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Home My WebLink AboutZ-7098FORK NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z.7098...... Date ............. June 24 ...... , 19.76. THIS CERTIFIES that the building located at .. E./S. Grand Ave .... Street Map No. ........ Block No....... Lot No. XXX Mattituck N.Y. ................................ . re uirements fo o fa 1 del conforms substantially to the built before certificate o occupancy dated ........... fpr'. �3 ... 19 P P. pursuant to which 8><ii1�83�CE6i(iibi!}�To. Z7.098.. dated..........June 24 19.76., 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 Private one family dwelling ............................................................... The certificate is issued to . John M. Wolacok owner of record ........................... ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . Pre— existing UNDERWRITERS CERTIFICATE No. . Pre— existing HOUSE NUMBER .... 1.900 Grand Ave Mattituck .... Street .......................................... ............................ I........... r, Building Inspect r HOUSING CODE INSPECTION June 23, 1976 1900 Grand Ave. R-1 Mattituck, N. Y. Tax Roll: John M. Wolzcok Unoccupied Upon receipt of an application for a Pre -Existing Certificate of Occupancy, I made an inspection of this one story framed dwelling. I admitted myself to building with key left by applicant Barbara C. Bower and began this inspection at approximately 1:25 P.M. The building consists of two bedrooms, living room, full bathroom, kitchen, and finished expansion attic. Heat is supplied to first floor rooms from an oil -fired hot water furnace located in cellar of cement block foundation. An enclosed porch provides protection to rear entry and an enclosed porch running entire width of front of building encloses entrance to living room. The following violations of the Housing Code, Chapter 52, Town of Southold, New York, were found: Kitchen: gas cooking range, no shut off valve at unit, Article V, Section 52-52 B2. Attic: being used for sleeping rooms, lacks required light and ventilation for floor area, Article II, Section 52-24 C.1-3. Cellar: electric motor for sump pump servicing wash tub, B.X. conductor spliced to motor two wire pig tail no junction box and ground connection, Article V, Section 52-56 A.1-5. Rear Entry: steps, second riser, broken tread, Article II, Section 52-28 A. - Article III, Section 52-30 A. Inspection completed at approximately 1:45 P.M.. Key was returned to Sidar Real Estate office per instruction of applicant for this inspection. R pectfully sub ✓� �2C t Edward Hinder ann EH;med 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 ..... .,41 ia? 3.126 ................... New Building ................ Addition ................ Old or Pre-existing Building ..... Vacant Land .............. Location Of Prop rty....1./.4�4..r..f.�.:....:...................................................................... Owner Or Owners Ofrty ./Mc ."Q=�� j1.. ark.!� f 5 qw Subdivision ................ X .......................................... Lot No............. Block /No............. House No../?0-0 Permit No............. Date Of Permit .............Applicant .... za?^r....S a> c%?..4r..... Health Dept. Approval ....... r1¢. :✓.:...:..... Labor Dept. Approval ............. ..1�...................... Underwriters Approval ........(!!�.......`.7 ........ Planning Board Approval ....... ....!. ..................... Request For Temporary Certificate ........................................ Final Certificate.......... ................................ Fee Submitted $ ..�... i . I Ay AVENUE"—� �p✓rvate /50.00 . N 1� r X11 kn { _ I 2 Iu C � e u 35' i v v / No- Q L ./E i S.75'44'00"N. 150.00 ✓• Mi/�,ar.i/ i j 1 f MAP OF PQOPF_,1:2TY j1 J u;,7 1 � - YF D FO� UNAUTHORIZED ALTE9ATION OR ADDITKAM ! V C' TO THIS SURVEY IS A VIOLATION OR I B SECTION 7709 OF THE NEW YORK STATEEDUCATION LAW. 1 sea,,C. -10', r" tl = hlondrtYenY m Pike C- �d NSR HE TANDFS TSUTHIS \EYUQ SURVEY M SNOT EAL OR 0.1NO T + EMROSSED SU: $HALL NJT B; CONSIDERED I � L� fir I/ TO BE A VALID I>Ut C'+ +• RY, �ATTI ruck GUARANTCS !HALL RUN ONLY TO uF, =C. aJ:., :,Ln Yn "'A THE SUW/.fT C IS MEAA;LU, A':0 C1�, HIS LYL..3 TO THE (�wN OF So(/rl-1,7 i. 1,, N,.Y TITLE CGM'A.1, �,rtV.?�,:,I,ri, A, AGLNCY LENDING 1,117, Lfn TO THE ASS:61"AS 'J 111 LLI,UriG INSTI. TUTLON. GUARANI::" AT, NOT TItANSEERAME TO ADDITIONAL U+SIIIUIIONS OR SU OWNERS 7 Gu ,•.;,?ft-, fc tom' fUi yy'A�irt�6 Inc. ams t'b �'oudllnld Savrroys 8artk � ! •�- s%rv��rd il,lE.rrye71JT6,. I t 'E'cr�1GA/ �aHd Jurveyors Gr e ort N.Y. I z. J O - ' - ---+ • - -e - -- - ... -- - ----- - - - - - --- - -- ------ -J-91-z - - - -- -- - - - -- - - - - -- i J i f