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Home My WebLink AboutZ-9155 FORK NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT , Town Clerk's Office Southold, N. Y. ' Certificate Of Occupancy t No. .Z 915 5 . . . . . Date . . . . . . . . . . .AUGUST. 8 s . . . . . ., 19 7A . THIS CERTIFIES that the building located at 740. Pequash ..AveAue. . . . . .11ftwAx Map No. . XXX9. . . . . ..Block No. .-NYXX . . . .Lot No. XXXX. . . .CutchQgue, Requirements for one family dwelling and Housing Code conforms substantially to Itra O&M I }D -M1xkKMtd=B K 1 built Certificate of Occupancy � xbefore April, 23,, , 19.57. pursuant to which dated . . . . .dat:.ed .aixgust. R ., 19. 78., 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 . . �'RIVATE ONE FAMILY,DWET,I�IIV�„ . . . . . . . . . . . . . . . . • , , . . . . . . . . . . . . • . . . . The certificate is issued to . .Paul Rose & w£, Owners . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . 740 Street . . Pecua Avenues Southo d,, New, York . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . Buildin ' 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 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date Au(just..AA..1978..................... New Building ................ Addition ................ Old or Pre-existing Building ..N............ Vacant Land .............. Location Of Property . ..2eq.waSb..AWaUQ,..Cal QbQ9lbQ ......................................................... Owner Or Owners.Of Property .......Paul Rose ...............................................,.................................... Subdivision ................................................................Lot No. .. . ...... Block No. ............ House No........ . . PermitNo. .................... Date Of Permit ...................:Applicant. .................................................................. Health 'Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .............X.......................... Fee Submitted $a..QQ............................ Construction on above described building and permit et II plic e c es r ul n Applicant .................. ..... ....... . ..... .. .... .. ... ... ... .. .. . .. .. .. .. ...11. Sworn to before me this n Y �� R J P R'tr tNDERM (stomp or seal g ......4t1?.... day of ....Au ,...�,�7.$.............. ), y NG. C state qNN ..... J Notary Public . .�l��tR�.1S............. County T��oi�� sZ,s9osso N�„ro,k bb n/�,, ffol . Housing Code Inspection August 7 , 1978 740 Pequash Avenue R-1 Cutchogue, N.Y. Tax Roll: Paul Rose 6 wf. Occupied: Owner Upon receipt of an application for a Pre-Existing Certificate of Occupancy, I made an inspection of the dwelling on the above captioned premises . I was admitted to the building by Mr. Rose who accompanied me on this inspection that began at approximately 2 :30 P.M. The dwelling is a one story, wood frame structure, con- structed on a cement block foundation. The ground floor contains two bedrooms , a full bathroom, living room, and kitchen. The heat is furnished to all rooms from an oil fired hot water furnace located in the full cellar. The following violations of the Housing Code, Chapter 52 , Town of Southold, New York, were found: k'ront Entry -- no means of controlling light in room at point of entry. Article V, Section 52-56 B. 2. Sewage System - no house trap. Article V, Section 2-51 C. 1. This inspection was completed t approximately 2 .45 P .M. Re ectf subm' ted, DWARD F , N Building Inspector EFH:bcc ' :Wtr� L3ork'owski +° Q. :. ro v o N.447 3 iOKI ' 7a W',rr. s#ly IIn1�' W ru • f - ' - _ f ,�I •, ., MAP or LAc�Q a SURVEYED FOQ "3 PAUL- 20 SF - 44 .31, Mf. ZOO.® e 22 MA21 E A. QOSE 1/1-h•' r' A-r C3�Ytca�rd tv�c Caffer I �LSTCHOGL�t W TOWN OF SoUTHOLD, N.Y. 1 -cite - 440 `-- 1° `� - LL = rstQe-tuttsetit C3wakyckt-teed #o *%ie SoLk+ -ic ld Scxvi"gs Bo%t k ckakd V%e- F. H.A. as suvvet_ye.d %Ault3 a4l 195G. . --- . Otto /tnl. Ycnn �uyly� Sots • t+irrc ;aS.o .e evcxi�ioh.':a�ssvv"ad U�� v c�il+q. ttov#�-,�casF coYaler tl�oriL.t�k� _VA* V - , - LAc e4-k secJt d carve yoYs