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Home My WebLink AboutZ-7745FORK NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 27745..... Date ............... Juri�a..28....., 197.7.. THIS CERTIFIES that the building located at ...Front . Street...(RT25) . Street Map No.. XX ........ Block No. .xx....... Lot No, xxx.....Greenport ... N...Y...... re uirement f one f$m ly d el n , & Ylou g code conforms substantially to the built c�r, i.fi t�e , occupancy dated ... kefQre .Apx ..23, ., 19.57. pursuant to which gy o.Z7?45.. . dated ...........June.... 28 . , 19.77 , 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 .p�'Vt�..on�. fail,°? .d,re.�.fling....................................... The certificate is issued to ..FrAetst. �dChter.....Wner........................... ( owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ..pre- .Qx�.stixig .................. UNDERWRITERS CERTIFICATE No. RrQr9X ,st1A9 .............................. HOUSE NUMBER ..... 757.50 ... Street .. 14a in . Road ... (RT25.)... Grtenpoxt ...... 705 front St postal adress ................................................................................ .......... X3.`..1. ...........:: Building Inspector HOUSING CODE INSPECTION June 24, 1977 75750 Main Road R-1 Greenport, N.Y. Tax Roll: Ernest E. Richter Occupied: Owner Upon receipt of an application for a Pre -Existing Certificate of Occupancy, I made an inspection of this one and one-half story wood framed dwelling. I was admitted to dwelling by Mrs. Richter and began this inspection at approximately 10:10 A.M. The first floor consists of a kitchen with a rear entry vestibule, dining room, living room, hall bathroom, and bedroom. Second floor has two bedrooms. Heat is furnished to all rooms from an oil fired hot water furnace located in full cellar of building's cement block foundation. I found no violations of the Housing Code, Chapter 52, Town of Southold, New York. Inspection completed at EH:med jR pr mately 10:30 A.M. ec ul y submitted, dwar Hindermann Building Inspector All r /1.. �i/ 7 FORM NO. i 6 ! 'z Yc 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 triplicate 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 q Y ,7 Date......................................... ez New Building.................... Old or Pre-existing Building ............................ Va nt Land ............ Location Of Property ..........D�..').....1..:...�. /./.✓.5� �.... Y..� ..f �!-T �..11s.. Owner Or Owners Of Property ..4.2:X1.J'.J./... .1.1.E R. ..}�.......................... Subdivision ..................-................................Lot No..—Block No............. House No............. Permit No. :-'...... Date Of Permit . Applicant ....... .................................. Health Dept. Approval ...............Labor Dept. Approval '.�....,r.�...�....................... Underwriters Approval .............> ................Planning Board Approval �f �� ...................................... Request For Temporary Certificate ........................................ Final Certificate....k°:................................. �r 01 Fee Submitted $ .,, ( ........................... Construction on above described building and A", Fit meets pplicabI e a.... regulations. Applicant ...... IVB/.�lj.. .. .../......y Yl ......... Sworn to before me is ��'� T/ ....... d.: qq / I � o z 77Yy.�. day of .. ......................r!.%...7... 7... (stamp ors y Notary Public County WF M� F-