HomeMy WebLinkAboutZ-5215 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z 5215. . . . . . . Date . . . . . . . . . . . . . . June 20 12
THIS CERTIFIES that the building located at . ;3,gsby .R, aql Street
Map No. V1 tt; . Pk. P919Vk No. . . . . . . . . . .Lot No. . 64 . . . (Laurel Dist 1 t) Ma ttituck P.0
conforms substantiallyto the N&MAZ � t� housin code
�n Amyomm
�uijt before Certificate of occupancy ,
ate . . . . . . . . . .April -23 19.57. pursuant to which BX1,1&iigT 3t No. Z5245. .
dated
J.une lg 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 Private one family duelling
The certificate is issued to . ,Robert & Muriel Wreden Demers
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
pre— existing
Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE No. . . . .pre. .-. . .existing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOUSE NUMBER. . 2625, . . , . .Street. . . 5igsby Road
Exceptions. to.housing code°
11. need switbh for lights at 2 points of entry 529b
Building Inspector
.I
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.
Date June 19,.197.3.......................
New Building .................... Old or Pre-existing Building ............X............. Vacant Land ............................
Location Of Property .. igsbee,Road, „Mattituckr...N,,Y:....................................................................
Owner Or Owners Of Property ..........Robert & Muriel Wreden...............................................................
Amended Map of Mattituck Park o Properties
Subdivision ............................ ................................. No. .0.4....... Block No. ........... House No.
PermitNo. .................... Date Of Permit ....................Applicant ...................................................................
HealthDept. Approval ............................................Labor Dept. Approval ................................................
Underwriters Approval ..............................................Planning Board roval ..................
Request For Temporary Certificate ........................................ Fi Certifi-at .....X..................................
Fee Submitted$ ....5r,00......................
Construction on above described building and permi eet s all a 'cobl ode an uLqtions.
Applicant ..................... •ariri rUYee ri'Attorriey. .. ..... ' .
Sworn to'before met ' �` �; o
.........`3� day of ..... ... ..............lin........ (stamp or seal) „i�
NotaryPublic .................................... County ���
HOUSING .CODE INSPECTION
June 20, 1973
#2025 Si:gsbee Road
Mattituck, N.Y.
Tax Roll: Robert P . Wreden and wife
Subdivision: Mattituck .Park Properties
Lot #64
Seasonal
Upon request of the Southold Town Building Departmemt,
I made inspection of this one story framed dwelling and
found the following violations of Local Law #1, Housing
Code of the Town of Southold. I picked up key .at the
Mil-Matt Real Estate Office , Mattituck, and began inspection
at approximately 11: 00 a.m. by letting myself into side
entrance.
Entrance, south side : No light switch to control light
on entry - Section 529b.
Enclosed porch: Front entrance, no light switch or means
of controlling light on entry - Section 529b.
The main portion of the building sets on posts and is
skirted;wthe newer southeast section is built on a cement
block foundation with crawl space. The building is heated
with two gas heaters, one in wall of new section (bedroom)
and one larger unit in living room - both units are vented.
Inspection completed at approximately 11:20 a.m. Key
was returned to Mil-Matt Agency.
R ectfully s bmitted,
Edward Hind rmann
Building Inspector
EH:tle
iii
�,� � ,��-mac.- _ a,�..�
Cl
I
a