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HomeMy WebLinkAboutZ-9078 FORM NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. . . . . . Date . . . . .11=1e. .22. . . . . . . . . . . . . . .. 19. .7A THIS CERTIFIES that the building located at 1540.. M4UI. Rued. . . . . . . . . . Street Map No. . . . . . . . . . . Block No. . . . . . . . .Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . REQUIREMENTS FOR ONE FAMILY DV=INC, BUILT BEFORE conforms substantially to the CERTIFICATE OF OCCUPANCY dated -April• • 23 • . . . • • • • • ., 19.57. pursuant to which jdjuMJ6-,=it No. Z9075. . dated . dune . . . 22 . . . . . . . . . . ., 1978. ., 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.OD]E .FRIILY. DW'T�.�LING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . . .Rita _Cooke_Woglom. . . . . . . . . . . . . . . . . . . . . . . . . . . (ownerphmsmantmMu# of the aforesaid building. Suffolk County Department of Health Approval . . . . . . Pre-Existing. . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . .Pre'Existineg . . . . . . . . . . . . . . HOUSE NUMBER . .1.6315. . . . . . . Street . . . . . . . . .Main Road. . . . . . . . . . . . . . . . . . . . . . East Marion, New York . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ./i Building Inspector Minor Sub. # 151 , Lot # 2 Housing Code Inspection June 22, 1978 Main Road �543Past Marion, N.Y. Tax Roll: Rita Cooke Woglom unoccupied Upon receipt of an application for a Pre-Existing Certificate of Occupancy I made an inspection of the buildings on this premises. I began this inspection at approximately 3:.30 P.M. with Mr. Woglom. Located on this property is a large two. story wood framed structure.. This .structure .is a single family dwelling. Also located on this property is a three car garage, no other buildings. Cellar is a half cellar, rest crawl space with 3' clearance. Inside and outside entrance. In the cellar is the electric panel, three zone hotwater heater, and pump and tanks; all are in excellent . shape. First floor consists of living room with fireplace, .dining room, a very large sun room, full bathroom and a kitchen with a good size porch outside. In the kitchen was a electric stove, refrigerator, washer and dryer. Second story consists of five bedrooms, two full bathrooms and a large deck with steps leading to ground. Outside of dwelling consists of wood shingled roof and sidewalk and all necessary screens and storm sash. All are in very good shape. No violations of. the Housing Code, Chapter 52, Code of the Town of Southold, N.Y. were found. Inspection completed at 4: 15 P.M. Respectfully submitted, CURTIS HORTON Building Inspector Minor Sub. #151 , Lot # 2 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 building§;(prior fo •April 1957), Non-conforming' use. .or buildings, and "pre-existing': land uses: , 1, Accurate survey•;of property showing all property, IineS, 'streets, 'buildings 'and unusuol 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 inspectiion, of buildings or1 premises,, or other ,pertinent in- formation required to prepare a cerfificate. C. Fees: ' 1. Certif-icate of occup u cy $5.00 an 2. 'Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy'of� ertifi' fe'of occupancy $1.00 Date 4141,t P.4..:�.�78::.:�...... New Building ................ Addition ............:... Old or Pre-existing Building ....X......... Vacant Land ............ Location- Of Property ':...SQQ:.attachod.."mi1kX y...':.:.'.:...:.:......:....:.....:!: Owner. Or Owners?Of.Property, 5? .Q�1,.....:....:............:........ .........,..:.............. ....... ..... Subdivision .` ::. ....................................................hot No. .:.:.: Block N'o. .. House," .... ... No,. Permit No. .................... Date Of Permit ................ :Applicant ............................. Health Dept. Approval ..........................:.................Labor Dept. Approval ................................................ UnderwritersApproval ... ..........................................Planning Board Approval ........................................... Request For Temporary Certificate ........................................ FincJ Certificate .......A............................... 5.00 Fee Submitted $ ..... Construction, on above,described building'and permit meets all applicable codes and regulations. Applicant ............................ . ..... .......................................... ... .... ......... ..... Rudolph H. Bruer Sworn to before,me this 19 ..........th...... day of .....June r...1978................ . (stomp or seal) ell NotaryPublic r6. .......... County G V y 4? •14......... ty /L 7 I"VEY 15 A VIOLATION O/ • - - SECT:-N 7209 OF THE NEW YORK STA Tt ' EDJCATION LAW • . - COPIES OF THIS SURVEY MAP NOT GEARING .�. , 'HE LAND SURVEYOR'S IN'L) SEAL OR . - t•',''•c:�SSED SEAL SHALL NOY'ClE CON'SIDEkEU'Cl8E A VALID TkUE COPY • GUARANTEES INDICATED HP,cpN SHALL RUNT )NLY TO THE✓E,:SOr+. FOP vL.OM THE SUk'VEY +S PRU ACED,.<.�.,, C', H,S 4 I�TLE CGrHFAK.r. ^ALF TG THE :�OVE'+,'N:_Ni A' AGENCY AND • ENL h.�: ttiSTi?JilON !iSTcu McR 0N, AND . - Aar 'ES CF T E LL,•Dl,-�G INSTI-. 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