HomeMy WebLinkAbout1180-zFORM NO. 4
TOWN OF'SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
CERTIFICATE OF OCCUPANCY
No Z-24259
Date APRIL 5, 1996
THIS CERTIFIES that the buildin~
Location of Propert~ 1445 WICKHAM A~E.
House NO.
County Tax Map No. 1000 Section 140
Subdivision
ONE FAMILY DWELLING
HATTITUCK, N.Y.
Street Hamlet
Block I~ Lot 4
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
1180-Z &
Building Permit No. 2355-Z
8/10/60 & 4/15/64 .pursuant to which
dated 9/23/60 & 4/15/64
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 OWE FAMILY DWELLING WITH ACCESSORY GARAGE - BP ~1180-Z *
ADDITION TO EXISTING ONE FAMILY DWELLING - BP #2355 *
The certificate is issued to PAUL J. & KIM A. GAYDOS
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
*NOTE: THIS UPDATES CO Z-1016 DAT~e 3/15/1962 -- DWELLING
& CO Z-2019 DATED 10/29/1964 - ADDITION
Rev. 1/81
FORM NO. 2
TOWN OF $OUTHOLD
I~ UILDII~IG DEPARTMENT
TOWN CLERK'S OFFICE
SOLITHOLD, N. ¥.
BUILDING PERMIT
(THIS DERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 1180, Z
Permission is hereby granted to:
...... ~...~. ,neeve Jr, & L.P.Reeve
to . ~Z ~..~...O~.. ~.a~ ~..~.We.~..i. RE .....................................................................................
............................................ }~-tit. ua~ ~'"-"N-;'Z ~ ...............................................................................
pursuant to application dated ............................. 'A~$'~'""~ .......... 1960..., and approved by the
Building Inspector
Fee ~4D,, O0 .............
Building Inspector
BLDG, DJ: L
REYNOLDS, CARONIA & GIANELLI
ATTORNEYS AT LAW
200 MOTOR PARKWAY · RO, BOX 11177
HAUPPAUGE. NEW YORK 11788
FaX, 516 231-1344
February 23, 1996
55 BROADWAY
HICKSVILLE, NY 11801
516 681-2800
Building Department
Town of Southold
Main Road
Scutho!d, New York
11971
RE: 1098 WICKHAM AVENUE, MATTITUCK
1000 - 140.00 - 01.00 004.000
Gentlemen:
Please be advised that we represent the owner of the captioned
premises.
Upon your receipt of this letter, kindly review your records
relative to the above property providing me with copies of the
existing Certificates of Occupancy for same. It is my under-
standing that BP# 1016, issued on 8/18/60 generated C/O #Z1016 and
BP# 2355Z produced C/O #Z2019. I believe there is also an open
building permit under BP# 22885Z.
I have enclosed my check, payable to the Town of Southold, in
the amount of $40.00 to cover the cost of duplicates of the Certi-
flcates on record. Should your search reveal any further
documents, please also forward copies of same and payment will be
promptly delivered to you.
Thank you for your attention
require anything further in order
secretary, Linda.
to the foregoing.
to proceed, please
Should you
contact my
Very truly yours,
PAUL GIANEL~
PG:LLL
eric. (ck)
HAROLD R. REEVE ~ SONS, INC.
MATTITUCK, LONG ISLAND
March 14th
!961
Town of Southold
Building Department
Town Clerk's Office
Southold~ N.Y.
Gentlemen.
We are returning herewith Building
Permit ~o. l180-Z covering premises located at
w/s Wickham Avenue~ Mattituck~ N.Y.
Please send us Certificate of Occupan-
cy,
HRRjr:IH
Enc.
Yours very truly~
HAROLD R. REEVE ~ SONS: INC.
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in typewriter OR ink, and submitted m ~ 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-
dons, 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 p~Operty 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 $5.00
2. Certificate of occupancy on pre-existing dwelling $15.00
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O.~ $5.00
5. Updated C.O~ $15.00 Date -~---/~ '~
New Building Old or Pre-existing Building ~¢~"' ...... Vacant Land .....
Location of Property //?.~ .c~.. ~ c:~/< .,~.?.._/ .,~...~.~--~-~-- /~..n~*~--~
Hou~ No. ~) Street Hamlet
Owner or Owners of Property,~/~"Z~ ~-", c"~,~ ~,~ ~ .
County Tax Map No. 1000 Section //'?~,~. ?..~.? Block / {'ZZ~ Lot .... /
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
Fee Submitted $
Construction on above described building and permit meets all applicable codes and regulations.
....................
Rev, 10-10-78
NO. 4
TOVg}I OF SOUTHOLD
BUILDIIIG DEPARTMENT
'I'OWN CLERK'S OFFICE
SOUTtlOLD, II. Y.
CERTIFICATE OF OCCUPAIICY
This cet'[ifieate is issued to
of lbo aloresaid bt!,ildiug.
