HomeMy WebLinkAboutZ-9277PO~' NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No..Z9RZ? .....
Date ....... October. 3.0. ......... , 19..78
THIS CERTIFIES that the building located at .. 15./~0. ~lain. Road ........ ~
Map No ............. Block No ........... Lot No ..................................
.~EQUIREMENTS FOR ONE FAMILY DWi.LING BUILT PRIOR TO
conforms substantially to the .... e
C~gI~TIFIC~TE .0~ OCCUPANCY
dated ...A.p..~.i.1.... ~?. ....... , 19..5.7. pursuant to which~]~llt[~t No. 'Z9277'
dated ...O.c..~.o.b.e.~'. ].0. ........ , 19..~., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . P~.iva~e. Ona .FamlJ.¥. I~ell~. ~nd. Non~.conformi~g. offige .......
The certificate is issued to ........ ~tat~ .of. O~t~o. Am'&E ........................
(owner, ~~
of the aforesaid building.
Suffolk County Department of Health Approval ........... P.r. 9.-..E~..l.s.t.i.n.g ...........
UNDERWRITERS CERTIFICATE No .................... P..r.e.-.~..i.s.t.i..n~ ...........
HOUSE NUMBER ... '15500 ..... Street ............ Ma,tn- Road ...................
.................................................. E&t~itu~k,. Ne~. York .......
..........
Building Inspector
FORM NO. s
TOWN OF SOUTHOLD
Building Delmrtment
Town Clerks Office
Southold, H. Y. 11971
APPLICATION 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 disposal--(S-9 form or equal).
3. Approvai 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 P~anning 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 o~ 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
New Building .................... Old or Pre-existing Building ............................ Vacant Land ............................
Location Of Property .?./..~....v~...~./.~...~...~.~)..~/~.~4..~...~...[~.....~....~..t..~..1..~.~¥~...../~..~.i.~.~.~ o L~
Owner Or Owners Of Property ....~..~...~..~..~....O....~......~.~....~.........,~.../~/...J~....~... ................................
Subdivision ................................................................ Lot No ............. Block No ............. House No./,~,~'~'.~.O /C'-3
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 an~mee~/s./~.~ ' ~/~ al~.pli~able~r/,4/,,~,~,,, ,cc~les and regulations.
Apphcant ~~~...~..~'JdT~.... · .~.~,~ ....
Sworn to before me this
................ day of ............................................ (stamp or seal)
Notary Public .................................... County
STATE OF NEW JERSEY)
)
COUNTY OF
ROBERT ANRIG, being duly sworn, deposes and says:
That I am the Administrator for the Estate of
Otto L. Anrig, the decedent was the owner of real property
located on the south side of Main Road, diagonally across
the street from Mattituck High School.
Said premises was sold on April 27, 1979 by your
deponent as the Administrator of the Estate to Stanley J.
Waimey, who intends to use the premises for the purposes
of a real estate office.
That your deponent knows of his own knowledge that
the premises has been continuously used for business and
office purposes since prior to 1957.
That the last tenant in the premises was a Mr.
Gorman who ran a tax business from said premises, Mr. Gorman
having vacated the premises on May 1, 1978.
Prior thereto a Mr. Acroyd occupied the premises
operating an advertising business from said premises.
That prior thereto a Mr. A1 Schwicker operated the
premises as a gas station, luncheon and candy store and
sundries business and his occupancy of said premises was since
approximately 1945.
That the property in question has been continuously
used for business and office purposes prior to 1957 the date
the Southold Town zoning ordinance was enacted.
Sworn to before me this
~day of May, 1979.
~ITA~'Y PUBLIC OF
HOUSING CODE INSPECTION
October 26, 1978
15400 Main Road R-3
Mattituck, N.Y.
Tax Roll: Otto L. Anrig
unoccupied
Upon receipt of an application for a Pre-Existing Certificate of
Occupancy I made an inspection of the buildings at the above captioned
premises. Accompanied by Stanley J. Waimey I began this inspection
at approximately 11:45 A.M.
The dwelling is a one story wood framed structure constructed on a
partial cement block foundation for middle part of building with west
side constructed on cement h lock piers and east rooms constructed on
wood posts.
The building contains a living room, kitchen, toilet room, half
bathroom (toilet & lavatory) and two rooms on the east end of building.
Heat is furnished to building from two gas fired space heaters one
located in living room at west end and one in east room of building.
Accessory structure on east side of premises is a wood framed one
car garage with work shop.
The following violations of the Housing Code, Chapter 52, Code of
the Town of Southold, N.Y. were found:
Toilet room, half bath, no moisture resistant floor covering.
krticle II, Section 52-26 A 4.
PlumbinE Facilities - no tub or shower facilities within dwelling.
Article V, Section 52-51D 2 c.
Sewage - Fresh air vent for buildings sewage system terminates
within crawl space of buildings foundation. Article V, Section
52-51C 8.
Electrical - wood panel containing electric service panel & meter
is loose and is in a deteriorating state from destructive insects.
Article V, Section 52-56 A 1 & 2. Open junction box in cellar for
electrical water pump connection. Article V, Section 52-56 A 1. -
Electrical splice of conductor without proper junction box at
same location of opem junction box. Article V, Section 52-56 A 1.
Shut off valves - gas cooking range - no shut off valve at unit.
Article V, Section 52-52 B 2.
Exterior protection accessory building - roof has excessive
openings, glass missing from windows and garage door - frame
deteriorating. Article III, Section 52-30 C & Section 52-31
BC.
-2-
Inspection completed at approximately 12:00 P.M.
Re~ect~y submitted,
Building Inspector