HomeMy WebLinkAboutZ-5192No. Z 5192 ......
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of
Occupancy
Date ..... ........JIM...13.... , 19.73
THIS CERTIFIES that the building located at R,0*W....Wfg. Bay. Ave ...... Street
Map No. 7= ........ Block No... X= .... Lot No. =(.,!. UUMAX .. NAX-...........
conforms substantially to the hvm
J�t
l . bo ore..April- .23..., 19.57.
ie
er ,�..
code
occupancy
dated ....... J.une ...1.3 ....... 1973.. , 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 . Pri.vate..orte. Xamily. .4WAIling ...................................... .
The certificate is issued to .Andrew. & Jose-phine. Rudolph • • • • Viers .... ..... .
( owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval -Pre.-. -existing ....................
UNDERWRITERS CERTIFICATE No. pra i.. existing .................................
HOUSE NUMBER ... 1.960 ...... Street.R90...We . off Bay. Ave ...........................
TXceptions . to..housing . C,ode s ...................................................
1• leo shutoff at kitchen gas stove 508b
2. Cellars leak at fuel oil tank valve 536b
Gas water heater not properly
vented to exterior 52oc
jury rigged electric connection
to water pump 528a
C.A. ....
Building Inspector