HomeMy WebLinkAboutZ-10047FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No.... P.9947 ....... Date ...... !r�qy . 25 . . . . . . . . . . . . . . . . .. 109
THIS CERTIFIES that the building ................................................
Location of Property .. 1565 Moday , Avenue Mattituok, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section ...?.3 .....Block ......9 ........Lot ......... 6...... .
Subdivision Prop.Map of Wm. B. Codlinfliled Ma No. .. 745 Lot No. 44. .. .
requirements io* a one NsZoly dwelling built prior to
conforms substantially to the
C
.....April . 23 ........ 19 .57pursuant o rtio
which
f Oooupanoy .. Z1001}7...... .
dated ... ................ 19 q9, 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
Charles J. and Joanne Galii an
The certificate is issued to ............... • • . �owner,1 1
of the aforesaid building.
Suffolk County Department of Health Approval ........... N R ...........................
UNDERWRITERS CERTIFICATE NO ................... N/R ............................
Building Inspector
Rev 4/-79
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 1565 Meday Avenue Mattituck, N.Y.
number & street Municipality
Subdivision Wza• B. Codling Map No. 745 Lots) 44/,Pt.of 45
Name of Owner(s)
Charles J. & Joanne Galligan
Occupancy R-1
type (owner -tenant)
Admitted by: self Accompanied by: self
Office of
Key available William Wickham Suffolk Co. Tax No. 1000-113-9-6
Source of request
DWELLING:
William Wickham
Date July 24, 1980
Type of construction Wood #stories.
Foundation cement block CellarPa_Crawl space rest
Total rooms, 1st. F1 6 2nd. F1 3rd. Fl
Bathroom(s) 1 Toilet room(s)
Porch, type Deck, type Patio, type slate
Breezeway Garage Utility room
Type Heat oil fired Warm Air X Hotwater
Fireplace(s) 1 No. Exits Airconditioning
Domestic hotwater yes Type heater gas
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location
Description
Art.
Sec.
Kitchen
Gas stove - no shut off
V
52-52 Ef
CIWE
Inside cellar steps-
II
52-27 B
Remarks:
Inspected by:2.
.Tr���Date of Insp. July 24, 1980
Curtis Horton Time start 4:15 end 4:30
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.
B. 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.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Date .......7/24/80............
New Building ............. Old or Pre-existing Building ...4 ........ Vacant Land .............
Location of Property ...NQ44Y .4wilA - .144t1;it4G1S - -NqW . XQIJ� .............................. .
House No. Street Ham/et
Owner or Owners of Property ....Ch4rles A ; & Joanne .94l igan .................. . . .... . . .
County Tax Map No. 1000 Section .114 ...... , .... Block ...9 ........... Lot.. .6
.............
Subdivision.Kap.o:C.L1zo9..Qf -WM.I ,XQdl•ing.... Map No. .745.......... Lot No. ..44..........
Permit No. .......... Date of Permit ..........Applicant ... W11_l•1W.Wl-ql�bW, .1�rpg...........
Health Dept. Approval ........................Labor Dept. Approval ........................
Underwriters Approval ........................Planning Board Approval ......................
Request for Temporary Certificate .....................Final Certificate ...... ................
Fee Submitted $ .5.09 ........................
Construction on above described building and permit meet p ab co a e S.
Applicant........ .... .. ............
Wi i ickh
Rev. 10-10-78
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