HomeMy WebLinkAboutZ-9903FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No...~99q~ .........
Date .... ~argh..~! ................... 19..~0
THIS CERTIFIES that the building ................................................
Location of Property ..... .~..~40....C.o.x...~.e.c.R...~..a~.e. .................... .l~.a.~..~.i..~.c..k.~.
House No. Street Hamlet
county Ta× Map No. 1000 Section . .!!~. ....... Block .... q.8 ......... rot .... 0.9.~ ..........
Subdivision ............................... Filed Map No ......... Lot No ..............
requirements for a one family dwelling built prior to
conforms substantially to the
Certificate of Occupancy
....Ap?.t:l...2.~. ........ , 19 .~?. pursuant to which ~ ........... .Z~.~.O..~ .....
dated ...~.ar.c.h..2.~ ................ ~9.8~.., was issued, and conforms to an of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
The certificate is issued to
of the aforesaid building.
Michael Vota & wf.
..................... /oYn'd,-,'~ ......................
Suffolk County Department of Health Approval ......... .I~./..R .............................
UNDERWRITERS CERTIFICATE NO ................. .1~./..1~..,.. I~1.67.1.7.06 ................
Building Inspector
Rev 4/79
Location
Subdivision
BUILDING DEPARTF[ENT
TO¥~ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
3640 Cox Neck Lane
(number & street)
Name of Owner(s).
Map No.
Michael Vota & wf.
Mattituck, N.Y.
(Municipality)
Lot(s)__
Occupancy
Admitted by:
Rrl
(tYPe)
Mr. Vota
Key available
owner
(owner-tenant)
Accompanied by: Mr. Vota
Suffolk Co. Tax No. 1000-113-q~T00~
Source of request· Abigail A. Wickham, ESQ.
Date March 11, 1980
DWEllING:
Type of construction
Foundation brick
· Total rooms, 1st. F1
Bathroom (s)
Porch, type
BreezewaH
TYPe Heat oil fired
Fir epl ac e ( s )
Domestic hotwater
wood framed
4
#stories 2
X
Cellar partialCrawl space.
2nd. F1 3 3rd. F1
Toilet room(s).
beck, type
Garag~
'Warm Air
No. Exits
yes
Other Two (2) wood burner stoves
ACCESSORY STRUCTURES:
Garage, type const·. wood(large)
Swimming pool
Other
Patio, typ~
Utility room
Hotwater X
2 Airconditioning
Type heater tankless
Storage, type const.
Guest, type"const.
VIOLATIONS: Housing Code, Chapter 52
_Location Description Art. Sec.
Upstairs No-heat V 52-53'1
Outside Needs painting badly III 52-31-B
Kitchen Floor needs ~epairing III 52-32-D
Remarks:
Curtis' W.~ Horton Time start end
' 0
i
xoo
O.
VV VV V ·
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
[~r as JOHN STREET, NEW YORK, NEW YORK 10038
.ate ~:arch 1~, 19~0 063598
,4pplicationNo. onfile N471~'~4
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
Hichael J. VoCa,Cox Neck Rd.,Matci~uck,N.Y.
in theJ'ollowing location; [] Basement [] 1st FI. ~ 2nd FI. garage Section Block Lot
was examined on [4arch 17, 198 (} andfound to be i ....... plia.ce with the requirements of this Board.
FIXTURE RE EPTA I I FIXTURES I
OUTLETS C CLES SWITCHES INCANDESCENT FLUORESCENT ~vE~CoURR¥
10 I lz
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS
AMT. K.W. OIL H P. GAS H. P AMT. NO. A.W.G.
RANGES
AMT. K.W.
SPECIAL EEC'PT
1 5~
NO. OF j
SERVICE DISCONNECT S E
'.ETER , NO.
AMT. AMP. TYPE EQUIP. 1~2W 1~'3W 3,~3W 3,e'4w
OTHER APPARATUS:
Paneiboard~; i-6czr.i00amp
COOKING DECKS OVENS DISH WASHERS
AMT. K W. AMT K.W. MT. K. W
V I C E
OF CC. COND
EXHAUST FANS
H, P.
DIMMERS
i AMT. WATTS--
A. W.G. NO, OF NEUTRALS
NO. OF HI-LEG OF HI-LEG
OF NEUTRAL
Michael J. VeLa
Box 230
Mattituck,N.Y.
11952
GENERAL MANAGER
Pe~'
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMEHT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
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.
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 unusua~ 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.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
Date March 1[, 1980
×
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
3 ~ ~/~ e/s Cox's Neck Lane, Mattituck, N.Y.
Location of Property ...................................................................
House No, Street Hamlet
MICHART. VOTA and BARBARA %~DTA
Owner or Owners of Property ............................................................
County Tax Map No. 1000 Section .... 1..1.3:.0.0 ..... Block .. 9.8:99 ........ Lot...0.0.1:.0.0Q .......
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 ...... .X ................
Fee Submitted $ .5. :0.0. ........................
Construction on above described building and permit_me, ets all applicable codes and regulations.
Applicant......~..~.'. ~,..~./.~...~,~~ ..............
~- Abi/~ail ~ Wic~ ~
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