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
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