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Home My WebLink AboutZ-4948FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 04*9 - .... Date ........... Dee...19.......... 19.72. THIS CERTIFIES that the building located at . West. Creek. Ave.. . ....... Street Map No. .zx......... Block No. . SOC...... Lot No.. = ... Cutchogne .. N.•Y • ........ conforms substantially to the is f 1 1 .dc ou code bul4t.Lmfero .. April. 23 ... 19..5 pursuant to whichCertificate __cLlNeoeZupaney P 72��ZZ �.4�. dated .......Dee..... t+9....., 19.72., 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. fasily..dwelling...................................... The certificate is issued to ..Frederick .d • . Seltzer..& .wife .. owners ............. ( owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Pro".. existing .................... UNDERWRITERS CERTIFICATE No. prom .existing ................................. HOUSE NUM BER... 87..5 ...... Street ..... West • Creek • Ans ........................... ................................................................................. Exception to housing codes No light switch at point of entry to front enterance Sec 529b Building Inspector HOUSING CODE INSPECTION December 18, 1972 875 West Creek Avenue Cutchogue, New York Tax Roll: Frederick J. Seltzer and wife Occupied by owner Upon request of the Southold Town Building Department I made inspection of this one story framed dwelling and found the following violation of Local Law #1, Housing Code of the Town of Southold. Front entrance to living room: No light switch to control light in room on entry - Section 529b. I was admitted by Mr. Seltzer and began inspection at approximately 11:20 a.m. This is a five room house with one and one half bathrooms, heated with full cellar and a semi attached one car garage. House and outside yard area well maintained. Inspection completed at approximately 11:40 a.m. Reectful/ly su itted, Edward Hina mann Building Inspector EH:tle 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 dispcsal—(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: `-ll. 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.... ...................... New Building .................... Old or Pre-existing Building............ ........... Vacant Land ............................ Location Of Property •.:.:C1� Ct {� V �eQ12yJu I v, f�0 $ S K;1 C��OG E .... .... ......... .......... ............ ...... .. !�W ........................... - Owner Or Owners Of Property r�4!^,Q.Inl�.l G�� ..s%..:..�c. G�T�I�....... Wt . FG .................................. Subdivision .............................. Lot No. Block No. _ House N4 ................................. ........... ............ ..... ... Permit No ..................... Date Of Permit ....................Applicant.................................................................. Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ............../...................... a Fee Submitted $ ...........5 ....................... Construction on above described building an rmi meets 9fI pp is and regulations. Applicant...... ..... ✓... .... . ........... .................. 9....................... Sworn tQ before t me his �. �...... day of ...�f......M Cj� 6 ✓....L.g7.L (stomp or seal) j4��J �c � Notary Public .. 1 ---k-U.1e.. County e_z�(�7 0 ang3ao MADELYN M. BAKER t_fes/ NOTA11Y PUBLIC, State of New York X& m IFwgrres March130. 197?iv / I l�- o.... 7a2 C '�L