HomeMy WebLinkAboutZ-7464NO. ·
TOWN OF SOUTHOLD
BUII,IHNG DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z~. ...... Date ............ */a .... $1 ...... , lg .~.~.
THIS CERTIFIES that the building located at . 8/2. lJ~eklm~. ,~$ ........ Street
Map No. ~ ........ Block No.~ ....... Lot No.. ~ .... ~t~..~, ......
confo~s substantially to ~ '
b~ . ~ore ~ri~ 2]..., 19.~. pursuit to which ~~.~Y
dated ........ ~...~.~ ...... , 19. ~f~, was issued, ~d confoms ~ ~ of ~e r~
ments of ~e applicable pro~sions of the law. The occup~cy for which this ce~ificate ~
issued is . rr~ate..o~. ~ .d~l~g.. ~lth..t~o. aa~. ~e~. ~ld~g
The certificate is issued to .~. ~.or~ .o~r. off. recor~ .to. J~. ~us~.
(owner, lessee or ten~t)
of the aforesaid building.
S~olk County Dep~tment of Health Approval . .p~e~ .e~t~ ..................
UNDEBWBITEBS CEBTIFICATE No. -pr~- e~st~ ............................
HOUSE NUMBEB ..... ~ .... Street . ~ ~ve ..... ~tt~t~ ............
....-- Bffil~ng Inspee~"~ .........
HOUSING CODE INSPECTION
January 11, 1977
4600 Wickham Avenue R-1
Mattituck, N.Y.
Tax Roil: Richard S. Corwin
Occupied: Tenant, John Clauss
Upon request of Syrenah H. Stackpole, Attorney, Riverhead,
New York for a Pre-existing Certificate of Occupancy, I made an
inspection of the buildings at this location. I was admitted to
the dwelling by Mr. Clauss and began this inspection at approxi-
mately 11:15 A.M.
The dwelling consists of a kitchen, bathroom with shower,
dining room, front entry hall, living room with fireplace that
opens to an enclosed heated porch, and a screened porch, which
is located on the west side of building. The second floor con-
tains four bedrooms and a hall bathroom. Heat is furnished to
this building from a hot water, oil-fired furnace located in the
full cellar of building's poured concrete foundation. There is
a two-car garage in the rear yard area. This building is currently
under renovation in that the roof has been replaced and enlarged
to include a storage area.
The following violation of the Housing Code, Chapter 52,
Town of Sou~hold, New York, was found:
Cellar - southwest corner, electrical connection was made
~-i-thout the proper junction box, Article V, Section 52-56 A
Inspection completed at approximately 11:35 A.M.
Building Inspector
(1) .
EH:med
FOR~ NO. 6
TOWN OF SOUTNOLD
, 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, J~Aultiple Residences and similar buildir~.,s 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.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 conditio~ 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 lend use $5.00
3. Copy of certificate of occupancy $1.00
Date Jan 10 1977
New B~lilding ................ Addition ................ Old or Pre-existing Building XXX Vacant Land
Location Of Property S/S Wickham Ave Mattituck N.Y.
Owner Or Owners Of Prope~y RichmondCorwin Own.e.r to John Clauss
Subdivision ................................................................ Lot No..~.... Block No...~ ..... House No....~..6...0..0..
Permit No......x~.. ............. Date Of Permit ..... ~ .......... Applicant xxxx
Health Dept. Approval ..]~..r..e..T....e...x...i..s..t..i..n..~. .......... Labor Dept. Approval N .l~..
Underwriters Approval ..R.r...e..-.....e...x..i...s..t..i...n.g ............. Planning Board Approval ...N.......~..... ............................
Request For Temporary Certificate~ ........................................ Finctl Certificate .......... ~ ........................
Fee Submitted $ ~..,...0..0. ...........................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant .(~,~-~.......~..~.... ~ ..................................
Sworn to before me this
............ day of ..... .J...a..n. ~..a..r. ~.......1. ~.7. ~. ........
Notary Public .......... .S....u. ,f..f..o..1..k.. ......... County
(stamp or seal)
Commissien ~ros March 30, I~