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HomeMy WebLinkAboutZ-7899FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. W7 99 ..... Date ............... SePt...?Q.... , 19..7.7. THIS CERTIFIES that the building located at ?'T/.a . ferry, Lane ................ Street Map No. J QvQrtQl� Block No. .......... Lot No. ..1. 16..... �outh.old. aY requirements for one family dvrelling & housing code conforms substantially to theio�igg#gLf�; built before Apr 23 cert.icate of occupancy dated ....................... 19.57. pursuant to which ?T16x'g No. Z•7899' dated ............ e p:t.. 20 .... , 1977.. , 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 f.a:t:ily dweJ_linL; yrith accessory. storage shed . . . .. . . .. .. . ..... The certificate is issued to ..JQ.se.p4. . Sc ade..... O-Ylzler .... a ................... ( owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval prey-..exi.ating................... . UNDERWRITERS CERTIFICATE No. Pr9-ex!*tA9... . ...... . . . . . . . . .. . ........ . HOUSE NUMBER ....1..�C ...... Street .. T.error..Lane........ Southc)ld........... vi Building Inspector /�77 COCA f7, 40 /nc,ea..rd cazc�iv-Gl /�v- ¢nc a7 -Tc. e:t HOUSING CODE INSPECTION September 19, 1977 150 Terry Lane R-1 Southold, N. Y. Sub Div. J. T. Overton #1055, lots 15 & 16 Tax Roll: Joseph V. Schade Occupied, owner Upon receipt of an application for a Pre -Existing Certificate of Occupancy I made an inspection of the buildings at this location. I was admitted to dwelling by Mr. Schade who accompanied me during this inspection that began at approximately 4:00 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, dining room, enclosed breeze- way that connects two car garage, kitchen, bathroom and a bedroom. Second floor has two bedrooms and a half bath- room. Heat is furnished to all rooms on first floor and half bathroom on second floor from an oil fired hotwater furnace located in full cellar. A metal accessory build- ing is located in rear yard against rear wall of garage. The following violations of the Housing Code, Chapter 52, code of the Town of Southold, N. Y. were found Entry - to enclosed breezeway, no means of controll- ing light in room at point of entry. Art.V Section 52-56 B 2. Water pump - in cellar, electric wall shut off switch, not secured to box & requires plate. Pressure switch on pump requires cover. Art. V, Section 52-56 A. 1. - 2. Inspection completed at approx_,mately 4:15 P. M. R ectfull S deld F. 4&ou Building EH; eh tted, ing Inspector 3,30 -`{ X11 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 –7 Date ... 1.6 ..........1...... New Building ......................Old or Pre-existing eBuiillding ..�............. Vacant Land ............................ Location Of Property../.`!.....1.Xrv.:'....../�G:"^............,.s............................................................. Owner Or Owners Of Property...........................�1�1..��:.....�r. f/ a1�:............................................. t./ —O Subdivision Lot No.l $�6.. Block No. ........ House No............ �.... Permit No. ...... .x....... Date Of Permit ....... !`.......... Applicant k...Q}-�...��?....................... Health Dept. Approval.0 . ........Labor Dept. Approval ` Underwriters Approval ..�:.:............Planning Board Approval .....�.................... Request For Temporary Certificate ........................................ Final Certificate.....C-�.......................... Fee Submitted $ .�.�..................... Construction on above described building d permit me s all ^ Ii I code/i,�►and regulations. Applicant ... .... 4. f IS -t•............................................. Swor to before me th� ' ,9,11 717 r .... day of .... (.T................. .. (stamp YSr sea;C1 D 76 C . Notary Public ... .... ... ... .. County 4 ,r,