HomeMy WebLinkAboutZ-5439FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificnte Of Occupnncy
No. K~39 ...... Date ............. ~.e.p$. 1.] ..... , 19. ?~
THIS CERTIFIES that the building located at . 1/a~&l:ooka. Road .......... Street
Map No. xx .......... Block No. ~.X ....... Lot No.. X~x.. Ma~;t~.t. uok. H.Y, .........
conforms substantially tother r · t~ f . f 1 d ~1 . .
datedbefor~..April...~-3--, 19.~7. pursuant to whichC~~fN .~e..~p..aney
dated ....... Sept.. ~ $ ...... , 19~3.., 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 . .Pr/.~rate..one./'atollS..dwall/llg ......................................
The certificate is issued to . .Evelyn. · Audu~.~l ....... 0~n®.~. .......................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval · .pre- .ex/~;:hlc ..................
UNDERWRITERS CERTIFICATE No...p~e~-...e~l,~l~g ..........................
HOUSE NUMBER . -1.69~ ........ Street ... ~l'a~ooka.-P~I ........................
· ??. ............
Building Inspectc~
HOUSING CODE INSPECTION
September lO~ 1973
# 16~5'-Maratooka Road R-t
Mattitt~ck~ New York
Tax Roll: Evelyn Audion
Occupied: Owner
Upon request of the Southold Town~Building Department
I made inspection of this two family framed dwelling and found
the following violations of Local-Law-#l~ Housing Code~ Town
of Southold. House ~ad been left open'for this purpose and I
let myself into the ~outh side e~trance to kitchen beginning my
inspection at approximately 11:20 a.~.
First Floor: Consists of kitchen, dining rrom~ bathroom~
l~ving room and two bedrooms-heat is supplied to each
roomS
~: Gas range, no shut off valve at .unit-
Sectlon 508b. No electric light switch to control
light on entry-Section 529b.
Bedroom: Center light fixture on wall-pull chain
no-~king~ fixture bracket loose-Section ~28a.
Baseboard outlet not securely mounted-Section 528a.
DininK Ro.om: Two broken window panes-Section 302b.
Sgcond Floor: Consists of three bedrooms: heat supplied
to center room only. Ceiling height under seven feet
six inches in violation of the Town Building and Zoning
Ordinance-Article I~ Section 101--Floor area livable.
Basement: Open junction box on~irder, light
soc-~ired with lamp cord Section ~28a. Wood 6 x 6
column supporting ~irder-rotting at base Section 3Ola~b
and c. Basemen.t door to exterior does not close com-
pletely -Section 60~b.
ExteriQr: Two car garage-garage door has broken
pane of glass-Section 302b.
~nspection completed at approximately0:50 a.m../ ~
~Ed~a~r~ i~n~rma '~;~
Building Inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Clerks Office
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
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. 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.
For existing buildings (prior to April 19§7), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of 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 ...~.~R'~.e.~..e..~..~,....~7..3. ....
New Building ....5o ...........Old or Pre-existing Building ....... ~.es .............. Vacant Land ....... 5o ................
Location Of Property ...~b~'.~..~.QQ~,~l..~D.~,~a...~.'~.~.~.~..g.q.~,...~.~...~g~ .............................................
Owner Or Owners Of Property ....~..e.~,~..~.....~.~..~.~.q.~...~. .................................................................................
Subdivision ..~o~..~lic~.~'~e ........................... Lot No...~o ..... Block No...~D. ..... House No..~Q ......
Permit No...~q ............. Date Of Permit .......~Tg ......... Applicant .... ~.~...~.~V~..~I,~.Q.~ ............................
Health Dept. Approval .,~g.~...~.~.~.~.~.~.,. ...... Labor Dept. Approval ...~.~.....~.~.~.~.~..~..~..~...e.~ .........
Underwriters Approval ...-ND.'~..~,1~1.%~,~.~.~. ....... Planning Board ,~proval ~IQ~...~,~i~,gi~J~ .....
Request For Temporary Certificate ..-ND ................................. Final Certificate .......~..~.fi ............................
Fee Submitted $ .,~.,D.Q .........................
Construction on above described building and per~3~it meets all ~egulations.
Applicant ............ ~ ~.~!~ .......... : .....................................................
~ely~ Aud~oun ~
Sworn to before me this /""~ /D
........ .~. ..... day of ...... SeDtemb~e...1R7.3..
Notary Public .....,~U.:~.~9.~,~ .....
(stamp or seal)
JACK Dr STEFAHo
Term Ex.;res I~rch' .~0, Ig~u'n~
,~,~
EVELYN AUDIOUN, being duly sworn, deposes and says:
That I am the current owner of the parcel of land with a
residential dwelling erected thereon, located on the east side of
Maratooka Road, south of New Suffolk Avenue, Mattituck, New York,
said property being more ~Imarticularly described on the survey
of Alden Young, which is attached hereto. I have owned this
home since prior to 1950, and it is my under~tandin~'~at the
dwelling was erected prior to 1940.
been used as a residential home.
of the
The~ dwel~in~ has always
I make this affidavit to induce the Building Inspector
Town of Southold to issue a Pre-existing Certificate of
Occupancy on the above-described premises knowing that he willl
rely on the truth of the above statements.
~ EVELYN AUDIOUN
Sworn to before me this
~ day of September, 1973.
DEEP HOLE cREEK
-~ '$O"E - ~
.. io41 .
~,~'
BU~G4Low LANE
.EV,S,O.S YOUNG &
400 osT.^.D .
ALDEN W. YOUNG / "/~ {Z H~RD W~OUNG
PROFESffilONAL ENGINEER AND
~ ,?' r , · r:: ;
SURVEY FOR:
PETER CECERE ~ MILLE
AT GUARANTEED TO:
MATTITUCK SOUTHOLD SAVINGS BANK
~ME TITLE DIVISION OF CNICA60
TOW. O~ SOUTHOLD TITLE INSURANCE CO.
PETER & MILDRED CECERE
SCALE: 1":40' IDATE: SEPT. 14,197~~ 7~72
UNAUTHORIZED ALT[RATION OR ADDITION 3'0
THIS SURVEY IS A VIOLATION OF SECTION
720E* OF THE NEW YORK STATE EDUCATION
NOTE: "'= MONUMENT ~E~o~ ,~,?.T,o~ ~UA~,,~,*s~s ~.~