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Home My WebLink AboutZ-8999FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .28999..... Date ...May...1................... 19.78 THIS CERTIFIES that the building located at 240.. Champlin. Place..... Street Map No ............. Block No........... Lot No................................. . conforms substantially to the dated .. April • • - • • 23 19-57. pursuant to which faijIT&IOCCUPANCY Z8999- dated .. may ........ A. . ....., 19. 78 , 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 ... PRIVATE • ONE • FAMILY• DWELLING .... ............................... The certificate is issued to ...... Charles• V.• •Raynor• • ........................ • • • • ( owner, qqpe[enant) of the aforesaid building. Suffolk County Department of Health Approval ......... RreTFXJ,8 t 1A9........... . UNDERWRITERS CERTIFICATE No . .................. PrOn1�40U49............ HOUSE NUMBER ..240......... Street ....... Champlin • •Place ................ . ............................................Greenport„• New. York............ x .... :mak-!.... � .................. Building Inspector Housing Code Inspection April 26, 1978 240 Champlin Place R-1 Greenport, N.Y. Tax Roll: Charles V. Raynor occupied: Daniel Gratton Jr. Upon receipt of an application for a Pre -Existing Certifi- cate of Occupancy I made an inspection of the buildings on this premises. I was admitted to dwelling by Mr. Raynor who accompanied me during this inspection that began at approx- imately 1:50 P.M. The dwelling is a one story wood frame structure constructed on a cement block foundation and contains two bedrooms, full bathroom, kitchen, living room, front entry, sun parlor and rear entry laundry room. Heat is furnished to all rooms from a gas fired hotwater furnace located in partial full cellar. Domestic hotwater is supplied to all plumbing fixtures from a gas fired hotwater heater located in cellar. Access to cellar is provided by means of trap door in floor of laundry room. A one car wood frame garage is located in rear yard area. The following violations of the Housing Code, Chapter 52, Code of the Town of Southold, N.Y. were found: Entries -front and rear, no means of controlling light in room at point of entry. Article V, Section 52-56 B.2. Sewage System -no house trap. Article V, Section 52-51 C.1. Inspection completed at approximately 2:05 P.M. Respectfully submitted, EDWARD HINDERMANN Building Inspector 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. 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 ......April 26. 1978 New Building ................ Addition ................ Old or Pre-existing Building .... X........ Vacant Land .............. Location Of Property X23 Champlin Place, Greenport, New York .............................. Owner Or Owners Of Property .Charles V. Raynor and Sophie Raynor ................... Subdivision................................................................Lot No. .... 5...... Block No............. House No .... 323... 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 $.................................... Construction on above described building and per it meets all applicable codes and regulations. Applicant ....................... .... v.....a�%�................ Sworn to before me this ,6:Y7... day of...,, April.. 1978 ............... (stomp or seal) Notary Public �GG~✓ G�, NOTARY C. KEOGH _5/l PU9LIC. `t'•' of N®w Y44c. Qualified M Suffolk County Term Expires Idacch 30. Lql� I MR,r,_ Me- - / w rl_1. WE. F7, LP 4 - w"/