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HomeMy WebLinkAboutZ-5834FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z.5831....... Date ............ Mar .... 26......, 1994 - THIS CERTIFIES that the building located at B.assau -Point • Raad • • • • • • • Street Map No. Nas&,, _ Pt.� cf o .......... Lot No. 140 .....Cutchotus ... KY* ..... conforms substantially to thecod• I CIE c a t -before. April 23 19.57. pursuant to which EIAA&At 4fo. ccup.ancy dated ........ Ka'r .. " ..26 ..... 19.74.1 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. dweu.1ing........................................ The certificate is issued to • -Margaret. •(RoDt) • Rehm • • • • owner • • • . • • • • • • • • • • • • • • • (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .pre•- •exis•ting• . • • • . . • • • • • • • • • • • • • UNDERWRITERS CERTIFICATE No. .pre existing• • • • • • • • • • • • • • • • • • • • • • • • HOUSE NUMBER ...5851....... Street -Nassau. Point. R61 :...................... . Building Inspector HOUSING CODE INSPECTION March 25, 1974 #5854 Nassau Point Road Cutchogue, New York Subdivision: Nassau Point Club Properties Map #156 Lot 140 Tax Roll: Robert Rehm Upon request of the Southold Town Building Depart- ment, I made inspection of this one story framed dwelling and found no violations of Chapter 52 Housing Code, Town of Southold. I was admitted to building by Mrs. J. Halmsley and began inspection at approximately 1:05 P.M. The building consists of living room, kitchen, full bathroom, and two bedrooms. Heat is supplied to each room from a forced warm air furnace located in partial full cellar. Inspection completed at approximately 1:20 P.M. Respectfu su itted, EH:mm ' 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 ..... MAA.0h...J.5.r... 19-7.4......... New Building ................ Addition ................ Old or Pre-existing Building ..X.......... Vacant Land .............. Location Of Property ... Na.ssa.w..Paint..or..Li.tt1e..Hog..xeokw...Sti Owner Or Owners Of Property ..... Aargare.t..E1eanor..Rehm ................. ............................................. Amended Map A of Nassau Point Subdivision....... ­MRp*­Nt7; .... 1.56 .......................... Lot No...140... Block No ............. House No............. PermitNo ..................... Date Of Permit ....................Applicant.................................................................. Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ......... X.............................. Fee Submitted $ ....50.0 ....................... Construction on above described building Applicant I.. Sworn to before me this �T ean Margaret Elean 1.� day of ....Mt rzha... 1974 ............. Notary Public .. .. .......... Corky, . aK 0 0 Rehm and regulations. 'r„" - - 01 .................................................. as attorney for (stamp or seal) 19, --A.- I �- / �tcccZdp.�ai #�<`f�L�k All Aexv%�L¢6� — ell