HomeMy WebLinkAboutZ-18634 L FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-18634 Date December 11, 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 735 WICKHAM AVE. MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 140 Block 2 Lot 28
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a private one family
dwelling built prior to: APRIL 7, 1957 pursuant to. which
CERTIFICATE OF OCC. #Z-18634 dated DECEMBER 11, 1989
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is PRIVATE ONE FAMILY DWELLING
The certificate is issued to RICHARD & STUART WOODWARD
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING
*SEE ATTACHED INSPECTION REPORT.
Building Inspector
Rev. 1/81
BUILDI:•;G DEPARTMENT
TO;11\1 OF SOUTHOLD, N. Y.
HOUSIidG CODE INSPECTION REPORT
Location 735 WICKHAM AVE. MATTITUCK, N.Y.
knumoer do street) 1,,1unicipai7y)
Subdivision clap No. Lots)
Name of Owner(s) RICHARD & STUART WOODWARD
Occupancy HB (HAMLET BUSINESS) OWNER
(type) (owner-tenant
Admitted by: DAVE CREATO Accompanied by: SA14
Key available' Suffolk Co. Tax No. 140-2-28
Source of request RUDOLPH H. BRUER, -ATT.Y Date 12/1/89
DTrTELLING
Type of construction WOOD FRAME 2
#stories
Foundation BRICK. Cellar 1/6 Crawl space
Total rooms, lst. Fl 5 2nd. F1 3 3rd. Fl
Bathroom(s) ONE- FULL Toilet room(s)
Porch type FRONT SCREENED
_ Deck, type Patio, type_
Breeze:•iay Garage Utility room
Type Heat PROPANE HEATERS • Warm Air R Hotwater
Fireplace(s) No. Exits Airconditioning
Domestic hotwater LILCO GAS Type heater
Other
ACCESSORY STRUCTURES: NONE
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: CHAPTER, 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE -
Lncation Descrintion Art. 1 Sec.
BASEMENT AREA & Buildings & Structures shall be maintained free CHAPT.1 F
FLOOR of insect vermin and rodent harborage and SEC. 1243.9
infestation.
EXTERIOR Exterior surfaces shall be maintained in good I1242.4
conditions. Surfaces not inherent by resistant E.
to deterioration shall be treated with a
( protective coating of paint or other suitable
preservative.
Remarks
Inspected by: �� Date of Insp.
11/5/89&12/8/89
Gar Fish Time start9-30 end 9:50
FORM NO.6
TOWN OF SOUTHOLD Lo
"' I
Building Department
Town Hall BLDG. DEPT
Southold, N.Y. 11971 To",
F_p(��-ROLD
765 — 1802 L -� --_
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriterZFR ink, and submitted w Go=" to the Building Inspec-
tor 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 installa-
tions, 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 pimperty 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 informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $25 . 00 -- BUSINESS $50 . 00 ACCESSORY $ 10.00
2. Certificate of occupancy on pre-existing dwelling $ 50 . 00
3. Copy of certificate of occupancy $ 5 . 00 , over 5 years $ 10 . 00
4 .Vacant Land C.O. $ 20 . 00 /' / �iqq
5.Updated C.O. $ 50 . 00 Date . . . . . �. ,/.� Q,/, , , , -
New Cons truc t ion_ _ , _ , . Old'or Pre-existing Building' Vacant Land . . . . . . . .. . . . .
Location of Property . . . . .Vv�- - . , . , C�W� M(9-V�House No. .
f , nStree Hamlet
Owner or Owners of Property , _ . Un'lurL>I`/'Av -
. . .
County Tax Map No. 1000 Section . . . .�.`7 Block . . . . . .a �2 . . , . Lot . . . . . . . . . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . .Lot No. . . . . . . . . . . . . .
Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . 9. ;`-� �!'!`;`�I
Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .
Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . ... . . . . . . . . . . . . . . . . .
Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . .h
. . . . . . . . . . . . . . . . . . . .
Fee Submitted S . . ./P
Construction on above described building and rmit meets all applicable codes and regulations.
Applicant . . . . . .� . . . . . . . . . . . .
Rev. 10.10-78
�3 a I a�j
coa ) 9�3Y
:7
CONSENT
TO
INSPECTION
5 2 the undersigned,
Owner( Name(s)
do(es) hereby state:
That the undersigned (is) (are) /the owner(s) of the premises in the Town
of Southold located at (/+JAIL '✓!�_ L/��1�lt.i�-�,
1
IC. which is shown and designated on the Suffolk
County tax map as District 1000, Section /VO , Block b ;k , Lot a 8
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulati of he Southold.
Dated:
— lie 57
( ignature)
(print name)
(signature)
(print name)
MON.
TITLE 4-4su r:;e
SURVEY OF PROPERTY
AT MATTI TUCK. ' °s
TOWN OF SOUTHOLD �° �a 'It% �
SUFFOLK COUNTY , N.Y. Q o°�P lb i
1000 - 140 - 02 - 28
�
,-
SCALE I " = 3 0 �� P���� - '9L
OCT. 7 , 1 9 8 9
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`C, �31P 4,1 �� `�h P`JFi aPvt
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CERTIFIED TO GAP �o Pe
CHICAGO TITLE INSURANCE CO. O �� s� \$
SOUTHOLD SAVINGS BANK
THOMAS A. TAYLOR ,Lp °o
PHILLIP L. SCHOLL / s�
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u�Qo°.y 91�
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9y yy ,y 4- o� O
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'v ,f� 0 o?g. \ Oil
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S . LIC. NO. 49668
qpl
Prep-wed ht
ado
the naiihnum
FElCO A , P. C• cy eta lards orti titler�urveys ash established by
( 516 R IN the 1.1.A.1-S. and approved and adopted
Po. eox 9 = AREA = 11 , 647 sq. ft.
for such use by The Now York State land
MAIN ROAD or 0. 2680 acre Title Auedadeq.
SOUTHOLD , N.Y. 11971
BUII
T0,'lid OF SOUTHOLD, \I. Y.
HOUSIidG CO Ii S)PECT ION RAT-7-PORT
Location
(r:i moer o( s tree z) (iiun� cipali�y)
Subdivision lvlap No . 4
L (S)
Name of 0:•jner(s)
Occupancy
Y2_e') o�finer-tienanz)
ticii44-Ued by
-Ac.Cbmpani ed b
Key available Suffolk .Co. Tax No.
Source of reques ' Date �� / All
DVr_-LLING:
Type of construction Gf1y�;� � � L
r, storiesFoundation _el Cellar
Crawl space--
Total rooms, lst. Fl s 2nd. F1 3
3rd. F1
Bathroom(s) Toilet room(s)
Porch, typelt� eck, type
Breeze,aay Garage Patio, type
Type Heat b Utility room
Warm Air !� Hotwater
Fireplaces No. Exits �
Aircor_di Lion;na
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES.
Garage, type const. .
Storage, type const.
Shli�u�li ng pool Guest type YPe const.
---------------
VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Location
Description
� Art. Sec.
h �
I � I
I
n
I � i
l �^
I
Remarks : �
Inspected by: / Date of Inspt�
Time start end