The URL can be used to link to this page

Home My WebLink AboutZ-4724FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificale Of Occupancy THIS CERTIFIES that the building located at .. Central .Drive .......... Street Map No..Capt.. KiddBlock No ........... Lot No.. 1-36 ..... l~attituck .... W,~, · ·. conforms substantially to the dater p~or to . .Ce dated ........... J~[ .... 2~., 19..~ was issued, ~d conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .Prl~te. mn,. fg~lly .d~e!&!ng ...................................... The certificate is issued to . ~l~d~r~. & .~e~Bla.. ~a~ ....... ~e~s ....... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . P~e-ex.~at[ng ..................... UNDERWRITERS CERTIFICATE No...~Y.~.~'g ................................. HOUSE NUMBER..l~a~ ...... Street ......Central. Dr~ve ............................ Exception to housing codel Need electric light .witch near enterance door.. Building Inspector IrO~M NO. IL TOWN OF SOUTHOI. D luilding Depet~menl' Town Clerks Office Soulhold, N. Y. 11971 APPLICATIO~ FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate 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 dispcsal--(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 3. Copy of certificate of occupancy $1.00 $5.00 Date ...................~'..~.L-'~ '~- -~.F ...................... ~ c/ 72 New Building .................... Old or Pre-existing Building ....... .~.~.~. ........... Vacant Land ............................ Location Of Property ~ (-~H-~.f~k ])[~ ~DT' J(A~)D E~,_T~,.'~..,~.. ~.~TTITUCId Owner Or Owners Of Property ....~.~...~..~..!..~...!..~...0.......,~....;...~...~.......~...~.....i~...O....~...]..~., ...... .g....~.....~.......(,~....~...../~,...~ Subdivision Q.~.~...~.....~...¢J~......,~.Z~....~.../~.~..: ........ Lot No. l.~..d... Block No ............. House No ............. Permit No ........ .~. .......... Date Of Permit ..... ..~. ............ Applicant ..........~. ....................................................... Health Dept. Approval ..... .~...~.~...~'.Y';..~..~..~.. ................ Labor Dept. Approval ....... .~.~.....~... ............................ Underwriters Approval ........ ..~/?...F.....~..~..~.~..~.. ............... Planning Board Approval .... ..~...:.!..~. ......................... Request For Temporary Certificate ........................................ Final Certificate Fee Submitted $ ~ ~O Construction on above described building and Rermit meets all applicable codes and regulations. Applicant ,~'.../,~'~~ ,~....'.....~.~~..~.~?(. ,.. Sworn to before me this .... & .r... day of ................. ,tomp or sea, Nota~ Public .../~.. C~n~ No. 52-90.t~175 SmC..,k Couuty ~~ My co~i~ion expire~ Mar.~, 19 ~ ~' ~ HOUSING CODE INSPECTION 7/27/72 1325 Central Drive Mattituck, New York Subdivision: Capt. Kidd Estates, Lot 136 Tax Roil: Vladimiro Zazulak and wife Upon request of the Southold Town Building Department I made inspection of this one story, three bedroom dwelling and found the following violation of Local Law 91, 1967 Housing Code of the Town of Southold, starting at 1:10 P.M. There are no light switches at the three points of entry to dwelling for controlling light in unit, Section 529b. General conditions of interior, exterior of building and grounds are very good. I completed inspection at 1:30 P.M. EH:tle ectfully submitted, Inspector