HomeMy WebLinkAboutZ-7730NO. &
TOWN OF $OUTHOLD
BU~,nlNG DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificete Of Occupancy
N~ Z77~0
Date Juhe 22 19 77
THIS CERTIFIES that the building located at . .W.e..s.tp.h..a.l.i.a., .E.o.a.d. ........ Street
Map No .... ~ ...... Block No. XX .Lot No. XXX Mattituck
requirements for one family dwelling & Housing Code
conforms substantially to the ~ cer' i ca
built before Apr 23 57 ..... :e of occupancy
dated ...................... , 19 .... pursuant to which'~lit~l~t No. Z77SO..
dated June aa 19.7.7 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 Private on family dwe~ ling with acces:ory garage
The certificate is issued to . ?.e.r.a.l.d...B.,...A.x~..s.t..r.o.n.~...a. ?.if.e. ...... O..~..e?.s.. ,o.f..~..e.c.o.r.d
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval p.r..e.-..e.x..i~.t.i.n, g .....................
UNDERWRITERS CERTIFICATE No. pre-existing
HOUSE NUMBER 1865 Street Westphalia Road Mattituck
l
............ B~il'~i~' Inspec °r t ------t--'" .......
HOUSING CODE INSPECTION
June 21, 1977
#1865 Westphalia Road R-1
Mattituck, N.Y.
Tax Roil: Gerald B. Armstrong & wf.
Occupied: Owner
Upon request of Gary F. Olsen, Attorney, Mattituck, New
York, I made an inspection of this two-story wood framed dwelling.
I was admitted to building by Mr. Armstrong who accompanied me
during this inspection that began at approximately 9:20 A.M.
First floor has a living room, dining room, kitchen, and a
front entry hallway. A roofed over open porch is located on front
and south side of building and protects front entry and side entry
to dining room. Second floor has three bedrooms and a full bath-
room. Heat is furnished to all rooms from an oil- fired hot water
furnace located in full cellar of building's red brick masonry
foundation. A wood framed two-car garage located in rear yard
area is the only accessory structure on premises.
The following violations of the Housing Code, Chapter 52,
Town of Southold, New York, were found:
Entries - to dining room and kitchen, no means of controlling
~n room at point of entry, Article V, Section 52-56 B 2.
Bathroom - requires moisture resistant floor covering,
Article II, Section 52-26 A 2.
Inspection completed at app~imately 9:35 A.M.
R~ c tr~f~ ~' submitted,
~ward Bindermann
Building Inspector
EH:med
I~OBM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Clerics Office
Southold, N. 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 dispasal--(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 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 $5.00/~
3. Copy of certificate of occupancy $1.00 \ / ~ ~
~_~ %-- /
Date .~ .......................... .~...
New Buildin Old or Pre existin Buildin ~ . V'ocont~/~ Lan4' .
g ..................... g g ........................... La a ...........................
Location Of Property .....................................................................................................................................
Owner Or Owners Of Property ........ ~:~...~....~.~
...
Subdivision ................................................................ LotNo ............. Block no~' ............. H°useN° ........'.'.'
Permit No ..................... Date Of Permit .................... Applicant ..................................................................
Health Dept. Approval ............................................ Labor Dept. Approval ................................................
Underwriters Approval .............................................. Planning Board Approval ........................................
Request For Temporary Certificate .....................................
Fee Submitted $ ....................................
Construction on obove described building and p
Applicant .....~,~....~.~
Sworn to before me
....... .~.,.~., day of ...~~ ~...,.!.,.~...~...7- .....
Notary Public ..... .(~ ,~/~,~ County
Certificate ..........................................
'cable c an regulations.