HomeMy WebLinkAboutZ-10243No...... Z10243 ....
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
Date ......Nov.etpber .1Q .......... . ... 19 .80
THIS CERTIFIES that the building ................................................
Location of Property....1.2.125. Maid Road ...................... Matti:tuoto. N.Y..
House No. Street Hamlet
County Tax Map No. 1000 Section .....1.49 ....Block ... 04. ......... Lot ......Q36....... .
Subdivision ...............................Filed Map No. ........Lot No. .............
requirements for a one family dwell ng u �t ri t
conforms substantially to the
......April. 2.3....... 19 .57pursuant to
Certificate of Occupancy
moo. z1oz4:3....
dated ......November .10......... 19 .80, 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 .........
......................One. F'arui3.y..Dwel3.ing .w/.Dotached .Garage............. .
The certificate is issued to ..............ftrZa;'et, .L, IWjer .... , , .. _ . , , , , , , . , , , , , .. , ,
(owner, /co
of the aforesaid building.
Suffolk County Department of Health Approval ............ N/.R..........................
UNDERWRITERS CERTIFICATE NO .................... NIB ..........................
Building Inspector
Rev 4/79
............
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
Subdivision I Map No.�Lot(s)
Name of Owner(s) /zc, AXIL l
Occupancy /L�' "
Admitted by: rV67 cg "�t'���� Accompanied by:
i 61,
Key available — Suffolk Co. Tax No. = , - (7Y -� �,
Source of
DWELLING:
e C)c l _ i / r�CJ
Type of construction #stories zkJc)
Foundation/Cellar fir* L Crawl space t
Total rooms, 1st. Fl G /nd. Fl �O 3rd. Fl
Bathroom(s) GF -c % Toilet room(s) -
Porch, type F7oi,�—t Deck, type Patio, type
Breezeway-_-_:- Garage — Utility room
Type Heat �'c;�; � C� Warm Air — Hotwater ol�-
Fireplace(s) - No. Exits 7T4k)a Airconditioning
Domestic hotwater�� Type heater
Other
ACCESSORY STRUCTURES:
�lJooli �:;e.LC�
Garage, type const. ,+' Storage, type const.
Swimming pool Guest, type const._
Other
VIOLATIONS: Housing Code, Chapter 52
Remarks:
V /
Inspected by �' Gf/� �< mate of Insp. �/ /C '_'o
Time start/.,'Oo end o,
Descri tion 'Art.1
Sec.
-Location
F_L1-c_ Low - /
i
Remarks:
V /
Inspected by �' Gf/� �< mate of Insp. �/ /C '_'o
Time start/.,'Oo end o,
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.
B. 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 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 or land use $5.00
3. Copy of certificate of occupancy $1.00
October 31, 1980
Date..........................
New Building ............. Old or Pre-existing Building ... X........ Vacant Land .............
Location of Property .. w/s Main Road, Mattituck, N.Y.
.............................................................
House No. Street Hamlet
Owner or Owners of Property .... MARGARET .LAWLOR .(as devisee under Will of Margaret Nine)
....................................................
County Tax Map No. 1000 Section .... 141.00 Block... 04 036.00
............... Lot................
Subdivision.................................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 $ 5.00
Construction on above described building and perm/i; meets all aRplic ble Bodes and regulations.
Applicant ....;
Wiam; 'Wi<l'u
ckhickham '& *R3ressler *P' .*C' .c...... /. Y 3
Rw.io-10-7a Box 142' Mattituck, N.Y. 11952
Note: Key is available from Peggy Killian at the Celic Estate Agents, Inc. AL
(298-8000) Gc1G/7��t
- Z/, -
OWNER
FORMER OWNER
RESSEAS.
LAND imp.
TOWN OF SOUTHOLD PROPERTY RECORD CARD
TOTAL DATE
REMARKS
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Vclue
Acre
Tillable
FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH 0 0
House Plot BULKHEAD
Total DOCK
LOT
STREET
1 VILLAGE
DIST
SUB.
v
1M,
//
I
"
I Le
TN'
--
-6F
S
W
TYPE BUILDING
VL
FARM
*S. Mk.
