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Home My WebLink AboutZ-4765FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 4470 ...... Date ............ *xg .. 2.9 ........ 19..7.2 THIS CERTIFIES that the building located at ... WIS.Now. Suffolk .le.... Street Map No. . ZX ........ Block No. .=....... Lot No.. zi.. GutcWog=... �.N.Y.......... conforms substantially to the f. o f 1 d sl code built prior to JCeif atemoi' Occur ancy p w E 19.pursuant to which gyp[ No. I� dated ..........Aur..... c. .. , 19. 2 , 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 ...priTr to c32e =aui3y' cav;e3;.I f. • • • • • ............................... . The certificate is issued to. -• ' I'_•N..r•_l.• fa •�s•r; �: •,a' �.1• .? •.�i' .. yJ.. �tEy 5 . .. ...... .. .. .. . ( owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval - :e., .exp.^ t'! rle ................... UNDERWRITERS CERTIFICATE No ....... pre. . ex -1-8 t ig ............................ HOUSE NUMBER ... 6,�10 ....... Street ... Aeii . Suf:y �-jlk..Tease........................... 8xception to Housing co(et I. No light fixture & open elec. box 2. Bedroom upstairs N/`u no switch plate cover 3. / �--- i Building Inspector HOUSING CODE INSPECTION August 25, 1972 830 New Suffolk Lane Cutchogue, New York Tax Roll: Frank E. Steele and wife Occupied: Lawrence Milius family Upon request of the Southold Town Building Department I ma -e inspection of this one and one half story framed dwelling and found the following violations of Local Law #1 Housing Code of the Town of Southold. I began at approximately 10:45 A.M. and was admitted at the front entrance by Mrs. Milius. Alcove - South end of living room, no light fixture, open electric box - Section 528a, 529a. Bedroom - upstairs - north side - no switch plate Section 528a. General overall condition of house is good. Yard is kept well and free of obstructions. Completed inspection at approximately 11:10 A.M. pectfully submitted, r dwar n rmann Inspector EH:tle FORM NO. E 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 pion 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 ... At?g-...21.t... i97................ New Building .................... Old or Pre-existing Building A ....................... Vacant Land ............................ Location Of Property .41..5.,ATew Suffolk Lane, Cutcho�ue i New York ............ .......... Owner Or Owners Of Property Frank Edward and Beverly Ann. Steele ...................................................................................................... Subdivision................................................................ Lot No............. Block No............. House No............. PermitNo ..................... Date Of Permit ....................Applicant.................................................................. HealthDept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........... Final Certificate g ....................................................................... Fee Submitted $.....5...QQ...................... Construction on above described building and r It Beets I I and regulations. Applicant ....�� .�� ............................................ William Wickham, as attorney Sworn to before me this 21st.... day of .. August ............................. (stamp or sea[) Not7j Public ......t5uffolk. ..... County ( JOAN HINDERMANN NOTARY PUBLIC, State of New York hAa No. 52-6965650 Notary:Public Qralified in Suffolk County i Term Expires March 30, 1974[ v < t fel4::O,. 7 7 �/J 0411