HomeMy WebLinkAboutZ-5742FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
NoZ,wirt4..2....... Date ...........Jan
....
16 ......,
1974. .
THIS CERTIFIES that the building located at
. ;; f s •'Aunnewe•ta.
• ad, . • .....
Street
Map No IiAssau .Ft... Block No. Asp► -A .... Lot No. 161. &. 162... Cutchoguo... N!'Xa.
re reme is f o fam 1 dwellin & housingcode
gcuonfotrms substantially to the
cy
dated before - A 'ri]. • 2 , 19.. pursuant to which ® A�o Zccu 2- -
n. 3 ... 57 p z..5�+2. .
dated ..... Jdn..... 16....... , 1914. , 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 ... Prksat®. ene_ PnmIly..awAili,ng.....................................
The certificate is issued to ..Jac. & .4va..Waffar....... vmers.....................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval Pre—..Qxisting....................
UNDERWRITERS CERTIFICATE No. .pre-..axi.sting ............................
HOUSE NUMBER .....224.5..... Street . Wunnevrta . Roxi ........................
1+110 Nassau Pt Road
................................................................................
Building Inspector
Housing Code Inspection
January 16, 1974
#4110 Nassau Point Road - #2245 Wunneweta Road
Cutchogue, N.Y. R-1
Subdivision: Nassau Point Prop. Amended Map "A"
Lots 161 & 162
Tax Roll: J. C. Saffer & wf
Occupied - owner
Upon request of the Southold Town Building Department,
I made inspection of this partial two story framed
dwelling and found the following violations of
Chapter 52, Housing Code, Town of Southold. I was
admitted to the south entrance by Mr. Saffer who
accompanied me during inspection which began at
approximately 8:45 A.M.
First Floor: Rooms consist of kitchen, sun porch,
living room, rear entrance hall, library (possible
bedroom), two bedrooms, and full bath; heat is supplied
to all these rooms.
Second Floor: one full bathroom, two bedrooms; heat
supplied to each room.
Sun porch and living room outside entrances, no switch
or means of controlling light in room on entry.
Sec. 52-56 B-2.
Cellar, full - no violations.
Accessory Bldg. - two car garage - no violations.
Inspection completed at approximately 9:15 A.M.
R pectfully smitted,
s
Edward Hind rmann
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 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
Date....J............
New Building .................... Old or Pre-existing Building ...?K...................... Vacant Land ............................
Location Of Property .-B/,S..W1zrlTleweta Road.,,,,Nassau Ppi ts,,,,,C��}t�,C�}0€';11�.,...�J...�'...........
Owner Or Owners Of Property ..Jac .and Eva Saffer
........................................................................................................
. 1.62
Subdivision7Ad dM �.. No.7��&...
Block No ............. House No.............
Permit No. Date Of Permit Applicant „William Wickham, Esc .
.................... ..................................... ...... ......... .............
Health Dept. Approval ............................................Labor Dept. Approval ................................................
Underwriters Approval ..............................................Planning Board Approval
........................................
Request For Temporary Certificate ........................................ Final Certificate ....... X................................
Fee Submitted $ ..5.0Q ........................
Construction on above described building and per t m c e d regulations.
Applicant............ . ..........................................
Sworn to before me this A If y
1St}?..... day of .1=1APx5,... 1974.......... (stamp or se
Notary Public Suffolk ,County A
MARY LOU D(MSKI
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