COMM. CB. t Value
TOTAL DATE
REMARKS
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Vclue
Acre
Tillable
FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH 0 0
House Plot BULKHEAD
Total DOCK
LOT
M. Bldg•V i
n
Extension
Extension
1-
~ J
Extension / `:' , n - r, ✓ l n
Tn,.. /11.7_
� VI�V I 1\GVIG4a�V„ 1\VVI •�VV���.a .���u. �VV� i ���� �
O. B. Dorrrn'r I Driveway
Total `f ( y 0 ✓
Foundation
ra(=iBath
! Dinette
Porch -�
Base nt
a,`
Y �
jFloors
-
I f7 K.
Por T _
Ext. Walls
;
-
Interior Finish
Breezeway
Fire Place
_i S Ne�P`.jHeat
+rl DR.
Garagey;Type
Roof
IRooms 1st Floor
BR.
� VI�V I 1\GVIG4a�V„ 1\VVI •�VV���.a .���u. �VV� i ���� �
O. B. Dorrrn'r I Driveway
Total `f ( y 0 ✓
/, Z/-. -?i
TOWN OF SOUTHOLD PROPERTY RECORD CARD
-,�,9
VILLAGE
LOT
OWNER
r .
' ,
VN
.tom _
7777:=
-
FORME OWNER
�
E
ALR.
G C-heiIme:5 F.ehoin, v6 TIT
��,�� - rye. Lc�?l� r
S
- _
� � � ,�_
W
l✓ '
TYPE OF BUILDING
RES jO
SEAS.
VL
FARM
COMM. CB. CS, Mkt. Value
LAND
IMP.
TOTAL
-DATE
REMARKS
0
(�
"� n/.. e dd /6 L / ow/Y
0
d
/� U t�
'i / �S
C1
J,/e( d�u oo0 .�nc�.�r f5 �fia�>nrrs S76 _j—
��F3 G. r f j �� o a G� f• 1' 1 c t, l
-i6 enc ose. t�n� Bore c
3qa-)-) 14Wj 1467- 0-heilmee5 11 er5 -M
40 Cruziooc�
rt9(o-�t!$D$�FSfoo1-Chnlm¢rs lZ� Ch7nG_ man Gr�ro �ll7
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
Tillable
FRONTAGE ON WATER
Woodland
FRONTAGE ON ROAD
Meadowland
DEPTH
b 0
House Plot
BULKHEAD
Total `
`"'
`�
DOCK
-� �_ ;` '
. s � �� �.
N
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location,
(numb(
Subdivision
s
=7 / T�c,�
Map No. Lot(s)
Name of Owner(s) ,per r-� ,�/�� ! �C•1 [.0 4-z:-:-1-F�
Occupancy C<i cr j
type owner -tenant
Admitted by:<:r_,i ///.,q,��1 Accompanied by:
lUdv
Key available Suffolk Co. Tax No.
Source of request % c , %la,c,/ %"�/i «,�� Date
DWELLING:
Type of construction �Joc)o #stories 7-&00
Foundation fir« zoic -/c l' > ,,,��/ Cellar ` C. Crawl space , '
Total rooms, lst. Fl ;2nd. Fl 0 ,��5 3rd. Fl
Bathrooms) Toilet room(s)
Porch, type 7 col 7 Deck, type Patio, type --
Breezeway — Garage Utility room —
Type Heat (='C�:,T,�ji t Warm Air Hotwater
Fireplace(s) - No. Exits j w Airconditioning -
Domestic hotwaterj�_ Type heater,
Other
ACCESSORY STRUCTURES:
Garage, typeconst. ��r��,c;�Storage, type const.
Swimming pool
Other
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Location
Description
Art.
Sec.
4/eq h 7'
ff
7
Remarks:
Inspected by
Date of Insp.��
Time start//,'00 end / '= 17�a _ J