No .... Z..1.01,6 .... Date .............................. t{~h.....],ff ....... 19...6.1,
q'll1S CEI~,TIFIES that tim building located at%i/8..Idto, kham...Ave .................... Street
Map No...:y,,~{ ................ Block No.....~.~ ............... Lot No....X~.....bla:l;~,~..~;%/(ll~?..Ii..2/'.., ................
conforms ,substantially to the Application for Buildtug Permit beretofore filed iu this office
dated ....................... AtlgllS.~.....18, 1960... pm'suant to which Butldtng Permit No .....
dated .....................B,e.l~t....2.3 ........ 19.6.0.., was issued, and confm'ms to all of the requb'e-
ments o1[ Ihe applicable provisions of the law, The ,)ccupancy for which tills certificate is
issued is ..... Pl'.l,~at~..ono...£amil.y..d~teJ. 1tng ..........................................................................
.... lh. Fl. Ile.e.v.e..g.~.i...ll..R.Ree'~/~..Im.,...&...l~m~n.c~ .Reeve -own
(owner, lessee or reliant)
GA.qy FiANHER OLSEN
Qualified In .Suflolk County
Commission Expire,~ i'~erch 30, ]9-(~/_
SURVEY FOR ' ' -
WALTER E, BUCKNER ~ MUR{EL G. 8UGk'N'ER
MATTITUCK t' "' :.
TOWN OF' SOUTHOLD .,~.,. ~,~ .....
SUFF, CO., N.Y. OU~m~TEED'TO,
SCALE, I"', 40' ~oR~'~ co. :'.
~PRIDI, 1965 ..: -
FORI~ NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
· / ~ ~
Exam ~ned ........ Z .... ~.,.,. 19 ........
Approved.._.~ ..................... 19...:....Pe m No ...............................
Disapproved a/ c .....~.~~.......~n~.:< ..............
...... ....... .........................................................
Application No ...... ../?',..,~... ............
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and su0mitted in duplicate to the Building
Inspector.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this location.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such
permit shall be kept on the premises available for inspection throughout the progress of the work,
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuanoe of a Building Permit pursuant to the
J]uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances and regulations.
.................
~ (Signature of applicant, or name, if a corporation)
(Address o~'applicant)
State whether applicant~is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises...,,~~...~...'.~-,r~.....~..~,..~.~.,~..,'~¢..c,~..~.~
If applicant is a corporgt,e, signature of duly authorized officer.
(Name and title of corporate officer)
1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: ....................
Street and Number ..... .~.~ .~,-~.___________________~..Z2... ,~.:.. ~.. ~.i~.~ol~.~. y~.~..~~.2.....~,~....~..~.~.~.~..:6~ ~
2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction:
o. Existing use and occupancy....~. .~~. .~'.~. .. ...........................................................................................
b. Intended use and occuponcy ............................................................................................
3. Nature of work (check which applicable): New Building ......... ..~.......Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
4. EstimotedCost .......~.~./.~.r~..¢?.~.,..~..~. ........................... Fee.....~..Z(~:..(~,. ........................................................................
(to be paid on filing this application)
. /
5. If dwelling, number of dwelling umts ................................ Number of dwelling units on each floor ............................
If garage, number of cars .......................... ~ ...........................................................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..............................
7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ............................
Height ............................ Number of Stories .............................................................................................................
Dimensions of ~ame structure with alterations or additions: Front ................................ Rear ................................
Depth .............................. Height .............................. Number of Stories ................................
8. Dimensions of entire new construction: Front ....... ~ ............ Rear ...~ ................ Depth ....................
Height .......... ~.~ ........ Number of Stories ...........~ ...............
9. Size of lot: Front ............ .~.~.(. ....Rear ........... ~.~. .... Depth .....~.../. ....
~1. Zone or use district in which premises are situated ........................... ~. .............................................................
12. Does~roposed constructionMiolate any zgn~g~w, ordinance or regulation? ..... ~.: ...................................
............... ............................................ Phone .....................
~me of Architect ........................................................ Address ............................................ Phone NO .....................
~ome of Controc~or .................................................... Address ............................................ Phone ~0 .....................
PLOT DIAGRAM
Locate cIeorly and distinctly ail buildings, whether existing or proposed, and indicate oil set-bock dimensions from
property lines. Give street and block numbers or description according to deed, and show street names and indicate
whether interior or corner lot.
STATE OF NEWzYIS.I~, ~,./.~ ! S S
............. ~--~'~..2~..~:.:.~..~..:' .............................. being duly sworn, deposes and soys that he is the applicant
(Name of individual signing application)
above named. He is the......~~ ....... ~.~.~,..~.~.~;'.~.~'~"~"~f
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file
this application; that all statements contained in this application are true to the best of his knowledge and belief;
and that the work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this ~ z ~ ~' ' ~ /~/~~- ,- ~