i FA el - Z7— 02 IWO iIVA � � w