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)