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Home My WebLink AboutZ-6564 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office . Southold, N. Y. Certificate Of Occupancy No. Date . . . . . . . . . . . . . . Jt11y'. . . : THIS CERTIFIES that the building located at .��?2 .3 .De-a�h Road Street Map No. . .XNX . . . . . . Block No. . :X .' . . . .Lot No, XtX?. . . . . . . . ... conforms substantially to the%%' Bcaj4& before Apr. 23 . .f 19.57. . pursuant to whichC fN occupancy dated . . . . . . . . . . �U-3Y. . . .15. .) 19.75., 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 Px v te, o1.Q . 'o n ly, dtT ang . , Capp oved by, .bd, AppeAjs, �; , cottage) The certificate is issued to . Aiattltuck Inve-stora . . . . . . 0-vaiers . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval pry #sting. . . . . . . . . . . . . . . . • • . . UNDERWRITERS CERTIFICATE No. pre--. existing. . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . . 1.68Q. . . . . . Street .B�.a.ley,.Peaeh. A.o,.d, ; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector 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 DUPLICATE 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. 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 .......4"?AIY .'!%..'!9.7.5.......... New Building ................ Addition ................ Old or Pre-existing Building .....I........ Vacant Land .............. Location Of Property .......... ailie. Beaeh..Lot...No.� 7.............................................I......................... Owner Or Owners Of Property .......bat ti-14 A0,4..I4ye,9t.4;'.P................................................. Subdivision Bailie Beach i ....................Lot No. Block No. House No............. Permit No. X ... Date Of Permit $ A licant pp .......................... Health Dept. Approval ..........Fr.eAA......................Labor Dept. Approval .........�............................. ... Underwriters Approval ............EPA! .......Planning Board Approval ......DIR............... ..... .................. .............. Request For Temporary Certificate ........................................ Final Certificate ..Q.4..P.rA7px.sting.... Fee Submitted $ ......r5.-1 .0..................... dwelling Construction on above described building .and permit meets all applicable codes and regulations. Applicant Mattituck In stors ................. .......... ` B7Iq .. .... .. ..... .... .. ............................... .......... l�)s ,� Sworn to before me this " .......M.... dayof ...J.u1y.A925.............. ..... _._ , ._.. . . (stomp or seal) Notary Public ..........4flolk...... .. Coun,,� }`y WILLTAM >rL'ARK / NOTARY PUBLIC, State of New vork yam✓ No. 52-5712500 9*461 9d in Suffolk County tirin 6*0rer March 30, 197 STATE OF NEW YORK ) )SS. : COUNTY OF SUFFOLK ) JACK DRISCOLL, being duly sworn, deposes and says: That I reside at North Oakwood Drive., Laurel, New York and I am a partner of MATTITUCK INVESTORS, the owners of the premises known as Lot No. 7 Bailie Beach since April 17, 1973• That prior thereto the said premises were owned by LLOYD HAMILTON isih1Ge January 8, 1943 and during all of that time said premises had been used and occpied as cone-family dwelling. That the buildings erected on lot No. 7 is and has ,been in good condition and suitable for occupancy as a one-family dwelling. 0 . Jack Driscoll r Sworn to before me this 1 11th day of July, 197.5 - WILLIAM CLARK �jq�y I'U ILIC, State of New Y04 No. 52.5712500 gftlMficd in Suffolk County dot. ; ram Memo 30,.I9.1.6 ®m''top N ,— LJoyd merlY 3 Q®NE. J 64 •2 tyk { 1 40l home d1`� cottage a G "a Ir w, from& o " Lot Cottage 0 ? 