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HomeMy WebLinkAboutZ-10570 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . . . .Z105.70. . . . . . - e . . . . . . .July .13. . . . . . . . 81 Date � . . . . . . . . ., 19 . . . THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . Location of Property . . 3713 Oregon Road, Mattituck j New York House No. Street Hamlet, County Tax Map No. 1000 Section . . .94. . . . . . .Block .3. . . . . . . .Lot . . . . ?. . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . .Lot No. . . . . . , . . . . . . . conforms substantiall for quirements for a one family dwelling built prior to y t e AZrpheatitn-for$aifitting-Permitlmf'I;tamrd-fmtt-1-tnrs oTrlee d'a"Iecr--- April 23 57 Certificate of_OccupancyZ10570 . . . . . . . . . . . . . . . . . . . . . . 19 . . .pursuant to %nrenB'uilaing Permir - . . . . . . . . . . . . . . . . . . . . . dated . . . July 13 t 1981.. . . , . . . , 19 . . . ,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 with Seven Accessory Structures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . Marcella. Zimnoski (owner,les rm-raMdMr — . of the aforesaid building. Suffolk County Department of Health Approval . . . . . NCR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . AIR. . . . . . . . . . . . . . . Building Inspector j Rev.1/81 BUILDING DEPARTL1ENT TOI'.T: OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 3785 Oregon Road , Mattituck , New York (number & street) (Municipality Subdivision clap No . Lot(s) Name of O,,m er(s) Marcella Zimnoski Occupancy R-1 Owner type (owner-tenant) Mrs . Zimnoski Same Admitted by: . Accompanied by: Key available Suffolk Co. Tax No. .• 94-3-2 Source of request William Wickham Date July 2 ,- 1981 D1,,MLING: Wood Framed Type of construction nstories 2 Foundation Brick & Poured CemenGellar PartiEarawl space Rest Total rooms, 1st. Fl 5 2nd. Fl 2 3rd. F1 Bathrocm(s) 1 Toilet room(s) Porch, type Wood , root' oveffeck, type Patio, type Breezeway Garage Utility room Type Heat Oil Fired ' Warm Air 4yxty,4-,R:txffjcxxx Steam FireDlace(s) No. Exits Airconditioning Domestic hotwater Yes Type heater Tankless Other - ACCESSORY STRUCTURES: Garage, type const. Storage, type const. SIaimming pool Guest, type const. Other 7 Accessory Structures. as per lists VIOLATIONS: Housing Code, Chapter 52 Luca--ion Description Art. 1 Sec. 1 . Small Wood storage 2 . S rout House - Wood 3 . Pump House - Wood 4 . Out House - Wood 5 , Two Car Garage - Wood d 7 . Large Storage Barn Wood "IN 01 ati ons" Cellar Some Floor joints dry rotted III 52-30-A II 52-27-B up— R2i Is Loose 2-31 -A , B , C . Remarks: Inspected, by- � ,� _ '.' °� Date of Insp. July 8 , 1981 A. t Time s art 2 : 1.5 end 2 : 45 . . Curtis W. Horton - 2c 6'S 5 5 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 J APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 peoperty 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 $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date , , ,JulX.l{ .1981. • . . . . . . . . . New Building . . . . . . . . . . . . • Nesidddn_66 & usi�idinns) : .X. . . . . . . . Vacant Land . . . . . . . . . . . . . g Location of Property .NW.sade.Oregon.load, . . . . .Mattituck, .NY. . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Owner or Owners of Property . . )�%'IiLT_A ZIMOSKI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section 094 m00 , , Block 03.00 , , , , , , . . Lot . .002.000., , , , , , Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Map No. . . . . . . . . . . . . . Lot No. . . . . . . . . . . . . . . Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . .. . . . . . . . . . . . . . . . 5.00 Fee Submitted $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I� b Construction on above described building and per t eets I a lic le de nd regulations. WI , B , P.C. Applicant . . . . . . . . . . . . . . . by W Rev.10-10-78 /ep