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HomeMy WebLinkAboutZ-18634FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-18634 Date December 11, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 735 WICKHAM AVE. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 140 Block 2 Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a private one family dwelling built prior to: APRIL 7, 1957 pursuant to which CERTIFICATE OF OCC. #Z-18634 dated DECEMBER 11, 1989 was issued, 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 * The certificate is issued to RICHARD & STUART WOODWARD (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING *SEE ATTACHED INSPECTION REPORT. Building Inspector Rev. 1/81 BUILDIIIG DEPART:1EiT TOWN OF SOUTHOLD, N. Y. HOUSIidG CODE INSPECTION REPORT Location 735 WICKHAM AVE. MA4TITUCK, N.Y. �numoer do street) 1,1unicipaiity) Subdivision Map No. Lot(s) Name of Owner(s) RICHARD 5 STUART WOODWARD Occupancy HB (HAMLET BUSINESS) OWNER (type owner -tenant) HAVE CREATo SAME Admitted by: Accompanied by: Key available Suffolk Co. Tax No. 140-2-28 Source of request RUDOLPH A. BRUER, ATTY Date 12/1/89 MMLING : BAC PLO E Type of construction WOOD FRAME. ##stories 2 Foundation BRICK Cellar 1/6 Crawl space Total rooms, lst. F1 5 2nd. F1 3 3rd. F1 Bathroom(s) ONE FULL Toilet room(s) Porch, type FRONT SCREENED Deck, type Patio, type_ Breeze,aay Garage Utility room Type Heat PROPANE HEATERS, ;farm Air x Hotwater Fireplace(s) No. Exits Airconditioning Domestic hotwater LILCO GAS Type heater Other ACCESSORY STRUCTURES: NONE Garage, type const. Storage, type const. Swimming pool Guest, type const._ Other VIOLATIONS: -CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE Lncation Description 1Art.1 Sec. EMENT AREA 6 Buildings S Structures shall be maintained free CHAPT.1 F OR of insect vermin and rodent harborage and SEC. 1243.9 infestation. 11242.4 IXTERIOR Exterior surfaces shall be maintained in good i conditions. Surfaces not inherent by resistant E. to deterioration shall be treated with a (protective coating of paint or other suitable preservative. Remarks: Inspected by: �� . Date of Insp. 11/5/89612/8/89 Fish Time start9:30 end 9:50 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall BLDG. Dtpr, Southold, N.Y. 11971 TOW^v 1� 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriterZ�R ink, and submitted +ftnw�� 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. 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 informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25.00 -` BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of -occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00 , over 5 years $ 10.00 4.Vacant Land C.O. $ 20.00 / 5.Uodated C.O. $ 50.00 Date..... Gq New Construction-,....OldorPre-existingBuildinggat/.-c .� ....... Vacant Land �............. Location of Property .... 1/.0 . ...... ........ !!t'.c -......�/�(. House No.. � WI /1 Stree � L � Ham/et Owner or Owners of Property ...IV✓l (J UW�I W / �-- l7 t t d County Tax Map No. 1000 Section ....�. i..b. , ... Block ......d ..... Lot ...... ........ Subdivision .................................Filed Map No. ... of No. ............. Permit No. .......... Date of Permit ..........Applicant ................................. . Health Dept. Approval ........................Labor Dept. Approval ........................ Underwriters Approval ........ ................Planning Board Approval ..................... . Request for Temporary Certificate .....................Final Certificate ...� .... I ............ Fee Submitted S .../P, .. `.. . . .............. . Construction on above described building and rmit meets all applicable codes and regulations. Applicant ... ....................... Ra. 10 10-78 co is�3 y CONSENT TO INSPECTION do(es) hereby state: the undersigned, That the undersigned (is) (are) //the owner(s) of the premises in the Town of Southold located at V ,tC fL� �IC which is shown and designated on the Suffolk County tax map as District 1000, Sections , Block �, Lot d 8 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: /1 A A , - /ice, A-" I That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Token of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulati of he Southold. Dated:ho �� / ( ignature) (print name) ature) int name SURVEY OF PROPERTY AT MATTITUCK. TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000 - 140 - 02 28 SCALE 1 30' OCT. 7, 1989 CERTIFIED TO CHICAGO TITLE INSURANCE CO. SOUTHOLD SAVINGS BANK THOMAS A. TAYLOR PHILLIP L. SCHOLL S. LIC. NO. 49668 *60P.C. ( 516)k-� y�S10 P.O. BO MAINROAD SOUTHOLD, N.Y. 11971 F aP�O 1�P 0o 1 / a s P StJOJSE (518)727 4vZS �g0 - LL \ or 0- yp �o '0•• op`�0 QaP�4 PS AREA = 11,647 sq. ft. or 0.2680 acre o�-o3s'3a prepared In aeoordance with the minimum standards for title surveys as established by the L.1. A. L. S. and approved and adopted for such use by The Now Yarb State Laved Title Awdatien. BUILD ' ! DEP: PT::=IIT T0d-N OF SCUT,' --:OLD, il. Y. HOUSING CO`F Ii•iSPECTION RE -PORT Loca tion �r:ll"i1Der of s i.r eV c Subdivision Name of Oaner(s) lklap No. Occupancy kL1 . c-LI1 Ad :ii1 ('zd by: C;.cbmpanied I'lu:iycipali may) Lots) o�;mer-zenan E) by Key available Suffolk .Co. T Source of reques ' Tax No Date ,�01 DWELLING: - Type of construction GG' L 7, -stories C"'�� Cellar -4 -Crawl space --7-- Total rooms, 1st. Fl s 2nd. F1 ,3 3rd. F1 Bathrooms) Toilet room(s) Porch, type ' It '� eck, type Patio, type _ Breeze:•�ay Garage Type Type Heat Utility room Warm Air !� Ho twater Fireplace (s No . axi is Aircondi,,ioni r_o Domestic ho Water-- Type heater Other ACCESSORY STRUCTURE'S. p/ Garage, type const. Stora., type const. Sx•liuuili ng pool Guestm type ype const. VIOLATIONS: CHAPTER 45--N.Y- STATE UNIFORM FIRE PREVENTION & TZTTTT nTuf- .•,.,,,, Re -marks: Inspected by: 2Date of Insp: Time start