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Home My WebLink AboutZ-5877FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy NoA5..$77....... Date .......... 214M ... m4y... 2-, 199'1► . Rd. THIS CERTIFIES that the building located at . g/g. Parkway.&. Pine. Nko Street Map No. Southwood . Block No ........... Lot No. 3,3,.. .. Southold ... N *Y ........... ��c��onforms substantially to the $Cods b hale P pursuant to which I� occupancy ' before � April- �23 .. 1.g�r9.3''i. p 258?? . . dated ....... May..... Z ....... 19'%4.. , 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. family. dwelling ...................................... The certificate is issued to .Howard • Sehwarting• • • • .. • Owner • . • • . • • • • • • • ( owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .. Prem�eXi.ating .................. . UNDERWRITERS CERTIFICATE No. pre -..existing ............................. HOUSE NUMBER ...... 45..... Street .... PBxa[ AY .............................. ....................................................................I........... Building Inspector HOUSING CODE INSPECTION May 2, 1974 #45 Park Way R-1 Southold, N. Y. Sub. Div. Southwood Lot No. 33 Tax Roll: HOWARD SCHWARTING & WF Upon request of the Southold Town Building Department, I made inspection of this one story framed dwelling and found the following violations of Chapter 52, Housing Code, Town of Southold. I was admitted to dwelling by Mrs. Schwarting who accompanied me during inspection which began at approximately 10:35 A.M. The building consists of two bedrooms,(living room, dining room combination), full bathroom, and kitchen. Heat is supplied to all rooms from oil fired hot water furnace located in partial cellar. Remainder of foundation area is crawl space. A one car garage and work shop is attached to south end of the building. Cellar - Water pump , electrical connection to motor junction box, not grounded. Furnace, electri- cal connection to circulation motor not grounded - requires connectors for BX cable in both cases. Article V, Sec. 52-56 A.1. Exterior of building and yard area well maintained. Inspection completed at approximately 11:00 A.M. Respectfully subAf tted, dward Hi Kekm Zwnn 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 .. IM 7 ............................................... New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property y-5 PAFK I'VA Y,.,,,,,,.. f i NE N t C -K -ft^P ......................................... ...................... ....... . ......... "UVN vL�................... Owner Or Owners Of Property ......14.......H...•........S.0.(...W.,A�.T l.N..G. ...................................................... ... ... ...... ..... ... ... Subdivision �Ul/.Ti? INCJV .........................Lot No....��.�-�. Block No.. ...... House No...T�r... ............. ................... Permit No ..................... Date Of Permit ....................Applicant.................................................................. Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ .................................. 'J Construction on above described building and pe ee II applicable des and regulations. Applicant..........................................1...................................................... Sworn to before me this 5-1 3 ................ day of ............................................ (stamp or seal) ✓G Notary PU MAW .:. U Y 'IcIr i' FO 1 V L of idew, York No. 52-03449:13 Suffolk Count Commission Expires March 30, 19 11 - 3 0-4-1 a__ '0000� Ir- eol Ax _z-11