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Home My WebLink AboutZ-8971FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ..2897.1 .... Date . March. ..30 ................. 1978. THIS CERTIFIES that the building located at ..1000- Mlnehaha. Blvd,- - - . Street Map No..917 ....... Block No........... Lot No .................................. conforms substantially to the ILT dated ...April. . .23. ....... 19.57. pursuant to whic OCCUPAPICY o. 5979.. . dated ... March.... 30........ , 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. ONk .F,*1ILY. DWELLING .WITH .DMACHM .(3AF% rt ......... The certificate is issued to ......Az'tthur. RionAr. wX ............... ............... . (owner, t��t ) of the aforesaid building, Suffolk County Department of Health Approval ..... .... Pre—Existing ............ UNDERWRITERS CERTIFICATE No . ................. Pre -Existing • • • • • • • . • • . HOUSE NUMBER ..:1.000....... Street .......... Mi=Q14boL. H1V0,+.............. ................................................ Southold,. New. York......... . Building Inspector 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 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 $1.00 Date ......March 29,,,,1978,,,,,,.. New Building ................ Addition ................ Old or Pre-existing Building ..X............ Vacant Land .............. Location Of Property..�47Ll�il�kldkld...5Q.411eX41x41,...$QXXJAQ.ld,..NeF(..XRx.1S........................... Owner Or Owners Of Property ....AW:ftgK......131.4§...................................................... Subdivision................................................................Lot No............. 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 $ ..,5..0.0 ........................ Construction on above described building and permit meets all applicable codes and regulations. Applicant Rudo,lP4`,,,,,,>}er„for,,A„rthl},,„Qe#.i.erine Rios Sworn to before me this 3.1.$.x....... day of .....Myda1 ...1,97.15 ............. I y(stamp or seap Notary Public ............ S.uffolk....... County ELIZABETH A. FINNE NOTARY PUB'Ir�, State ct New York �y 10.52-4553565, Suffolk County ltkl<jT Zeim hxPires ivtarch ��7 i1 'I j1 SURVEYED r-coe f k J O:_� i I , L4uGHwNG ware" !144.09 N I 7bWV A= :�Oc1TH 0, N.Y. lIFit + oAi %I/{t4RtrAv&zw Limaz:w oM-JI IW kam 6 A VICIAYION aNCSMN nla of TM ww TM .AAI! 4WC*Uft LAW. LOYIFS of njIS SUkVfl MAI NVY UAkINp �� - _ 2q iqf !ANO SUMYOS'S INKiD SEAL O. -- I To v AD AUD MSALL on L! CUNS]DFSF� � i ! � 4'l 10 M A VAtW ICUE COn. i A.o I na a.,,n,s fo rYI� 1 \ Q II lCrrll.11yKFFcP}'r' Nlfilk.C4m¢Ai::t.. :,:.,p�l�... .:,. A. r 1 � f" I ' i17 i lQ �Ii. RSSuiI�Y.3 � !:IAC l:i :.l.iVc Mf$Y� i G .rFualQMAl IIV]]IIJIIONS VV 51'4".�Qit ttt i r fano of it net i GcxarUn�e� � i+taY , ,' Chicatc�Fo'1'-r%!e 6r5F.,rs�rrAc,s,_CoF.r�,ayly HUMAN and iv *4a Scams ho/d fvVior awlk as lwar10,1978. iCgrfSeCl L drd SurVOcoA3 5v lk_ Co. rCAc btolp G1es.g rarl r'on: Gr�art`aorF - New YorAc Housing Code Inspection March 29, 1978 1000 Minnehaha Blvd. Southold, N.Y. Tax Roll: Arthur Rios & wf. occupied: owner Upon request of the office of Lefferts Edson, Attorney, Main Road, Southold, N.Y. I made an inspection of the buildingson this premises. I was admitted to dwelling by Mr. Rios who accompanied me during this inspection that began at approximately 1:40 P.M. The dwelling is a one and one half story wood framed building constructed on a cement block foundation. First floor contains a living room, two bedrooms, kitchen and a full bathroom. Second floor has two bedrooms. Heat is furnished to all rooms from an oil fired hotwater furnace located in full cellar. Cellar also contains a half bathroom, shower room and kitchen facilities, i.e. kitchen sink and electric cooking range. A detached wood frame one and one half garage is located in the rear yard area. A family room addition is presently under construction on north side of dwelling. Building Permit #95432 dated November 7, 1977. The following violations of the Housing Code, Chapter 52, Code of the Town of Southold, N.Y. were found: Kitchen -gas cooking range, no shut off valve at unit. Article V. Section 52-52 B.2. Sewage System -no house trap. Article V, Section 52-51 C.1. Shower room in cellar -no ventilation provided. Article V, Section 52-26 B. a.b. Plumbing fixtures -in cellar waste lines not tied into buildings sewage system. Article V, Section 52-51 C.1. Inspection completed at approximately 2:05 P.M. Respectfully submitted, EDWARD HINDERMANN Building Inspector ooll� zzofe P, �z - &720W All tl-/ -19 "lot,