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HomeMy WebLinkAboutZ-6848FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. WO+8....... Date ...............1"o... q...... 1976. THIS CERTIFIES that the building located at . Sunset .Lem ............. Street Map No. =.......... Block No.= ........ Lot No, XZX... 4reeWrt• • •N.Y....... . code conforms substantially to the roc t f o f el & i�ou btit.lat r. fi to . f� occ anoy date before. -April •23• •, 19.57. pursuant to which��1Vo.Z6$.. . dated ........... Jan.. .... tj..., 1976.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . Private. one. frilly. .dwelling. do .accessory. . swissing .pool ....... The certificate is issued to .Joan .Richter..(. •Arthur. Richter. & .Wife) . Omer$. • . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval PTO-..ex1.x..%4zt ................... . UNDERWRITERS CERTIFICATE No. .pre-exlstlug ............................. HOUSE NUMBER ...... 235.... Street . Sunset. lane ... Greenportq • R.T. • . • • . • • Adds -permit • 040§i+Z• oC/0 # • =3756 .......................................... ..... Building Inspector HOUSING CODE INSPECTION January 8, 1976 #235 Sunset Lane R-1 Greenport, New York Tax Roll: Arthur Richter & Wf Occupied - Owner Upon receipt of request for a Pre-existing Certificate of Occupancy, I made an inspection of this one story framed dwelling. I was admitted to building by Joan Richter who accompanied me during this inspection which began at approximately 4:15 P.M. The building consists of three bedrooms, bathroom, kitchen, and dining room, and enclosed sun porch. Heat is furnished to all rooms from an oil fired hot water furnace located in full cellar. An attached garage and family room constructed under Building Permit #4054Z is located on the south end of building. Certificate of Occupancy #Z3756 was issued by the Building Inspector, Southold Town, on February 17, 1970 for this addition. I found no viol- ations of the Housing Code, Chapter 52, Town of Southold. Inspection completed at approximately 4:30 P.M. Re ctfull submitted, A EH:mm Edward"H ndermann W 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.....::r:,:4.................................. New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ........... r s.GC>1.� .Z:....... h!!4 L'..,..........�:T.r.�!�'�.C................... Owner Or Owners Of Property �S A- iC.......... f. rl?! Z.. S dr: .............................. Subdivision ...:.` fr'�'�.l.C.�!. �: �. ..............Lot No. ..... .... ......`:.... Block No ............. House No....:........ Permit No ..................... Date Of Permit .........'...........Applicant ..................... :............................................ Health Dept. Approval ..... / ....tib:'. .....Labor Dept. Approval ...........713. Underwriters Approval ..... G.' �:11.ft....... Planning Board Approval ....................... Request For Temporary Certificate ........................................ Final Certificate ..L ........................ Fee Submitted $ .. ..4:9 ............. Construction on above described building and -"permit meets all applicable codes and regulations. (l Applicant / akk. ,. �, , .'� . ............./...7.... Swornto before ma4his � / -,0/ / 6 o .. do o, �" z 7.......... y f7r�u�l.y..l�(�........ (stamp or seop 0 (0115 Ye 3 5- jj ' ( N to ryPublic ........... County FLNA nL1SY.m York c;z:.. 1971 -11A ►