HomeMy WebLinkAboutZ-8973FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No... . Date ........... ............... . 19
18973 April 6 78
THIS CERTIFIES that the building located at . 5035..C.r9. 27..4c........... Street
1100 Love Lane
Map No ............. Block No........... Lot No................................. .
conforms substantially to th %W.
E
dated .Apr„ .....�3........, 1�?.. pursuant to whic10B1 1HTEPA ni QWUPMPX
28973
dated 11 .. , was issued, and conforms to all of the require-
ments
......... �,8
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is ...PRIVATEONtFAMILY'DVJELLIIVG ...................................
The certificate is issued to ....ldelter. Ga tz. & .vv f. .... ............................
( owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval ........
Pre;Exis't'ixig" " " ' . " " ' .
UNDERWRITERS CERTIFICATE No. ................ Fro.;EXigti ng .............
HOUSE NUMBER 5035. CR .27. Street ......................................... .
1100 Love Lane
......................................... Mttitudk; — W0V ,Y,ork............... .
Building Inspector
Housing Code Inspection
April 4, 1978
#5035 C.R. 27 & 1100 Love Lane R-1
Mattituck, New York
Tax Roll: Walter Gatz & wf.
unoccupied
Upon receipt of an application for a Pre -Existing Certificate
of Occupancy I made an inspection of the building at this location.
I was admitted to dwelling by Mr. Gorman and began this inspection
at approximately 2:45 P.M.
This dwelling is a one and one half story building constructed
on a red brick masonry foundation. First floor contains a kitchen,
dining room, living room and full bathroom. Second floor has two
bedrooms and hallway. A one car garage is attached to easterly
side of building accessible from within building by passage door
from kitchen. Heat is furnished to all rooms within dwelling from
an oil fired hotwater furnace located in partial cellar.
The following violations of the Housing Code, Chapter 52, Code
of the Town of Southold, New York were found:
Gas cooking range -no shut off valve at unit. Article V, Section
52-52 B.2.
Entry -dining room, no means of controlling light in room at
To -int of entry. Article V, Section 52-56 B.2.
Stairway -to second floor, insufficient depth of landing &
insufficient headroom at landing. Article II, Section 52-27 A.
Inspection completed at approximately 3:00 P.M.
Respectfully submitted,
EDWARD HINDERMANN
Building Inspector
FORM NO. 6
TOWN OF SOUTHOLD
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, Multiple Residences and .similar buildings 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 condition 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 land use $5.00
3. Copy of certificate of occupancy $1.00
Date March.. 3 Q.c...19 19 7A ..............
New Building ................ Addition ................ Old or Pre-existing Building ........X...... Vacant Land ..............
Location Of Property .. c,/o ..Love „Lane „and,, C,;,R :... 2 7,rqtr; �l��s, ��j�y�..XGtrX...................
Mar G Gorman(Purchased from Walter Gatz and
Owner Or Owners Of Property ..........X ........................ idtar�yn..'G��z...cyn..328.`�.g�.......................
Subdivision................................................................Lot No............. Block No............. House No.............
PermitNo ..................... Date Of Permit ....................Applicant..................................................................
HealthDept. Approval ............................................Labor Dept. Approval ................................................
Underwriters Approval ..............................................Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate .........................................
Fee Submitted $ ... : 00 ........................
Construction on above described building and permit me egulotions.
Applicant............ .................................................. .. ....
H, r.,ty.Aent
Sworn to before me this
.-30 .... ,.... day of .......... Ma_rrh.,...1.9 7. $........ (stamp or seal)�� ✓� �b
Notary ublic Suffolk County � .'y
IRvirvc L. pRIcr, ..rii. �t Fo
NOTARY PUBLIC, STATE CI" 1415ad YORK
3esiding in Suffolk Co. 'It time of aFp®intmem
MV Commission Expires March 30. 19pp
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(INAUTHOMI.ED AI-Fi:PAT:()N GR ADL)! I ICN TO
THtS M' 7i !FY 13 A liIbLATION OF t TION
7211i OF THF NFN YORK srATE EDU..ATION
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C<PIFS OF THIS SURVEY MAP NOT F.;-.,^,R,?jG
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ALDEN W. YOUNG HO'VARD W. YOUNG
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iii SUINVIly FOR:
I-HOIJAS J. GOF'NMAN
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