HomeMy WebLinkAboutZ-10740FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
Z10740
~o ..................
October 23 81
Date ................................. 19...
THIS CERTIFIES that tile, building .......................... · ......................
1505 Wlckham Avenue Mattituck, New York
Loc rio ] of Property
House No. 140 Street 3 Hamlet
County"Tax Map No. 1000 Section ............ Block ............... Lo/ .................
SubdMsion ................................ File,.d Map'£w7 uwe.t -N°b-/~ ~.,h t.:l'~L03--N-q'l ih'g'
%0
Requirements fora
April 23 57 Certificate of Occupancy Z10740
...................... 19 ... purs[lant to wbich'B~ll'l~l~FrT~r~.- .....................
October 23 81
daled ............................ 19 . . . , was issued, and conforms to ail of the requirements
of lite applicable provisions of the law. The occupancy for which this certificate is issued is .........
, Private Two-Family Dwelling with Two Accessory Structures.
Stanley W. Zimnoski
The certificate is issued to ..................... [o.~/~.r,:8~f..~t~:.x ....................
of the aforesaid building.
N/R
Suffolk Cotmty Department of Health Approval ..........................................
N/R
UNDERWRITERS CERTIFICATE NO ..................................................
#BOARD OF APPEALS VAR. #295 Amended 8/8/60.
Building Inspector
Rev. 1/B1
Location.
Subdivision
Name of
Occupancy
Admitted by:
Key available
Source of request
BUILD!I',o DLo.~F, THENT
TO¥,~'~ OF SOUTHOLD, N. Y~
HOUSING CODE INSPECTION REFORT
1505 Wickham Avenue, Mattituck, New York
(number & streem)
.Map No.
(Municipality)
not(s)
Stanley W. Zimnoski
R-2
Raymond Raynor
Tenant up stairs
( own er- t en~,t
Accompanied by: Same
Suffolk Co. Tax No. 140-1-3
Richard E. Lark, 'Esq.
Date )/18/81
DYFELLING:
Type of construction
Foundation Brick
Total rooms, 1st. Fi
Bathroom(s) 1 Down-1
Wood framed #stories
Cellar ?artial Crawl space
4 2nd. F1 4 3rd. F1
Up Toilet room(s)
Porch, type Glassed in Deck, type
Breezeway. Garag~
Type Heat Oil Fired Warm Air Down-Up
Fireplace(s) No. ~xi%s 4-2
Domestic hotwater Yes
Other
Patio, type
Utility room Pantry
Hotwater
Airconditioning
~ype heater Gas
ACCESSORY STRUCTURES:
Carage, type const.
Swimming pool
Other
Wood One
Garage
Ca~t-o-r-a-~[ type const.
Guest, type const.
2 Car Wood
VIOLATIONS: Lounging Code, Chapter 52
.Loca'~ion Description Art. Sec.
Kitchen Gas stove no shut off V 52-52-~
UpStairs
R~ar ~+~ UPStairs -Step into kitchen to hiKh II 52-27- A
2 Car Garbage Door broken needs repairs III 52-31-B
This is a legal two family dwellfng
Remarks.. Board of Ann~] ~.. V=n - #~95 .... a~end__=~
Inspected by: ~/~_~ ~..7~ ~.~ Date of Insp.
Curtis W. Horton T~me start 2.~
Oct. 7/81
end 2~30
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
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 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 unusual natural or
topographic featu res.
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
Bd.of Appeals Var. #295 At.[te~.ded
New Building ............. Old or Pre-existing Building(X). 2..faz[d-ty/Vacant Land ........... ~./.8/6 0
Location of Property . .Wi¢]~qam..~,~.e~. ............................ .~.a.t...t.~.t:.~.q]¢. .........
House No. Street Hamlet
Owner or Owners of Property . . . .S.t..a..n..~.ey..%.~: . .~.~ .m_9..o.s.k.% ..................................
County Tax Map No. 1000 Section . .~.4..0 .......... Block ...~ ............ Lot .... 3. ...........
Subdivision ................................. Filed 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'q .......................
Construction on above described building and per--eels all apl~.~cable.~, e~s and regulations. ~'
Applicant ...... .' ................................
Rev. 10-10-78