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Home My WebLink AboutZ-7123FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 471 R,3 ...... Date .............. �V.TY.... J!►. . . ., 19.76. THIS CERTIFIES that the building located at ..N/S• Skunk Lane, •(Bay Ar)$treet Map No. XXX........ Block No. .XXX .....Lot No. XXX...C.utChctgue... H.Y........... requirements for one family dwell & Housin code conforms substantially to the built before Apr 23r fic e - occupancy dated . . . . . . . . . . . . . . . . . . . . . . . 1957.. pursuant to which 0.77123• . . dated ....... J.ulY.... 11 ...... 1976.., 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 . P 7ate..one family dwelling, with, accessory, The certificate is issued to of..record ................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval pro!-..oxloting• ... • • ... • ... • • • . . UNDERWRITERS CERTIFICATE No. .Pre-, existing ............................ HOUSE NUMBER ...... $.9.25... Street .. Skunk. Lane..(..Bay..Ave.)..Cutchogue . . r.... Building Inspector HOUSING CODE INSPECTION July 13, 1976 8925 Skunk Lane R-1 Cutchogue, N.Y. Tax Roll: Leon H. Standley Occupied: Joseph Saland & Wife Upon receipt of an application for a Pre-existing Certificate of Occupancy, I made an inspection of this one and one half story framed dwelling with attached two -car garage. I was admitted to building by Mrs. Saland who accompanied me during this inspection which began at approximately 9:50 A.M.. The first floor consists of a kitchen, dining room, living room, half bathroom, and storage room. The second floor has three bedrooms and two full bathrooms. Heat is furnished to all rooms from an oil hot water furnace located in full cellar. The following violation of the Housing Code, Chapter 52, Town of Southold, New York, was found: Garage: outside stair to loft requires handrail on open side - Article III, Section 52-27 B. Inspection completed at approximately 10:15 A.M.. 2e,ctfully s bmitted, Edward Hindermann Building Inspector EH:med 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 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 ..,./.tJ..'V..�..�%.... ..".}..�.�.�� New Building ................ Addition ................ Old or Pre-existing Building .../1. .....�.... VacJJant Land .............. Location Of Property ...../ �.. ....... :1 ..1/...... ..M ! w`fZ ...(` +1 �:�1�-: .,�....... Owner Or Owners Of Property ........................%�i.. x ............................................................. Subdivision ............... X ...........................................Lot Na......\...... Block No.... .... House No..0a5 Permit No....... ........ Dat Of Permit .. .............Applicant......................................j....�........................ Health Dept. Approval 1. `? ...........Labor Dept. Approval `� ' .................................................... Underwriters Approval .............................................. Planning Board Approval ...........N!.. ,................... Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ ..%r. � ...................... Construction on above described building and rmmijt ets all applicable codes and regulotionss-.� Applicant .../.r/t. ,.. t........ ?! - 9 // Sworn to before me this �� !3` J...Z day of.. .}...0212....... (stamp or seal) Notary Public County r ' r 01 u J r 01 u -, � '� . _. _ r y _- � � i� ,' > - �.. � t .- - - ,T --- - - ----- - --""----�--- -- ---- , �. � � � --� O ! �_ I---------- -- -------_.�__ --- - 1 u, � . . � �'� \1 ' -- � / � -� / _ � _ i � _ _. -___- - - - ___ _ ___ ___ J _ _ t � i \ � � __ ____ __I __--- J � �