The URL can be used to link to this page

Home My WebLink AboutZ-6217FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 444 7...... Date ......... Now .... 27.......... 19. 0+ THIS CERTIFIES that the building located at . RIS - Weat • Road • ... • • .. • .. Street Map No. ..=........ Block No.. =...... Lot No. xxx .. Cutchogue ....N . X.......... regt},trer�ants f Q� on,� fame ly dwelln�us7PJgingt code conforms substantially to the ' " built a e .......... before A,p p .. 23 ... , 19-57- . o�trtll'ic t�e rr occupancy pursuant to which '�� 7Vo. Z6217 ' dated ......... N 4r ..... 27..., 19.7. i+. , 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 .dwel.ling...................................... The certificate is issued to ..George . &. Margaret. Sullivan .... Qvnera ........... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ................... UNDERWRITERS CERTIFICATE No. 2374!-.!k340#19 ............ . .............. . HOUSE NUMBER ... `S:Sv.... Street ... Wast. Road ............................ ... .. . /`"� /. �. . . . . . l�.. . . . . . . Building Inspector HOUSING CODE INSPECTION November 26,1974 West Road R-1 Cutchogue, N. Y. Tax Roll: George R. Sullivan & Wf Upon receipt of an application for a Pre -Existing Certificate of Occupancy, I made an inspection of this one story framed dwelling. I was admitted to building by Mrs. Sullivan and she accompanied me during inspection which began at approximately 3:00 P.M. The building consists of two bedrooms, full bathroom, living room and kitchen. Heat is supplied to all rooms from an oil fired hot water furnace located in partial full cellar. A screened porch on the southwest corner of the building is part of front entrance to dwelling. Bathroom, floor covering deteriorating at base of toilet. Article III, Section 52-32 D. Cellar, entry, door off hinge and deteriorating. Article III, Section 52-30 A. Exterior of building and grounds are in good order. Inspection completed at approximately 3,2r' P.M. EH:mm Rey�ctfully sulx'nitted, 1 ward IVCa a�� -� Building Inspector 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 `-A2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ,November , 1974 ... 25 ......................... New Building ................ Addition ................ Old or Pre-existing Building ...... ?�....... Vacant Land .............. Location Of Property ...... .of Southold ................................... ...................... Owner Or Owners Of Property ..C�.eorge„ Robert Sullivan & Margaret M. Sullivan .......... . . ......... COPY OF SURVEY FORWARDED TO YOU ON NOVEMBER 20, 1974 Subdivision ............ ....................................................Lot No............. Block No............. House No.... none Permit No................... .. Date Of Permit ....................Applicant.................................................................. Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ CERTIFICATE OF PRE - Request For Temporary Certificate ........................................ Final Certificate ex!stYing-.use............ Fee Submitted $ ........ 00 ............................... Construction on above described building and Armit meetsAH applicable codes and regulations. Applicant ...... Qom... :. Sworn to before me this %y 25 .... cloy of .. November , 1974 ............ /%(tam d NOYary Public ....... .SiIV. rri�Ik'........ County VINCENT J. TRIMARCO NOTARY PUBLIC, State of New York No. 52xpires16, Suffolk County Term Expires March 36, 19� C%1 / E r 3�M1 .�.�fuEf Sf �.i.� � M1 ♦ � O7 - �6aN HERE NOTE, • • MONUMENT FOUNO ^y: 5. R SURVEY FOR MARION M. ROBINSON 8 MARGARET EFNER CHURAN CUTCHOGUE TOWN OF SOUTHOLD SUFF. CO.I N.Y. GUARANTEED T0: 5OUTHOLD SAVINGS BANK SCALE' II" a 40� GUARANTEED TITLE DIVISION OF MAY 2. 1067 AMERICAN TITLE INSURANCE CO. Lam! ids%f`� 0� ENG ER AND LAND SURVEYOR,N..S.LIC- NO12AAR � 3 D a (� O O % \ l . `- w � yre�r rrj � �• I ,/' � •Y f • 1 J HERE NOTE, • • MONUMENT FOUNO ^y: 5. R SURVEY FOR MARION M. ROBINSON 8 MARGARET EFNER CHURAN CUTCHOGUE TOWN OF SOUTHOLD SUFF. CO.I N.Y. GUARANTEED T0: 5OUTHOLD SAVINGS BANK SCALE' II" a 40� GUARANTEED TITLE DIVISION OF MAY 2. 1067 AMERICAN TITLE INSURANCE CO. Lam! ids%f`� 0� ENG ER AND LAND SURVEYOR,N..S.LIC- NO12AAR I(z /,c 1,a 7 �41 All-- IAA"C� C 41(l IL- 14..1- — 12 - e�� zs� 'ry -