6A w e s• �egOb W- , N./lsto�do°E. W R/GHT� OR w N 6P2. 03 030 � l®5.27 ITV.82°43'3®��E t / f 1 trg + N Lot Cy c6t ta• w3 6tF l V I ! N.82043e3®ME 105.27 , I , O , frome " Lot 6 cottage 17-1 400 OSTRANUER AVENUE, RIVERHEAD, NEW YORK AL.DKN W.YOUNG HOWARD W. YOUN43 MROPRIN110MAL RN®WNRRR AND LAND•U"RYOM LAN®RUMVIKIMP. PLY.t. LW-NO.I*044 N.Y.R. LiC. NO. 411002 SUIT SUR VE Y FOR NOTE ®if MONUME'Pir SHOWN HEREON A A MA 7"TI TUCK 11V VES TORS ANa R��>NUffCC -R M A REALY P HOUSE MA T T/TUCK WA r R L/NES EL CI-ROM RIC AND 0 TOWN OF SOU T�r'OL D ---_ K�/6�� .�RRv/c�s. UNAUTHOFIIFD n!TCRATtON OR gDDITIpTf �i fJ� _ TO THIS 5L'F%Y li; A VIOLATION OF SUF CO w' Y i-/,,�, b°. l �Y •� SLCTIO1 7209 Cl Tlii N;V.'YGRK -14 GUA /a� L3L�T.O',.:�,. '� r ` cai Ire I. � I' TN� /) Elow �A!��Y �Pi�.; i l - ...:2Y ;:P.?NOT PLARIN6 SCALSCALEJ� III 11•!, !.� D '.'AL OR �w. � i = 3O .' .p.: '4w I c { Li•.C-l:'. i :F l'JN I 5 DERFD Y. ;, ,�� '\. .i � ,7 1 � 1 GC.'.�-n,' •;J..iiALl RUN /5,, /9T..3 ,� "> ` y.. . . THE x ,� 1` ,, "'.CM SURVE AL RG }IILI ' lO THE AAV lEt<%iUQ ,..•. � . AND LA N® O/ O/P845 TgTIE 1:,h tclr,G Insil• TALON. GUARA;�TLS Af..}.G} T.,ANSFCRA Kg RENEW V6MAEd0, _ HOUSING CODE INSPECTION July 14 , 1975 1690 Bailie Beach Rd. R-1 Mattituck, N.Y. Tax Roll - Mattituck Investors Occupied - Seasonal tenant (Meyers) Upon receipt of an application for a Pre-Existing Certificate of Occupancy I made an inspection of this one story framed dwelling. I was admitted to dwelling by Mr. Meyers and began inspection at approximately 11 :25 A.M. The Building consists of two bedrooms, one half bathroom, kitchen and living room. A screened porch is located on the front of the building. - Building is constructed on cement block piers, interior not finished (open ceilings) . The following violations of the Housing Code, Chapter 52 , Town of Southold, were found: Bedroom - 6 ' 8" x 6 ' 6" , single bed, insufficient floor area. Article II , Section 52-22 A.l. Half Bathroom - no tub or shower. Article V, Section 52-51 D. 2 . Bathroom floor, no moisture resistant floor covering. Article III, Section 52-32 D. Kitchen - Gas cooking range - no shutoff valve at unit. Article V, Section 52-52 , B. 2 . Hot Water Heater- reduced size of discharge pipe from safety relief valve. Article V, Section 52-53 I 1. Building has no central heating system - occupancy from the fifteenth day of September to the thirty-first day of May not permitted. Article V, Section 52-53 A.l. Inspection completed at approximatel 11 :45 A.M. R spectfully su mitted L f� EH:mm dwardLHi de rmann Building Inspector STATE OF TMW YORK COUNTY OF SUFFOLK JACK DRISCOLL, being duly sworn, deposes and says; That I reside at North Oakwood Drive, Zaureli' Now York and I am a partner of MATTITUCK INVESTORSt the owners of the premises known as Lot 110- 7 Bailie Beach since April 17, 1973. That prior thereto the said, promises were owned by LLOYD 1MILT014 igMe January 8, 1943 and during all of that time said premises had been used and ocapied as aone-family dwelling. That the buildings erected on lot No. 7 is and has been in good condition and suitable for occupancy as a one-family dwelling. ITack 7 -Drisc I!- 0 Sworn tobefore nte this 11th day of July, 1975 VfLUAM 'CLARK MMY PUBLIC, State of Now York . No. 52-5712500 9UMM in Suffolk County 74r10 14ires March 30. 191.� u �s-zz - _ _ ��ia-,.rti_ �"/rr-co w __ �- .5-�1 -. .02_ __ �. _ _C�� . .. ._ . Roza-� ,�_ z __ _.. _ _ _ _ __ G�� _.._ �-a-_�_�_ �. a. - -- - - . --- __ � �e�. 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