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HomeMy WebLinkAboutZ-7246FORM NO. 4 TOWN OF SOUTHOLD BUELDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z7246....... Date ............. Sept ..... 21..., 19. 76 THIS CERTIFIES that the building located at B,ridge..Lane............... Street Map No. Hae•as • pt.p'ick No. .......... Lot No. part. 209. &. .21 o .• Cutch'og�te• • . conforms substantially to the rq� t f, , o e fnei2y dtrol' 3i� & iloaaiag Gods VAbefore r i to occuppancy ..........Apr... 23 .... 1 19.57. pursuant to which o. Z7N6 . dated ............ Sept ..2.1.., 19.7fi, 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 ..Llmmore ./..Sharp ..owner ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .... . ... . ..... . . . . UNDERWRITERS CERTIFICATE No. pra—..exiating ............................. HOUSE NUMBER .... Boo ...... Street . 1iridga .Lana> . liars 9. Rt t.. NtOogup. ................................................................................ Building Inspector HOUSING CODE INSPECTION September 20, 1976 800 Bridge Lane R-1 Cutchogue, N.Y. Sub. Div.: Nassau Point Club Prop. #156 Lot 210, S/E Tri., 83 ft. front 209 Tax Roll: Eleanore A. Sharp Upon request of Walter Luce, Russell P. Silleck Agency, Main Road, Cutchogue, New York, I made an inspection of this one and one half story framed dwelling. Accompanied by Mr. Luce, I began this inspection at approximately 10:30 A.M. First floor consists of three bedrooms, a full bathroom, kitchen, living room, dining room and a T.V. room. Second floor has two bedrooms and a full bathroom. Heat is furnished to all rooms from an oil fired, forced warm air furnace located in full cellar of building's cement block foundation. A two - car garage is attached to side of building. Accessory structures include a cement block storage building and irregation pump house in rear yard. I found no violations of the Housing Code, Chapter 52, Town of Southold, New York. Inspection completed at appro 'mately 11:00 A.M. Res ctful�lyy submitted, i' j7/ Yell -l -G C�t.�//�L�lr(LL--L�'-✓ � Edward Hindermann Building Inspector EH:med FORM NO. $ TOWN OF SOUTHOLD Building Deportment 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 ...S.oPC!?� ..?Q.r... 1976.. New Building ................ Addition ................ Old or Pre-existing Building ... A.......... Vacant Land .............. Location Of Property .n/s„Bridge„Lanet...Nassau Point. Cutchogue, New York ..... ................ Owner Or Owners Of Property .Eleanore AI...Scharp.......................................................................... Subdivision................................................................Lot No. ..210... Block No............. House No............. Permit No ..................... Date Of Permit ....................Applicant ... ArR1C.............................. Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate............7G............................ Fee Submitted $....5.r.QQ...................... Construction on above described building and permit m ��, �9�11 opplicable es andAlatio ADDlicant.................� ....��.Y.l...... ...... ........................................ Sworn to before me this ' V— r X0(76 au v 2-r,7.�t-r6 ... day of ... �...... ......... ........ t... (stamp or sea[) Notary Public ....u. .. .......k County JAMES T. GRAHAM NOTARY PUBLIC, State of New York ` No. 30-1530225 r Qualified in Nassau County Certificate Filed in New York County Commission Expires fharch 30, 1977 I