HomeMy WebLinkAboutZ-10575FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
OP DATE
Certificate Of Occupancy
No ...... Z10575..... Date ... July.13.,.................... 119 81
THIS CERTIFIES that the building ................................................
Location of Property...... 220 Blossom Bend Mattituck , New York
House No. ....................... Street ... .Ham%t
County Tax Map No. 1000 Section .115 ...Block ...............Lot .......... �`. 9.... .
Mattituck Estates 4453 29
Subdivision ...............................Filed Map No. ........Lot No. ............ .
conforms substantially to the :9p"Jf dtibl fbrTb-1 i'ng'Perinii"lieieiot6ie %Te$ m this o'f'fice acted
...................... 19 ... pursuant to which Building Permit No. .....................
dated ..... Julq 13 .. , ..... 19 81. , 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 ...Howard . C .. ..Gerain ..&...
Wf ...............................
(owner, lAslf XXAfAXNX
of the aforesaid building.
Suffolk County Department of Health Approval .... N / R
..................................
UNDERWRITERS CERTIFICATE NO....... N�R...................................... .
;?iu11d1ng Inspec r
Rev. 1/81
H
BUILDING DEPARTi'.IdT
T01',V OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
220 Blossom Bend, Mattituck, New York
number & street riunicipaiity
Mattituck Estates 4453 ( ) 29
Subdivision clap No. Lot(s
Name of Ovm er(s) Howard C. Germain and Wf.
Occupancy
R-1 Owner
type (owner -tenant
Admitted by: Mr. Germain Accompanied by: Same
Key available
Source of request Joseph Fenton.
DVTa,LING :
Suffolk Co. Tax No. 115-6-29
Date May 28, 1981
Type of construction Wood Framed rstories 1
Foundation Cement Block Cellar Full Crawl space
Total rooms, lst. F1 5 2nd. F1 3rd. F1
Bathrocm(s) 2 Toilet rooms)
Porch, type Deck, type Patio, type
Breezeway Garage one Car Utility room
Type Heat Fi art.ri _ eLjr111_Ajm Baseboard Hotwater
Fireplaces) No. Exits Airconditioning Yes
Domestic hotwater Yes Type heater Electric
Other
ACCESSORY STRUCTURES
.Garage, type const._
Swimming pool
Other
NONE
Storage, type const.
Guest, type const
VIOLATIONS: Housing Code, Chapter 52
Location
Description
Art.1
Sec.
a non combustible protective shield which
when applied over foam plastic insulation
shall provide a fire protection for at
C108 -3(i
least 15 minutes
State
Building
*7/24/81 -I.reinspected
violation
found the situation has been rorrected hy
applying s1heetrock
over the plastic insulation
providing
more than the necessary fire protection.
Curtis W. Horton
This inspection report is an, up -Date inspection on a
Remarks:_ Certificate of Occupancy issued Sept. 4, 1964 - Z3697
Inspected by•(i ate of Insp. July 9, 1981
Curtis W. Horton Time Stflrt_44.�end -11 5
03.3)
ode
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 ...MaY .28..1981........... .
New Building ............. Old or Pre-existing Building ...X ........ Vacant Land .............
Location of Property .. 22Q Blossom Bend .. . . .......... Matt i,tuck,� ,New ,York ,1,1,9.5.2 ,
House No. Street Hamlet
�-
Owner or Owners of Property ... Howard and ,Luc iAa�erma i.n .. . ......... . . .
County Tax Map No. 1000 Section ....1.1.5.... , .... Block .....6 ......... Lot ...?9 ...........
Subdivision ....... Matt...i tuck . . .........Filed Map No. .4453 4453 . , , ..Lot No. 29
............... .
Permit No. .......... Date of Permit ..........Applicant ..................................
Health Dept. Approval ........................Labor Dept. Approval ........................ ,
Underwriters Approval ........................Planning Board Approval .................... {
Request for Temporary Certificate .....................Final Certificate .................... ''> ,
Fee Submitted $ ..`x.00 ....................... (
Construction on above described building and ormit meet`�,-i1 applicable codes and regulations. J' ,
Applicant..
Rev. 10-10-78 '°l (.:�YL y-tS ��I��d- `^ L Gt kl lO
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 ...May .281..1.981 ............
New Building ............. Old or Pre-existing Building ...X ........ Vacant Land .............
Location of Property ...?20 B tossom Aend ................... . Matt iAuckx
House No. Street Hamlet
Owner or Owners of Property ... Howard and ,I,uc i.ta,�kerma i.n
County Tax Map No. 1000 Section ....1.1.5 ........ Block .....6 ......... Lot ...�9 ...........
Subdivision ...... Matt i tuck Estates ...Filed Map No. .�53 .....Lot No. �9 .......... .
