HomeMy WebLinkAboutZ-10514FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No..Z..1.0.5.1.~ ......... Date June 4 . 19 81
THIS CERTIFIES that the building ................................................
Location of Property 815 Harborview Avenue, Mattituck, New York
/Y~S~ ~01 ....................... Street Ham/et
County Tax Map No. 1000 Section 99 .Block 3 .Lot 16 & 17
Subdivision ............................... Filed Map No ......... Lot No ..............
L, r. eq~i~.eme~nt~ f~.r ~L o~9.-fe~mily ,~,wglling b~uilt prior to
conforms substantially to me ~ls~eea~e~-~e~-~uib~i~g-~er~ae~etevo~ote-me~~---
........ A.p.r..t~..2~ .... , 19.57pursuant to which ~t~t~6'.° .t:7.0.c.c..u.p.a.n.e..Y. ?.?..5 !.4
dated ......... 3.u.n..e..4. ............ 19.8~,.. 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 .........
.............. ~.r. ~y.a.:.o...o.n.e.-..t'.a.m.~.~. ~. p?.~..~.z.t.n.g ..................................
The certificate is issued to Auden ~iilm& B~.tge[o~
..................... ? o¥,,'~ 'r, ~ :6;~' /- :. ....................
of the aforesaid building.
Suffolk County Department of Health Approval lq / I~
UNDERWRITERS CERTIFICATE NO. lq/lt
nudding It[spector
R~ 4~9
BUILDING DEPAP, TI.~NT
T0¥,¢I OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 815 Harborview Avenue,
{number & street)
Subdivision Map No.
Name of O~er(s) Auden Wilma Bigelow
Mattituck, N.Y.
(Municipality)
..Lot(s)
Occu)ancy R-1
(type)
Admitted by: Mrs.
Bigelow
Owner
( own er- t en~,t )
Accompanied by: Mrs. Bigelow
Key available__
Suffolk Co. Tax No. 99-3-16 & 17
Source of request William Wickham
DateJune 1, 1981
D%'f~LING:
Type of construction
Foundation
Total rooms,
Bathroom(s)
Porch, type
Breezeway
~ype Heat Oil Fired
Fireplace(s) ~
Domestic hotwater
Other
Cement Block
1st. F1 5
1
Wood
Deck,
Garag~
Warm Air
No. Exits
Yes
#stories
Cellar Full Crawl space
2nd. F1 3rd. F1
Toilet room(s)
typq
Type heater
Patio, typ~__
Utility room
Hotwater X
Airconditioning
Tankless
ACCESSORY STRUCTURES:
.Garage, type const.
Swimming pool
Other
NONE
storage, .type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
.Location Description Art. Sec.
Kitchen Gas Stove no shut of~.
Cellar Vary H~mn n~nd~nn~
D
Remarks:
Curtis W. Horton Time startD:15 end 3:30
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 featu res.
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.
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 featu res.
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 requ ired to p repute a certificate.
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 Jua~e l, 1981
New Building ............. Old or Pre-existing Building *.. ?. ........ Vacant Land .............
Location of Property . . S~_h. -~,-~ E, ar~ D~£ve.,. ,S~u~'~::~,. ~ ........................
House No. Street Ham/et
Owner or Owners of Property , APD]~. W, II~ B,T..c~-7. (~ .......................................
County Tax Map No. 1000 Section .0.9.9. ........... Block . ,03 ............ Lots ~11~ zczl D,1,7,,.,
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 .. X, ................
Fee Submitted $. 5...0.0. ..................... ./
Construction on above described building and pj~j~f'_e_~'~' able codes and regulations
*Built prior ~ 1953
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MATTI-TU CK
TOWN OF$OUTHOLD