HomeMy WebLinkAboutZ-7053HOUSING CODE INSPECTION
May 26, 1976
1100 Maratooka Lane R-1
Mattituck, N. Y.
Tax Roll: Helen M. Goldsmith
Occupied - Robert and Margaret Rehm
Upon receipt of an application for a Pre -Existing Certificate
of Occupancy, I made an inspection of this one story framed
dwelling. I was admitted to building by Mrs. Rehm and began
inspection at approximately 3:30 P.M.
The building constructed on a cement block foundation
has three bedrooms, kitchen, laundry room, dining area off
living room, and a full bathroom. Heat is furnished to all
rooms from an oil fired hot water furnace located in full
cellar. A two car garage is attached to the south end of
the building by a breezeway.
I found no violations of the Housing Code, Chapter 52,
Town of Southold, N. Y.
Inspection completed at approximately 3:45 P.M.
R s ectfully su itted,
i
EH:mm 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 .AcAY...26.x.... 976 .................
New Building ................ Addition ................ Old or Pre-existing Building ..X........... Vacant Land ..............
Location Of Property West.„side Marratooka Lane.....Mattituck,, New. York._... ... ..
........... .............. .
Owner Or Owners Of Property ty Es.t.at.e....o.f Margue.r.it.e ..WGo.ld.s.m.i.th.
.........................................................................
Subdivision .J9QAA.....................................................Lot No............. Block No............. House No.............
PermitNo ..................... Date Of Permit ....................Applicant..................................................................
Health Dept. Approval ............................................Labor Dept. Approval ................................................
Underwriters Approval .............................................. Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate ..........................................
Fee Submitted $ ...5.-.00 ........................
Construction on above described building an ermit meets all a p�lic bl�codes and regulations.
cr-
Applicant .Lff�Yt 5"'P':"'EQ?;OIi';"'P,Ct tiYY1�......................
Sworn to before me this Estate of Marguerite W. Goldsmith ✓/ �'�O/�6
v� ��7D53
26th day of ... M..'M!... 1976 ................... (stomp or seal)2—
Notary Publ' Suffolk County G
"Sufi Rudolph H. Bruer
N�opta_ry Public, State of New York
(/�
�No. 52-0465530—Suffolk County
7/ Commission Expires March 30, 1978
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