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Home My WebLink AboutZ-7754FORK NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.7'T ..... Date ............ June ..0 ...... , 19..1^.% THIS CERTIFIES that the building located at . X/.8. Korth .fid. 0227).... Street Map No. .. ....... Block No. ..*!= .....Lot No. XX ... ftq'e iPP#....R.Y........ . requirements for ova familydvelliag # housing Cods conforms substantially to the built ,M „ Y dated .. befgre. APril .23.., 19.57. pursuant to which 4 0 oCu UC dated .............. 44". 399 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 . oris . .. family .dvel..ling ......................................................... The certificate is issued to . 49saph. bbaU&hUQ38y..... Ovner. of .record......... . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval P.r4�exlstin$..................... UNDERWRITERS CERTIFICATE No. ......................... . . . HOUSE NUMBER ...... !41. 5.. Street .. North. Rg4d...0427) .. Or4ownrt..... Building Inspector �� (Y 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. S. 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 Z Dote.......� ..::..Z..1......... New Building .................... Old or Pre-existing Building �.....:�...... . .t�/......... Vacant Land ............................ Location Of Property ....tt! ..... /.(��t4, ...l .s!✓J/�.......0 /rz..�a/a 0 ...................... Owner Or Owners Of Property....%..............tf............................ - Subdivision ................... .......................................Lot No......—.. Block No....-...... House No�` SSS Permit No...... ... ........ Date Of Per it ......—Applicant..................—.................................. .... Health Dept. Approval ....... .. r ....................Labor Dept. Approval .... Nz/L . _........................ Underwriters Approval ......... !� ...................Planning Board Approval ................... Request For Temporary Certificate ........................................ Final Certificate ........... s� ............................... Fee Submitted $.................................... Construction on above described building permit meets pd-�pplica le cod and reg!11 , s. CsL��„`b Applicant.. ... .,,... ..........................................l�......�.............7.......... Sworn to before me t i c4ezC . Z"'... day of ............................ `.. 7 .. (sta or e �% 7 7 Notary Public County G%�% g V� ... HOUSING CODE INSPECTION June 29, 1977 #54155 North Road R-1 Greenport, N.Y. Tax Roll: Joseph R. Shaughnessy Occupied: Owner Upon receipt of an application for a Pre -Existing Certificate of Occupancy, I made an inspection of this one and one-half story wood framed dwelling. I picked up key from Arnold Larsen, Realtor, and began this inspection at approximately 3:35 P.M. The first floor contains a kitchen, dining area, living room; that opens to a sun porch, two bedrooms, and a full bathroom. Second floor contains a bedroom, a sitting room, and a half bath- room. Heat is furnished to all rooms from a gas-fired warm air furance located in partial cellar of building's cement block founda- tion. Domestic water is heated with a gas fired hot water heater. The following violation of the Housing Code, Chapter 52, Town of Southold, New York, was found: Exterior - paint peeling, exposing wood of window trim dor' rn a -and soffits of building, Article III, Section 52-31 B. Inspection completed at approximately 3:50 P.M. and key was returned to Arnold Larsen. Ria fully ubmitted, E i ermmann Building Inspector EH:med i v✓H"=!� v?Al�fti �r r. r i I� �C)(j�I"`I tai r , ��urricY_U iOWPn $ t) JNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY 15 A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE r" i v✓H"=!� v?Al�fti �r r. r i I� �C)(j�I"`I tai r , ��urricY_U iOWPn $ t) JNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY 15 A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAMD SU:V:YOC3 it Ib D SEAL OR EMBOSSED SEAL SHALL t:�T BE CONSIDERED TO BE A VALID r;. U2 COPY. GUARANTEES INuI AT D t!!Pfn.p' SHALL RUN _ --� ONLY TO THE r ,. --M THE SURVEY IS FRE A' 10, A. D li 3 „„ ALF TO THE TITLE COM.A\Y V :.,I At AGLNCY AND LENDING f:S •h. t ;1.� r r,_OiJ, AND TO THE ASSiG.J3ES ,.f I.:: LU .Dv:G INSTI- TUTiO:- GUARAPIIEES A:: ,vt'T IkANSFERABLE 41.S11iUltONS OR SUBSEQUENT y�TyOw.A0.),JlI/ONAL and I10 *tfl% J �50