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Home My WebLink AboutZ-7039FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 27039..... Date ............... ]Uq... 20 ..... 919.76 THIS CERTIFIES that the building located at . Nassau. PP.#t. Road...... Street Map No. X3.$$ e . Pt: e. FMM k No........... Lot No. 10. & Pt, 1?+2 , Cutehogue At.Y e requirements for one f ily dwelling & housin code - conforms substantially to the 111 built certificate of occupancy dafed .before . April.. 23, 19. 57. pursuant to which t[I 191F OtmLNo.27039. . dated ........ "`Ay .... 29...... 19. 7.0, 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..faril.ly . dwelling ....................................... The certificate is issued to .. Robert. E . Rehm ..... Owner, of. record. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval PrP- e41 tti ? A .................... UNDERWRITERS CERTIFICATE No. . px®- .QX1,S AS ............. . ........... . HOUSE NUMBER .... 5730..... Street ....Nassau. Point -Road ................. ......�hv/ Building Inspector HOUSING CODE INSPECTION May 20, 1976 5730 Nassau Point Road R-1 Cutchogue, N.Y. Subdivision: Nassau Point Club Prop. Amend A, Map 156, Lot 141 and 1/2 of 142 Tax roll: Robert Rehm Occupied, owner Upon receipt of an application for a Pre -Existing Certificate of Occupancy, I made an inspection of this one story framed dwelling. I was admitted to building by Mr. and Mrs. Rehm who accompanied me during this inspection which began at approxi- mately 12:45 P.M. The building consists of two bedrooms, living room, dining room, den, laundry room, kitchen and two full bathrooms. Heat is furnished to all rooms from an oil fired forced warm air furnace located in cellar of building's cement block foundation. Cellar is partial with crawl space balance of building's founda- tion. An attached two car garage is on the north end of building. I found no violations of the Housing Code, Chapter 52, Town of Southold, New York. Inspection completed at approximately 1:15 P.M. Res ctfully sub tted, G�P/1�Gl�y� ward Hindermann EH:mm 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 $1.00 Date .... 11aY..lTa... 1976 .............. New Building ................ Addition ................ Old or Pre-existing Building ..... X........ Vacant Land .............. Location Of Property..Nassau Point Road, Cutehogue= New York ...................................................... Owner Or Owners Of Property Robert E. and Margaret Rehm PY ..................... ............. and part of Lot 1�2 Subdivision N9$sau point Club ........... Lot Nos..11+.1/.. Block No ............. House No............. ; Inc:, Map Permit No ..................... Date Of Permit ....................Applicant.................................................................. Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ............. X.......................... Fee Submitted $ ...5.00 .................. Construction on above described building and p t meets all applicable s and regulations. Applicant .......��. Sworn to before me this �/��j 17 th day of .......... May., 1976 (scam or ea `� 7oo3y p Notary I' ....... ......................... Coun j GgO of 11 ` %1,30 / �j�3 ub, Suffoap 9`�F otaryCo SWO- -es Mon OW 4144�L Z14-1- - - C�-fie... G� ��. _ �r� -1 - ---- - J