HomeMy WebLinkAboutZ-10606 FORM NO.4
T , WN OF SOUTHOLD
BUI DING DEPARTMENT
Office of the Building Inspector
\ Town Hall
Southold, N.Y.
Certificate Of Occupancy
Dae
No. . . .Z10606 . . . . . . . July 29 , 19 81
. . . . . . . .
THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property 4015 Wickham Abenu , Mattituck, New York
House No. Street Hamlet
County Tax Map No. 1000 Section . .1 . ?. . . . . . .Bloch . . . . . . . . . . . . . . .Lot . . . . . . . . . . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
. . . .Filed ap No. . . . . . . . .Lot No. . . . . . . . . . . . . .
requirements for a one-family dwelling with' Seasonal Dwelling
conforms substantially to the-ArpHeatmn-for-B�dmg rniit l�LB"PBP�fil�8in'tTu'soffice aa'�ed'�
built prior to Certificate of Occupancy
Z10606
April. .23 . . . . . . . . , 19 .5 7 pursuant to which'Btilitting i�'Si'itiif No" . . . . . . . . . . . . . . . . . . . .
datedJuly. . . 2 29 81 � '
. . . . . . . . . . . . . . . . . . . . . . . 19 . . ,was issue , 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 Seaso�OcHgMg and Accessory Storage
TheBAKt eissuedto Michael Lan one and 'iAno.
. . . .& . . . . . . a . . . . . . . .
(owner,)je5*m II amt x x k
of the aforesaid building.
Suffolk County Department of Health Approval . . . . N/R .
UNDERWRITERS CERTIFICATE NO. . . .NIP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .
Building Inspector
Rev.1/81
BUILDING DF.PARTP•IEHT
T0V,2; OF SOUTHOLD, N. Y.
MOUSING CODE INSPECTION REPORT
Location 4015 Wickham Avenue .— Mattituck . New York
nu�,ber & street riunicipa:ii•ty
Subdivision Map No . Lot(s)
Name of Ovm er(s)� Michael Langone and Ano .
Occupancy R- 1 Unoccupied
type (owner-tenant
Admitted by:� Accompanied by:
Key available Suffolk Co. Tax No. 107-9-3
Source of request Henry V . Pecora Date July 21-, 1981
D'rIF.�L' ,LING:
Type of construction Wood Framed ;#stories 2
Foundation Brick _ _ Cellar Par ; , Crawl space_-_UP,,.t
Total rooms, 1st. Fl 4 2rd. F1 4 3rd. Fl
Bathroc:n(s) 1 Toilet room(s)
Porch, type Screened in Deck, type Patio, type
Breezeway Garage Utility room
Zpe Heat oil Fired ' Warm Air xHQtW..tt)ejrxx Steam
FireDlace(s) No. Exits Airconditioning
Domestic hotmvatar - Yes Type heater Gas
Other
ACCESSORY STRUCTURES:
t
.Garage, type const. Storage, type const. wend StnrauP
Swimming pool Guest, type const.
Other. 3 Room summer cottage , with bath and hot water also has a separate
VIOLATIOP;S: Housing Code, Chapter 52
Location Description, Art. Sec.
Wood Storage Everything needs fixing III 52-30-A
Main Dwelling Porch needs re airin both floor an0-A
walls bad kitce
need re airin Ma _ hou_sP fl nnr ne-P-L S
repairing ,
Outside Needs re ; II 52-3 1=�
Summer Co to e Ceiling leaking floor
windows bad
Outside needs major re air.inF _ _
C-D
Remarks:
Inspected, by: ( ,� f 1 ..�-,, -Date of Insp. July 27 , 1981
Time start3 : 30 end 4 : 00
Curt;ip W. Horton —
FORM NO.6
TOWN OF SOUTHOLD
Building Department
Town Hall
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 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.
8�-or
existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
and 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.. July 21, , 1981. . , . , . . .
r
New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . . . . . . . . . . Vacant Land. . . . . . . . . . . . . .
Location of Property V11,1aoe. .0X .A%.ttJ tack,TPA4.9; , ,So7,ttY�old,Ca nty, .,.?f Suf folk,
NN boy House No. Street Hamlet
Owne or oy Lon Property.,East by Kneski,South by Wickham Avenue,West by Reiter
Michael Langone and Anthony Marinucci
County Tax Map No. 1000 Section . . . .1o.7. . . . . . . . Block . . . . . .9. . . . . . . . Lot . . . . .3. . . . . . . . . .
Subdivision . . . , . . . . .Filed Map No. . . .1000. . .Lot No. . .3. . . . . . . . . .
Permit No. . . . . . . . . . . Date of Permit : . . . .Applicant . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval I1
Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . �6 I U�
1
Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . I0
Fee Submitted $ . . . I�
Construction on above described building and permit meets all applicable codes and regulations.
Applicant . . , 11, !•`r```'e �,��
Rev.10-10-78
Henry V. Pecora �-� -
236-21 41 Avenim
Flushing, N- y, 11355
STATE OF NEW YORK
ss . :
COUNTY OF QUEENS
MICHAEL LANGONE, being duly sworn, deposes and says in refer-
ence to Village of Mattituck, Town of Southold, County of Suffolk,
County Tax Map No . 1000 Section 107 B1.ock 9 Lot 3:
That he has always used the building as a dwelling. The con-
dition of the building is good .
That this affidavit is in reference to application for Cer-
tificate of Occupancy for existing building .prior to April, 1957 .
ICHAEL LANGONE
Sworn to
before. me this
I day of
Jul 981 ,1
*ft1N'R'Y V. `PECbkX
ND'fA'RY PU$LJC, tote df 1vw
No. 30 8 12,450
Qualified ih Na=t C
T�e= Expires la omh 31�, m
BUILDII,;G DEPARTMENT
TO1-,rN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 4015 Wickham Avenue , Mattituck . New York
number & street Municipality
Subdivision Map No . Lot(s)
Name of Ovm er(s) Michael Langone and Ano .
occupancy R-1 Unoccu ied
-tyype owner-tenant
Admitted by; Accompanied by:
Key available Suffolk Co. Tax No. 107-9-3
Source of request Henry V . Pecora Date July 21 , 1981
DVMLING:
Type of construction Wood Framed ;#stories 2
Foundation Brick Cellar Par ; al Crawl space RQGt
Total rooms, lst. F1 4 2nd. Fl 4 3rd. F1
Bathro3m(s) Toilet rooms)
Porch, type Screened in Deck, type Patio, type
Breezeway Garage Utility room
Type Heat oil Fired 'alarm Air xHotwet)e2 cx Steam
Fireplaces) No. Exits Aircondiitioning_
Dbm-e-stic hotwater Yes Type heater Gas
Other
ACCESSORY STRUCTURES:
Garage, .type const. Storage, type const. nnd 4t.nraaa
Swimming pool Guest, type const.
Other. 3 Room summer cottage , with bath and hot water also has a separate
VIOLATIONS: Housing Code, Chapter 52
Location Description, Art. Sec.
Wood Storage Everything needs fixing III 52-30-A
Main Dwelling Porch needs repairing, both floor a -lQ_A_
walls bad kitche
need re ai
repairing ,
Outside Needs re II 52-31_B
Summer Co to e Ceiling leaking , flo r bad and
windows bad
Outside needs ma 'or re air,'
C-D
Remarks:
.Inspected, by: �;'� gL-,7 Date of Insp. July 27 , 1981
Gam; N W. Horton Time start 3 :30 end 4 : 00