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HomeMy WebLinkAboutZ-9137TOWN OF $OUTHOLD BUIT.DING DEPARTMENT Town Clerk'~ Office Southold, BI. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at .~.0.2.0...F~.e..e.t.s..N.e.o.k..R..d: .... Street Map No ............. Block No ........... Lot No .................................. conforms substantially to me , - dated ...AI~.z?..~.~ .... .2.~ ........ , 19..~.7. pursuant to whic~~'~ .Z9~I~.~. dated ...J..~.Y ..... .~.~ ........., 19..7.8., was issued, and conforms to ~1! of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is ~ued is ...... .~..~.v.e..t.e..~.e..F..e~...~...~. e.~...~.g .................................. The certificate is issued to ....... G..e?..a~.a....P~..e~..e.x'ga.s..~ ............................. (owner, jix~-_- ~,.- ~--,~,, of the aforesaid building. Suffolk County Department of Health Approval ......... P~.e~.ExAeffclJlg ............ UNDERWRITERS CERTIFICATE No .................. . .P~..e?..]~.t:.s.~..~..g ............ HOUSE NU~vm~.R..~.0.20 ........ Street ....... .~.~.e.e.~..s. ~e.o..k. ga.: ................. ............................................. ~3~.h..o .~.e. ~..~..~...~.or.k. ............ ........ .... Building In.qpector Housing Code Inspection July 24, 1978 1020 Fleets Neck Road (Pequash Ave) Cutchogue, New York Tax Roll: Gerald Prendergast ~uaoccupied Upon receipt of an application for a Pre-Existing Certificate of Occupancy, I made au inspection of the dwelling on this pre- mises. I began this inspection at approximately 2:30 P.M. Located on this property is a one story wood framed structure. No accessory buildings are located on the prop- ert~o Dwelling consists of two bedrooms, living room with fire- place, full bathroom, kitchen with dinette, enclosed 8' x 18' breezeway with an attached family room. Family room has a very low ceiling, six foot five inch ceiling. This dwelling has two heating systems, an oil fired hot air with ducts and baseboard electric. The outside of this dwelling-roof shingles, sidewall singles and cornice are all in good shape. A ten coarse cement block cellar is under the main part of the dwelling. Breezeway and family room are on a cement slab. Cellar has inside entrance only. Cellar contains hot air heater, pump and water tank all in good shape. No violations of the Housing Code, Chapter 52, Code of the Town of Southold, N.Y. were found. Inspection completed at 3:00 P.M. Respectfully. submitted, CURTIS HORTON Building Inspector FO]~M NO. 6 TOWN OF $OUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLIGATION FOR GERTIFIGATE OF OC:C:UPANGY I nstructions 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 disposalm(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), No~-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 July 20, 1978 New Building ................ Addition ................ Old or Pre-existing Building ..... ..X. ........ Vacant Land .............. location Of Property ....~..l.~.e..e~.~....~.e..~.L..~.e~..~....C~.?~.~.~.h"..~.~.e.z.~..~...~..~.~.~.~.~?~.~.~.~....~. ........... ARLENE D. PRENDERGAST Owner Or Owners Of Property ....................................................................................................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fined Certificate .......................................... Fee Submitted .................................... / Construction on above described building and egulations. Sworn to before me this 20th a~,l~l_icarnt,/Arl,~ne D. Prendergas t Notary Public ~ ....... ~uffolk Count~ NOTARY PUBLIC, State of New York No. 52-4665418, Suffotk County Comrniss*on Expires March 30, 19~..¢ (stamp or seal)