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Home My WebLink AboutZ-4910FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 24910...... Date ............ N0Veaber ... 22, 19 .. 72 THIS CERTIFIES that the building located at . g.8.Oak. .AV* .............. Street Map No. Goose .ggy .gftck No. ..........Lot No.. Pt .175-,'17691.779..1.78- • Southold conforms substantially to the *Y* -Xxxx . before 19 . pursuant to which ooccupa4cy ''77mmCCzz ..April. 23 ... , .57 �' � Z 410 dated ......... KOV .. 22 ..... , 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 - family dwelling ....................................... The certificate is issued to ..g1M. -T. . Smit..... Owner ... • . • • • • • • . • • . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .. .Prete-existing . . • • . . • . • • • . . UNDERWRITERS CERTIFICATE No.... pre—. eXiStjng .............................. HOUSE NUMBER... 1.50......Street....1 Q AVO ..................................... ................................................................................. Zxceptiont Is possible insufficient heat Oct-M4y y, bedroom & Bath Sec5i3a :-....... . 29 Xi C west side yard Art III See 301 Building Inspector HOUSING CODE INSPECTION November 20, 1972 150 Oak Avenue Southold, N.Y. Tax Roll: Emma T. Smith Unoccupied, summer residence Subdivision: Goose Bay Estates Lots half #175 thru 178 Upon request of the Southold Town Building Department I made inspection of this one story, two bedroom bungalow and found no violations of Local Law No. 1, Housing Code of the Town of Southold. I picked up key at the Lewis Realtors office and returned key to Mr. Lewis who arrived as I was completing my inspection. Inspection began at approximately 11:00 a.m. and completed at approximately 11:20 a.m. This building is of single board and batten siding, with no insulation in walls or ceilings and the inside walls and ceilings are unfinished. With the single floor furnace in livingroom it is inconceivable that the bedroom and bathroom temperature be maintained as outlined in Section 513a. Re ctfully sub fitted, �eL war Hlinde 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: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. / 2. Sworn statement of owner or previous ow4r 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 1/Z. Certificate of occupancy on pre-existin'b'dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date..NQ.xeMber... 15.. ... 19...72..... New Building ..AQ ............ Old or Pre-existing Building ..... XIM............... Vacant Land ...N4................ Location Of Property..........QAk..AiVf:Taue.,.... $.91Ah.91A+...Ne3+?...RXX................................................... Owner Or Owners Of Property .....Emmy; T.Smith ...... .......... . NAP No. 1 177 176 and one half of 75 ...B...a.y,,, Estates„ ..... Subdivision ...G9pse C1�'Ib /�at No.UA/... B,lock No....N/..A.. House No ... 1.5R... ....... Permit No...... N/A....... Date Of Permit N/A............ Applicant...N/A........................................................ Health Dept. Approval ..........N/A...........................Labor Dept. Approval.......NIA.................................. Underwriters Approval ............N/A...........................Planning Board Approval...........N/.A...................... Request For Temporary Certificate ........... ..................... Final Certificate .......... N/A..,., Fee Submitted $ ...5.,0.0 ........................ Construction on above described building and permit meets all applicable codes and regulation; to the best of my knowledge. N/A Me4nsot vailable or not applicable, as appro- priate. /�PPlicont .......�.... .' .............................RaKre3t a attorney for Emma T. Smith Sworn to before me this 1't l L 1.6W1.... day of ... NQ.Y.eMk2OX-5... 19.7.2........ (stamp or seal) 1�0' 71 Notary Public ... County 4(o`1 r� GERALD B. WALD Notary Public, State of New York No. 31-9501950 Qualified in New York Courtly Commir-ion Expires kkiarch 00, 3974 JOHN S. ALLEE AXEL H. BAUM EDWARD S. DAVIS JOHN WESTBROOK FADER JOHN C. FONTAINE N. THOMAS GILROY, JR. ALLEN 5. HUBBARD ALLEN S. HUBBARD, JR. AMALYA L. KEARSE RICHARD A. KIMBALL, JR. OTIS PRATT PEARSALL POWELL PIERPOINT HENRY PILDNER,JR. EDWARD S. REDINGTON FRANCIS C. REED JEROMEI.ROSENBERG ROBERT SCHEFF ORVILLE H. SCHELL THOMAS G. SCHUELLER JEROME G. SHAPIRO ROBERT J. SISK ROWLAND STEBBINS, JR. L.HOMER SURBECK DAVID R. TILLINGHAST JOSEPH TRACHTMAN O1SrRf EO IN TME O/$TRICT OF COLUMBIA ONLY BERL BERNHARD HARRY C. MCPHERSON, JR. AOM/TTEO IN CALIFORN/ ONLY NORBERT A. SCHLEI �/Y,euf� �,orr� 70005 212 WHITEHALL 3-6500 CABLE: HUGHREED NEW YORK TELEX12-6557 1660 L STREET N. W. WASHINGTON, D. C. 20036 202-672-8250 615 SOUTH FLOWER STREET LOS ANGELES, CALIFORNIA 90017 213- 489- 5140 9, RUE OUENTIN-BAUCHART PARIS 8- 22$-38-01 Town of Southold Building Department Town Clerk's Office Southold, New York 11971 Re: Application for Certificate of Occupancy - Smith, 150 Oak Street, Southold, N.Y. Ralph J. Kreitzman, being duly sworn, deposes and says that he is associated with Hughes Hubbard & Reed, attorneys for Mrs. Emma T. Smith, that Mrs. Smith is the owner of the above -noted premises, that the building on said premises was erected sometime before July 6, 19482 that said building is used and has been occupied as a one family dwelling, is furnished as such and that the build- ing is in good condition. This affidavit is made for the sole purpose of inducing the Town of Southold to issue a Certificate of Occupancy to Mrs. Smith for said premises and is based upon affiant's information and belief. �4 T Ra h J. Kreitz an Sworn to before me this 16th day of November, 1972• Notary Public GERALD 5. WALD Notary Public, State of New York No. 31-9501950 Qualified in New York County Commbs:on Expires March 30, 1974 WMA i ,�.M Am . a � �f PAV VA