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HomeMy WebLinkAboutZ-7321 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z7321 . . . . . . Date . . . . . . . . . . . .Oct. . . . .,?_1. . . . . ., 19.76. THIS CERTIFIES that the building located at .EIS Q klat . . Ave. . . . . . . . Street Map No. . .xx . . . . . . . Block No. . . . . . . . .Lot No. .xxx . .Southold .�. .N...Y.. . . . . . . . . req irepients o ono fa 1 �elli .& (o code conforms substantially to the pg is rp, }4fpr;� i�g ,�• SXVil ui�t c t is e o ccupancy ate . . .Before. Apr . _ 23 . ., 19. 5.7. pursuant to whichOW 0• �7321 ' dated . . . . . . . . . . . . . c t. . . .21 ., 19.7( ., 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 . Priye..te. one .family. duelling .i�1 th .agc.e.$SgFy .building . . . . . . . . . The certificate is issued to . Carlton .T.. Latham a. id.fe . . . . . .1�wner•s • • • (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .pr-e • exi sting • • • • • • • • • • • • UNDERWRITERS CERTIFICATE No. pre-. .Q�C�.s.t;i.ng . . . . . . . . . . . . . ... . . . . HOUSE NUMBER . . . . . .23 5. . . . . Street . . .Qaklavm. . Ave. . . . .Southold. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L, . . . . . . . . . Bui`lding Inspec�r 1 , I f� HOUSING CODE INSPECTION October 20, 1976 235 Oaklawn Avenue Southold, N.Y. Tax Roll : Carlton T. and Marion G. Latham Upon receipt of an application for a Pre-existing Certificate of Occupancy, I made this, inspection. I was admitted to the house at approximately 3 :50 P.M. by Mrs. Latham. This is a one family dwelling with an accessory building, both pre-existing. The cellar stair stringer against the foundation is in a weakened condition. Some of the exterior wall shingles are worn thin or missing. The upstairs bathroom pipes have just been replaced but have not yet been covered up in the first floor hall. The front porch roof and steps will soon need some work done on them. I found no other violations. This inspection was completed at approximately 4 :10 P.M. Respectfully submitted, George H. Fisher Building Inspector GF:med T-4215 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 October...201976....... New Building ................ Addition ................ Old or Pre-existing Building .X........... Vacant Land ................ Location Of Property .....235„Oalclaw.. Avenue ................. , ............................. Owner Or Owners Of Property ...... ARLTON T....LATHAM and MARION G. LATHAM..................... ............ .......................... ................,......... Subdivision ........... . ..................................................Lot No. ............ Block No. ............ House No........ PermitNo. .................... Date Of Permit ...................:Applicant .................................................................. HealthDept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval .............6.......................... Request For Temporary Certificate ........................................ FinaJ Certificate .......................................... Fee Submitted $ .5...00.......................... Construction on above described building and pe iitt meets all applicable codes and regulations. ;-57Applicant .... ::. �.. .....�r,Q.... ... . Sworn to before me this 2fth.......day of .... ctclbex.. ....19.7.6....... f���l �6 .. (stamp or seal j/ ��� Notary Public ...S1aHo,lk................ County � OF �;-� ELIZABETH ANN NEVILLE NOTARY PUBLIC, State of New York No. 52.8125850;`Suffolk Co l Term Expires March 30. 19 4Rt�c�_ r • X- 3 t -N met rt. tM-v •.�'S a � 1 G t- ci CAMiMELL CON1�LtN h• Nui L N 6f•30 DO._. .._ •t 1� OD a CJ s Zo O , Ofl ! x 2- STOitY EEti v' � FF. W l�oua6. 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