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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z. 53.36. . . . . Date . . . . . . . . . . . . .July. . . 30 . . . ., 19.73. THIS CERTIFIES that the building located at .Sunset. Ave -j?• mara-tooka• f8reet Map No. . xX. . . . . . . . Block.No. . . . . . .Lot No. .x$. . . . . .$t3.tU. ••X.,Y 4. . . . . . . conforms substantially to the Application for Building Permit heretofo le4gq'Jt"j%gge dated . . . . . . . . . . 1 . . . ... . .. 19 57 pursuant to which Building Permit No. . 5. . . . . dated . . . . . . . . . . .447. . .:. . . ., 19. 57, 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 . one . family •dwe�-1 ng. .(pre. .�-/5.7� v-1th• add3 bola. . . . . . . . . . . . . . . . . . The certificate is issued to .Dwayne. &•Ba-rbra. Rhodes • • • • • Ownera • • • • • (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Rr©-. existing. . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. pre.. •existing • • • . . • . • • • • • • • • • • • • . HOUSE NUMBER . . 320. . . . . . . Street . .MPretoolCa la.. . . . . . . . . . . . . . . . . . . . . . . . . . 335 sunset Lane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . Exception to housing codes SEE .REVERSE SIDE r.�,. � �`✓ Building Inspector 10 Room off W/ hall - light switch loose 528b 21 Hall Bath - no cover on light switch 528a 3» Bedroom S/W - no cover on light switch 528a 4., East Hall '- no cover can wall outlet 528a 5. Cellar - No handrail on stair 216b No cover on elect, outlet N/E end 528a it it of n it over fule tams 528a is it it it 11 at waterpump 528a 2 unprotected fuel lines on cellar floor 10 2 loose ceiling light fixtures 529 6. exterior - N/W section of garage - broken & missing section of shingles exposed framing 303b HOUSING CODE INSPECTION July 27 , 1973 320 Marratooka Lane - 335 Sunset Avenue Mattituck, N.Y. Tax Roll: Dwayne Rhodes and wife Unoccupied Upon request of the Southold Town Building Department I made inspection of this one family framed dwelling and found the following violations of Local Law #1, Housing Code, Town of Southold. I picked up key from office of Wickham & Lark, Mattituck, and let myself into west entrance beginning inspection at approximately 1: 00 p.m. Small room off west hallway - former office: light switch loose - Section 528b. Hall Bath: No plate on light switch - Section 528a. Bedroom, southwest: No plate on light switch - Section 528a. East Hallway: Wall outlet requires plate - Section 528a. Cellar: Stairway, two open sides no handrails - Section 216b. Electric switch on ceiling, north east end no plate - Section 528a. Open square electric junction box over fuel tank - Section 528a. Open gem box on wall near water pump - Section 528a. Two fuel lines unprotected on cellar floor - Section 107 . Two ceiling light fixtures porcelin type, not firmly secured - Section 528 . Exterior: Northwest corner of garage - sections of shingles broken and missing exposing frame structure - Section 302b. Building consists of living room, dining room, kitchen, three bedrooms and two full bathrooms with heat supplied to every room. Cellar is partial full with two sections having crawl spaces . Inspection completed at approximately 1: 40 p.m. ,keys were returned to Wickham & Lark office Re ec1 Yde�m�anmhi���� btt' d' dwa k H 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 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 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 ...JLU.W..2.5 r..19-7-3.............. New Building .................... Old or Pre-existing Building .... ..................... Vacant Land ............................ Location Of Property Wl;/l,..g..Marrataoka Land di, ; „3�9,�g,5.'.,.. Via.. te...?:5 Owner Or Owners Of Property ...Dwayne Rhodes & � � Q�,� j, ,�„ 1s7d,Br3¢..k17. ..W�, e .............................. Subdivision ................................................................Lot No. ............ Block No. ............ House No............. PermitNo. .................... Date Of Permit ....................Applicant .................................................................. HealthDept. Approval ............................................Labor Dept. Approval ................................................ UnderwritersApproval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ................................ ..... Final Certificate ........=............................. Fee Submitted $ ...5.410....................... Construction on above described building and p r t i a r gulations. Applicant ........... .. ................................................. .. .............. .... . .... . ... ....... 1 am. Wickham Sworn to before me this � )--1 13 25th July, 1.973 .... day of ............................................ 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