Permit No. .......... Date of Permit ..........Applicant ..................................
Health Dept. Approval ........................Labor Dept. Approval ........................ p,
, V
Underwriters Approval ........................Planning Board Approval ....................
Request for Temporary Certificate .....................Final Certificate ...................
Lr
Fee Submitted $. .5--00 ....................... p,�
R
Construction on above described building and rmit meetag applicable codes and regulations. A�
Xrk 1
( VL"
Applicant ... l .................... .1..
Rev. 10-10-78 Apt),
n
Location
BUILDIIJG DEPARTMIE- 11T
TOV-71 OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Subdivision -M-e Zo,; `Iap No. y f -2 Lot(s )�
Name of Ovmer(s )
91
Occupancy --
type (owner -tenant)
Admitted by: �,�., Accompanied by:
Key available Suf folk Co. Tax No
Source of request 1-4ae4"-
Ar
MMLING
Type of construction nstories��_
Foundation ellarCrawl space
Total rooms, 1st. F1 2nd. F1 3rd. Fl
Bathrocm(s) Toilet room(s)
Porch, type Deck, type Patio, type
Breezeway Garage &?L ti Utility roam
Type Heat otwater
Fireplace(s) No. Exits 3 Air-conditioning
Domestic hots -later Type heater L
Other
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
VIOLATIONS:
Storage, type const.
Guest, type const.
Housing Code, Chapter 52
Remarks:
Inspected. by: Date of Insp. l
Time startend
Descrii)tlon jArt.1
Se
_
�/
/_ .. �✓ i � � / l �L-
i� � � � L �t aid
MR W-
p.-
Remarks:
Inspected. by: Date of Insp. l
Time startend
JOSEPH FENTON
ATTORNEY AT LAW
JACKSON STREET
NEW SUFFOLK, N.Y. 11956
(516) 734-5099
May 28, 1981
Mr. George Fischer
Building Inspector
Town of Southold
Main Road
Southold, New York 11971
Re: 220 Blossom Bend
Mattituck, New York
(Lot 29-Mattituck Estates)
Dear George:
Enclosed herewith, in duplicate, together with my check
for the inspection fee of $5.00, is an application to update
the certificate of occupancy with respect to the above indi-
cated property. A copy of the original certificate is enclosed
for your reference.
The owners are Howard and Lucita Germain from whom my
clients, Vito and Patricia DiVello are purchasing the property.
I have signed the application on behalf of the DiVello's
as their attorney. An appropriate clause in the contract of
sale authorizes the application.
If you require access to the property please contact
Mr. Germain at 298-9441. Kindly send me the updated certificate.
The closing is scheduled for July 22, 1981. However, we would
appreciate it if you could complete your work by the latter part
of June in the unlikely event that any violations are disclosed
so that there is time to remove them prior to the closing.
Thanking you in advance, I remain
Syjcere1y,
esep
Fenton
JS:es
Enc.
cc: G. Olsen
H. Germain
V. DiVello
July 15, 1981,
i
Mr. Joseph Fenton
New Aur,.rolk, New 'York 1 t956
Re: 220 Blossom Bend, Mattituck
Dear Mr. `Fenton:
On -'May 28, 1981 .you requested a update -Certificate of
Occupancy for this dwelling.
The building inspectors report of July 9, 1981'9 indicate
every thing was ok except in the cellar there was unprotected -
exposed foam type insulation.
Such insulation must comply to the flame spread and smoke
rating or have a thermal barrier which shall provide at least
15 minute fire protection.
Upon removal or covering this insulation for the protection
of the occupants I will iSsUer the requested certificate.
This unprotected insulation is a violation of the New York
State Construction Code'and must be removed or covered.
Your truly,
George H. Fisher
Sr. Building Inspector
GHF:jd
1 (.1.11 No. 4
TOWN OF S1 )I T11t )1.1)
111111,I)ING DEI'-11i'I'A1EWl'
Town Clerk's Office
S4111111401d, N. Y.
Certificate Of Occupancy
No. Z. 3.697..... Date .... . .. 19.69.
THIS CERTIFIES that the building located at .Llossm.--end ............. Street
Map NoYatt.. E.St.. Block No. ..........Lot No. ?9....... ?�att.ltt�c ... h.Y......
conforms substantially to the Application for Building Permit heretofore filed in this office
4444 z
dated ......... Sept .....4 .. , 19 6.9. pursuant to which Building Permit No. Sept ... 4
dated .......... Se.r,t ... 4 .. , 19 69 , was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is ...Private one family dwelling
The certificate is issued to iibitz Cor�.tr etox .Inc...... Ch�rer.......... .
( owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval e.e .. 8. } 1 96.9 ..
House # 220
Uo- 'w c-%1' X- I - I,
.......A............
Building Inspector
( 5-,*--lf--) -I.--