HomeMy WebLinkAboutZ-6735FORM NO. S
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. .Z.1p.-735. Date
................
THIS CERTIFIES that the building located at .. W�S . .A W. � . b .... Street
Map No. .�.5.`l. ` Block No... ....Lot No.... 30 .... .
?EQVIVEMENT.S FOR ONE FAM10f ttwELLiNfr # fi66iinii5�- e=u
conforms substantially to the e
datd�LT. B�F�R....A��.h., 197. pursuant to whicle h Ocrit No. Zn 6'x,35
dated ......... .... top 1975, 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 . I! .', . ✓ ATl:...ONE.FAM IL`( W IELL�Nr AND A ACC rSSOR.I �Lbow6—
The certificate is issued to . flj` E pt. W.. A..,-10 .. M A RI O N TKI N D L C — O w N G wjs
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval
...E - ...EXI 5'r1 �� �-
.
.......................
UNDERWRITERS CERTIFICATE No...... ?E - �><'sT'>u G•-
....................................
HOUSE NUMBER .... 47 fir... Street ........
SE A . ],j�� V t ..........
SO U -7-H O
WO l'E N� BED Rooms HAVE No"BOTroM........................................
OF A W44DOW 316 01Z LESS 'n T14C
r -LOOK. TNF SliALL 'BED Room NAS
LESS 'Mi►N THE Rf QVII?c WiuD I W
art u
Building Inspector
I.1 6—HT AND Ol°E N V em -n L. h V W
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.
S. 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 .............................0�(1 `7 5
.................
New Building ................ Addition ................ Old or Pre-existing Building ........ Vacant Land ..............
Location Of Property ........... 75 s A W 00 D ��� V F_ SOL) 7 H O L D
...................................................................1.....................................,....
Owner Or Owners Of Property .. � fit. b .... �!1�.......... P. R. I N D I-- IZ MA
T�! O N � � r i D t
......................................I.. ..............
Subdivision Sk t^IOd �C .Lot No...3.0... Block No ............. House No.Z .5-
...... ............... ..............
Permit No ......... ........ Date Of Permit . ......Applicant , F f? 7!
HealthDept. Approval ................. LI. ..................Labor Dept. Approval ......................... ....................
Underwriters Approval ................ .N:...�.................Planning Board Approval ........�I.........................
Request For Temporary Certificate ........................................ Final Certificate ..........................................
va
Fee Submitted $ ........fir ........................
Construction on above described building and perm: s I lic le c s and regulations.
Applicant................... ....... ............................................
Sworn to before me this / 0/i 0 a
if o Z 73-6
............ day of ........ (stamp or seagRC_4`1 0 S S/
Notary Public ................. ty
HOUSING CODE INSPECTION
October 10, 1975
275 Seawood Drive
Southold N. Y.
Lot 30, Seawood Acres, Filed Map 2575
Owners: Fred & Marion Prindle
About 1:30 P.M. Mr. Prindle admitted me into the
one family, one story, dwelling.
I noted that two bedrooms have no windows with
bottoms of 316" or less to the floor. In the smaller
bedroom the single window is less than the required size.
I found no other violations in the rest of the dwelling.
There is one legal accessory building in the rear yard.
CciRWW11114
Respectfully submitted,
George H. Fisher
Building Inspector
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