HomeMy WebLinkAboutZ-10573FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
Date ...... JuLy. 13 ................... 1981.
THIS CERTIFIES that the building ................................................
Location of Property ?..6.0.0..~??..~u..~.f.o.l:.k...l?.?n..u.~ ........ l~..~.~.t.i.~u. ?.k.,. ?. 9.~..~ .o?.k .....
House No. Street Hamlet
County Tax Map No. 1000 Section ....1.1.5 ...... Block . .9. ............ Lot ... 3 .............
Subdivision ............................... Filed Map No ......... Lot No ..............
requirements fo~' a ..one. ~amil~ d~llimg, bu.tlt,n*l~o~ to
conforms substantially to the"A"tf~Itt~-t~'i~.fll~ling-~n'mn"a~n~orene'nl~'n.=t~ds-o~e~-
April 23 Certificate of OccupancYzl05?3
..................... , 19.5.~ pursuant to whiclq~lla~l'l~ff~lrl~.--. ....................
dated .... .J.u.l..y..1.3. ............... 1~.1.. ,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 .........
Private One-Family Dwelling .W$~K .Acc.e.aeory..~ructuraC2Car-
Oarage)
The certificate is issued to .... q?.o.~.g.?..~.....B.~9.O.R.~...~.n.~...~.f.o ...........................
[owner~ ~a~ X X X
of the aforesaid building.
Suffolk County Department of Health Approval ..... ~./~ ..................................
UNDERWRITERS CERTIFICATE NO ...... ~/..~ .........................................
Building Inspector
Rev. 1/81
Location 2600 New Suffolk Avenue,
(number & s~ree~)
Subdivision Map No.
BUILDING DEPART;,~NT
TOV~I OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Mattituck,
Name of Ovmer(s) George G. Brooks and
Wf.
New York
(Municipality)
Lot(s)
Occupancy R-1
(type)
Admitted by: Mrs. Brooks
Key available__
Owner
(own er-ten~,t )
Accompanied by: Same
Suffolk Co. Tax No..115-9-3
Source of request Charles E. Raffe Dat~une 9, 1981
D~LING:
Ty~e of construction Wood framed #stories 2
Foundation Hollow Tile & Brick Cellar Full Crawl space
Total rooms, 1st. Fi 4 2nd. Fi 4 3rd. FI Large attic
Bathroom(s) 2 Toilet room(s) 1
Porch, type Wood-roof ov4Yeck, type Patio, typq__
Breezeway. Carag~ ~{~it~room Pantry
Type Heat Oa~ Warm Air Hotwater x
Fireplace(s) No. F~xits 3 Airconditiohing
Domestic hotwater Yes .Type heater Oas
Other Back Stairway
ACCESSORY STRUCTURES:
Darage, type const.
Swimming pool
Other 1½ story - 2 car
StoJage, type const.
Guest, type const.
- wood storage building
VIOLATIONS: Housing Code, Chapter 52
Location Descriotion Art. Sec.
Bathroom No Ventilation Ii 52-26-B.
Cellar Inside cellar steos very bad II !52-77-~.~
Cellar Flo~
.Garage Need Variou~ reoairin~ TTT
Remarks:
Inspected by:
Time start end
Curtis. W. Horton 10;0u ~:~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.
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.
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 . .q~.n.e. .... ,..],~ .8.~ .........
New Building ............. Old or Pre-existing Building XXXXX Vacant Land
New Suffolk Avenue Mattituck, NY
Location of Property .....
House No. Street Ham/et
Owner or Owner~of Prope~y George G. Brooks and Joanne J. Brooks
County Tax Map No. 1000 Section ............... Block ............... Lot ................
N/A .......
Subdivision ................................. Filed Map No. N/A ...Lot No. N../.A ..........
Permit No. N/A Date of Permit N/A .Applicant N/A
Health Dept. Approval N/A .Labor Dept. Approval N./.~.
Underwriters Approval....~./?. ................. Planning Board Approval . .~./?. ..............
Request for Temporary Certificate .... ~../.~. ............. Final Certificate..~(".~. .......
Fee Submitted $ .... u.¥ ....................... ~
ilniTioi;i° n ° n ab°ve d esc ribeAdpbp: ::da:: a n:. :~:t:~cOdes and regulatiOns'
STATE OF NEW YORK )
) SS.:
COUNTY OF SUFFOLK )
GEORGE G. BROOKS, being d~ly sworn, deposes and says:
That I reside at New Suffolk Avenue, Mattituck,
Suffolk County, New York.
Tha~ annexed hereto is a copy of a survey made for
me of property located on both the North side and the South
side of New Suffolk Avenue, Mattituck, .Town of Southold,
Suffolk County, New York.
That there is no dwelling constructed on the Northerly
parcel.
That there is constructed on the Southerly parcel a
two-story frame house and separate garage.
That I and my wife, Joanne J. Brooks, purchased the
property shown herein on May 26, 1965. The buildings that are
shown on the survey were already located thereon at that time.
I have made no structural changes or modifications thereto for
which a building permit need issue~
I respectfully request the Town of Southold to issue
a Pre-existing Certificate of Occupancy for b,~h--~e two-story
frame h°use and the detached garage' ~ ~RGE /
Sworn to before me' this ~day of June, 1981.
N° t a ;NYN 5PR~b9 Ai¥~
N0~AR~ pU~tt~, St~ ot N~W ~
- N0.30-5945050
Quati~cd %n N~sszU coun~9
CHARLES E. RAFFE
TOoK~
swomp [
NEW
SuFFOLF'
I00. 2
N, 88 o 57
L4KE
121.81
'James Norris Estate
NOTE:
· · MONUMENT
YOUNG & YOUNG
400 OSTRANDER AVENUE, RIVER,HEAD, NEW YORK
A[:-DEN W. YOUNG HOWARD W. yo~J
SURVEY FOR
GEORGE BROOKS
MATTITUCK
TOWN OF SOUTHOLD
SUFF. CO., N.Y. GUARANTEED TO:
THE TITLE GUARANTEE CO.
SCALE: I": .50' RIVERHEAD SAVINGS BANK
MAY 12, 1965
MAY 3l, ,972 ~s~
EERLAND SURVEYOR ,~.' AND
¥.S.LIG.NO.I2841
RIVERHEAD, N,Y,