The URL can be used to link to this page

Home My WebLink AboutZ-11228 .j FORM N/O.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z.1.1226. . . . . . . . . . Date . . . . . . .4GtobQp. .1. . . .. . . . . . . . . . .. 19 .$2 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . Location of Property .445. . . . . . . . . . . . . .Mar1eni. IJ.an�. . . . . . . . . . . . . . . Matti,tu��C House No. Street Hamlet County Tax Map No. 1000 Section .1.43. . . . . . . .Block . .0.3 . . . . . . . .Lot . .0.29. . . . . . . . . . . . Subdivision . . .X . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. A . . . . . .Lot No. . 'X. . . . . . . . . . Requirements for a private one-family dwelling buidit prior to conforms substantially to the A ieatlot�=fog dig i of f ea�a�Iiis-of'Fiee- atecl- Certificate of Occupancy . . . A.P.r 11. .23.. . . . . . . . . 19 5.7 pursuant to which BuiidiMillernritNo. .Z 1:1.U4. . . . . . . . . . . . .. dated . . . O..t0er- .1 . . . . . . . . . . . . . . 19 8.2 ,was issued, and conforms to all of the requirements. ti _ of the applicable provisions of the law. The-occupancy for which this certificate is issued is . . . . ... . . . a:',pr .v.atQ. .onq r ram ily. .dwe1.2,�ng.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . / The certificate is issued to . Mildred F... Litchhult & another 4Madeline M. Litchhult) of the aforesaid building. Suffolk County Department of Health Approval . . . .PIA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . .. . . . .ala. . . . . . . . . . . . . Building Inspector Rev.1/81 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. Subm,it.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. Swotn 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 . . ,October. New Building . . . . . . . . . . . . . Old or Pre-existing Building . X. . . . . . . Vacant Land . . . . . . . . . . . . . Location.of Property ,445. Marlene .Lane Mattituck . . . . New, York, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Ham/et Owner or Owners of Property . .Madeline M. . Litchhult„ County Tax Map No. 1000 Section . . . . . . . . . . . . . . . Block . . . . . . . . . . . . . . . Lot . . . 2.9 . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed 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 . . . . . . .X. . . . . . . . . . . . . . . ,.,Fee Submitted $ . 5;00 . . . . . . . . . . . . . . . . . . . . . . . Construction on above described building and ermit meets all applicable codes ao regulations. Applicant pp t Madeline M. LitcYihu�t Rev.10-10-78 co ao 7 sq- ,� 38-1 q STATE OF NEW-YORK: ss. COUNTY OF SUFFOLK:: MADELINE M. LITCHHULT, being duly sworn, deposes and says : That I am the owner of 'a parcel of land at 445 Marlene Lane; Mattituck, .New York -(Suffolk- County" Tax Map No. District 1000., Section- 143., Block. "3, Lot 29) . I acquired this parcel on March 16 , 1978 along- with my mother-in-law,"- Mildred •Litchhult, in deed recorded in Liber 8402 -Page 388. Located on the property- is a one-story frame house with an attached garage, -which. has .b_een used continuously as a residence since approximately 1956. All of the buildings are in good condition and. have been constructed prior to 1957. This application- is 'made,-'for the purpose- of -obtaining a pre-existing Certificate of "Occupancy from the Building Department of the Town of Southold. Madeline M. 'Litchhult Sworn to before me this lst day of October, 1982 . Notary Public BARBARA QIACHUN b r Notary:Public, State of NeW York mAon 5 35 im M C mW arch A wSq BUiLDIi`,G DEP aTi•LIiT TO,-19N OF SOUTHOLD, N. Y.. HOUSIiG CODE INSPECTION REPORT Lccaticn L �.� nul:�ber d< streez Nunicipaiity) Subdivision Map No . Lot(s) s e Name of O iner(s ) L�, -e��-- . Occupancy type) owner enari Adnitted by,:�-24� .. 1Itc-companied by: Key available Suffolk Co. . Tax No. Source of request DVELLING• Type of constructions Tstories- FoundationfCellar J Crawl space Total rooms, lst. Fl 2nd. F1 3rd. F1 Bathrooms) Toilet rooms) Porch, type Deck, type Patio, type. Breezeway Garage y � �� Utility room Type' Heat /' 'alarm Air Hotviater Fireplaces) No. Exits Airconditioning Domestic hotwater. "�- Type heater—,,, Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swi,«ming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Descri-otion Art Sec I Ir � I Remarks: Inspected by: ' ?�. S Date of Insp. (%�l Time start�-;3C end �- ` O O TOWN Of SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT FORMER OWNER N E ACRX y� �� Z-'L-�7�1-4 /��LU�I,c.�� btiU/✓ � .�o cJ •'"�TvI� W��1-C[-� .1' � / TYPE OF BUILDING / RES. D SEAS. VL./ FARM COMM. CB. MISC. Mkt. Value - LAND IMP. TOTAL DATE REMARKS q f n / , 0vealM M � c vl7` ate; �eo( en 3oD �300 3 6 0 0 e d I M , k Lit hU. I -f- by Deec/, o 3 3 0 0 o d v T/�' j�6/ �Q/l�aa aoo ,r d t t Ulf 7", �. fin.?n 1 ;f��l� �P 3�� AGE BUILDING CONDITION N" NORMAL BELOW ABOVE FARb( Acre Value Per Value Ac re Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD /pp 7, o ,D House Plot DEPTH / q3 7 BULKHEAD Total DOCK Kim 0. , ■■ ■ ■■■■■■■ ■n■■■■■ mosommo i ll ■■ OMEN■■ ■ bra j y1 lF , ■■ME MEEOM■NEE■M■ME■■■ r _ _ n■■� ■■■�■ME�=■■■EEC■■■■■ SEEN ■ N■ { . �* on ME ■ ■■■■ .c m'7 "Y.`d `►'3 ■n■■ ■ NMMMENM M E■■■■■■■ •,, ��y : ONE NNERE E®EEEM■■MMEMM O• it - InteriorEMEMEHIMENEEMMEHEMMENMEM ME