HomeMy WebLinkAboutZ-10360FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
THIS CERTIFIES that the building ................................................
Location of Property .. ~.3.~...Rp.o.h. 9.1.~.~...P~.~.~.9 ................ ~. $.~.~.t,$1~1~.~. 1[,~ .....
House No. Street Hamlet
County Tax Map No. 1000 Section . ? .~. ....... Block ... ~ ......... Lot...0.1.0. ...........
Subdivision .~..~.a.~. p. :.~.~y.:.~ ............... ~ Map So. 7.79 ..... Lot No. ~.~./.*.~..~.3 ....
r~qu~ements £o~ a two-£amily d~®ll~ng built p~io~ to
conforms substantially to the
· .A~.~.~. Oe~tiftoate of Oocup 'ano~ Z10360
.~3, ......... , 1957. pursuant to which 8~,i~g,laerm~.q~m. .....................
dated ...J..m3..u.~.x'~..~..6.s ............. 19 .$~, 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 .A.
~.~.e.l. 1..l.n~(A..~.qn., Cpaformlng Um.e..in t. his I .Re.~$d.~.:~$~.
one Dlstbi~ ........................
The certificate is issued to .. ~.~t~t.l~ .~I,. ~.]~S~F,d~F~IraD. ...................................
(owner~
of the aforesaid building.
Suffolk County Department of Health Approval ...}I./.R. ...................................
UNDERWRITERS CERTIFICATE NO. 1~]t~ .............................................
# TO A~END 001~'~10281
Building Inspector
Rev 4/79
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No...P].O~O? ........
Date December 1 19.8.0.
THIS CERTIFIES that the building ................................................
Location of Property .... ,jp...~. 99.h.o..l'.J..o..P. 1..a.o.~. ..................M..8.1;.~.t.~..u.o.k.,...N...Y.,..
House No. Street Ham/et
County Tax Map No. 1000 Section ...l.J~j. ...... Block ...0.4 .......... Lot ...... .0.1.0. .......
Subdivision ..... L...t.d.a..B.a.~.t;.1.?~' ......· ..... l[l!~l~ Map No .... 7.7.9..Lot No....2.~./.p.~:.~.~.
requirements fo~ a one family dwell.~ng buil~ prior ~o
conforms substantially to the ~[$~~
Certificate of Occupancy Z1^,~Ol
.... .Ap?.i..1..~.3. ....... , 19 ~.. pursuant to which ~ig No ......................
dated ............................ Dece~ber 1 198.9., 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 .........
' ..............
The certificate is issued to Carl H. Di ~tenfeld
(owner, ~~
of the aforesaid building.
Suffolk County Department of Health Approval N/R
UNDERWRITERS CERTIFICATE NO .................... fi../.Fl ...........................
Building Inspector
Rev 4/79
BUILDING DEPARTMENT
TO¥~ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 335 Rochelle Place
(number & street)
Subdivision Lida Bartley
._Map No.
Mattituck, N.Y.
(Municipality)
770 Lot(s) 22/pt.23
Name of Owner(s) Carl H. Distenfeld
Occupancy R-1
(type)
Admitted by: Mrs. Distenfeld
owner
(owner-tenant
Accompanied by: same
Key available__
Suffolk Co. Tax No.%O00-1b~-04-010
Source of request Gary Flanner 01sen~ Esq.
Date 11/25/80
DWELLING;
Type of construction wood
Foundation cement block
Total rooms, 1st. F1
Bathroom(s) 2 down/1 up
Porch, type glassed in
Breezeway
Type Heat oil fired
Fireplace(s)
Domestic hotwater
Other Kitchen & 2
#stories
Crawl space
3rd. F1
Cellar full
7 2nd. F1 3
Toilet room(s)
Deck, type. Patio, type
Garage1 car attch'dStility room
Warm Air X Hotwater
No. Exits 3 .Airconditionin~
yes Type heater oil fired
rms. & bath upstairs Finished room cellar
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
(B.P.9420Z)
metal(C/O Z9050)
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
Cellar Plsstic insulation on cellar walls C 108-,3.
(803.3)
has to be covered with a 15 minute
fire protection.
Remarks:
--Curtzs~ Ho~ton ' ~
Date of Insp. Nov. 29, 1980
Time start 10:30 end 11:30 ,.
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 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
New Building ............. Old o_r Pre-existing B.uilding ....~.. ...... Vacant Land ............
Location o roperty ........................ ~-~..~. · .~.(~...j. L~. ] .1. ~...~ ....
Hou~ No. ~ . St~t . ~ ~ 1 Ham/et
Owner or Owners of Prope~ ...................... ~.~ ........ ~.~.~ ~ .~ ........
C~n~ Tax Map No. 1000 Section ... ~. ...... Block ...~ ........ Lot .... ~ .......
Subdivision. L.~ ...........{~ .......... Filed Map No.'~O..~ .... Lot No~..
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary ~%~ificate ................... ~ I Certificate ~ ...................
Fee Submitted $ ............................. / / /
Construction on above described building and permi et~maet;~; al ~l/~e codes and~ons,
Applicant....~-~.. !..~.~.~/~. ~~~~ .....
GARY FLANNER OLSEN
AFFIDAVIT
Re: Distenfeld to Leighton
US Life Title Insurance Co.
Certificate No. 80-52-34196
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
JACQUELYN J. DISTENFELD, being duly ~zworn, deposes and states as follow
That I am one of the owners of premises known as 335 Roche~e Place, Mattituc
New York, which I own with my husband, Carl II. Distenfeld.
That my husband and I purchased said premises in July of 1961 from Walter
Bickmeyer and June Bickmeyer and that the apartment has been continuously
occupied and used as a separate apartment ever since we have owned the sub-
ject premises without interruption.
Sworn to before me this
day of January, 1981.
Notary Pubhc~/ "-
CHERIE tYNN RU$SELI~
NOTARY PUBLIC, State of New Yo~
Suffolk County - 52-4703046
Commission Expires March 30, 19~
GARY FLANNER OLSEN
COUNSELLOR AT LAW
AFFIDAVIT
Re: Distenfeld to Leighton
US I'**~¢e Title Insurance Co.
Certificate No. 80-52-34192
STATE OF FLORID~t)
SS:
COUNTY
WALTER BICKMEYER, being duly sworn, deposes and slates as follows:
That my present mailing address is Box 1362 Lake Placid, Florida 33852,
and that I am a former owner of premises now owned by Mr. and Mrs.
Distenfeld known as 335 Rochelle Place, Mattituck, New York.
That the house was constructed in 1955 and prior to March of 1957 the apart-
ment was added and was continuously rented from 1957 until we sold the house
t~o Mr. and MB. Ca,~l Distenfeld in July of 1961.
Sworn to be/bre,me
this v~ d~a~ of Ja/~ary, 1981.
Notary Public, Slate ol Florida at Larg~
M~ ~,4uIm'Wm~m ExpJre~ ,~, 11, 1~