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Home My WebLink AboutZ-7122FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 271.22...... Date ............... ! �y....13.. THIS CERTIFIES that the building located at Huntington Blvd ........ Street Map No.Pee.. Ah.... Block No ........... Lot No,.1? Peconic N.Y. ........................ conforms substantially to th fMJJjyjiJal, 1 ou code d u6 t before April 23 57 certificate of occupancy ate ......... P ......... , 19 .... pursuant to which o.. Z71-22 dated ........... J44....13., 19.7§., 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 ..Prtpate. one , feMITY. W01I.I.ng...................................... The certificate is issued to. & Ano owner , of, record ....... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . PP -. existing ............ . ..... . UNDERWRITERS CERTIFICATE No. .Pre- existing . ........................ . . HOUSE NUMBER ... 1.1.70 ...... Street . Huntington Bled .... Peconie , , , , , , , , . ................................................................................ ....... (i./.. Building Insp for HOUSING CODE INSPECTION July 1, 1976 1170 Huntington Blvd. R-1 Peconic, N. Y. Tax Roll: George W. Quigley & Another Occupied: Owner Sub -division: Peconic Shores - N/92' of lot #12 Upon receipt of request for a Pre-existing Certificate of Occupancy, I made an inspection of this two-story, framed dwelling. I was admitted by Mrs. Quigley and began this inspection at approximately 10:15 A.M.. The second floor habitable area consists of a kitchen, living room, two bedrooms and a full bathroom. Heat is fur- nished to all rooms from an oil -fired hot water furnace lo- cated in unfinished basement. Basement provides a one -car garage area. Building's foundation is wood piers enclosed with vertical wood siding. Violations of the Housing Code, Chapter 52, Town of Southold, New York, which were corrected by Mr. Quigley (re -inspection made on July 12, 1976), were as follows: Kitchen: gas cooking range, no shut off valve at unit. Article V. Section 52-52 B 2. Basement: gas fired hotwater heater - no vent to exterior to remove products of combustion. Article V, Section 52-53 H 3. (As of July 12, at re- inspection, fuEL line to hotwater heater was disconnected and unit is being used only as a water storage tank.) Inspection completed at approximately 10:40 A.M.. Res ctfVnrm u/bmitted, E d H n n Building Inspector EH:med FORM NO. 6 TOWN OF SOUTHOLD Building Deportment 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 disposol—(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 o certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or fond use $5.00 3. Copy of certificate of occupancy $1.00 Date.August... a•.74,...197G New Building ................ Addition ................ Old or Pre-existing Building .X............ Vacant Land .............. Location Of Property Sound...Avenue.,...�?econic Shores, Peconic, Flew York ...................................................................... Owner Or Owners Of Property GEORGE ...QUjGLEY„and..LILLIAll QVIGLEY, his wife ...................................................... . SubdivisionMap..a Lot N�.?........... 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 ........................................ Final Certificate .......................................... Fee Submitted $ .&,W ......................... Construction on above described building and permit meets all applicable codes and regulations. r, Applicant ......... 1don.tu9ue...S9r.Y.iCe.... . ........ ........ Sworn to before me this Z /Z2.- ................ day of ............................................ (stomp or seopl Notary Public .................................... County v-- b