The URL can be used to link to this page

Home My WebLink AboutZ-9243FORM NO. 4 TOWN OF SOUTHOI,D BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z9243 ...... Date .... .0.ctob.e~....~J ........... , 19...78 THIS CERTIFIES that the building located at .3825..Stl;l,~w2.t.e.~...A.v.e. .... ~ Map No ..... 7~.(1 .... Block No ........... Lot No ......... .17..&..18 ................. REQUI~S FOR ONE FAMILY DWi.LING BUILT PRIOR TO conforms substantially to the .. ' ' CERTIFICATE OF OCCUPANCY dated . April... 25 ........ , 195.7.L pursuant to which~Bi~ttl~:~No. ~9~.~.3.. dated . .October...ll ........ , 19...7$was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Private One Family Dwelling with Accessory Building The certificate is issued to Ak-nest & Olga Guidal (owner, tt~_.-"J~El~I$o( of the aforesaid building. Suffolk County Department of Health Approval ....... P.r.~-..EK.l~l;$rig .............. UNDERWRITERS CERTIFICATE No .................. P..r.e.-..t~..i.s.t.i.n.g ............. HOUSE NUMBER ..... 3825 ..... Street .... $.tJ,],lWO, t~I'. Av.~ ..................... .......................................... Cutchogue,. !iew. York ............... ..... ...... Bo!!ding Inspector I~O~M NO. 6 TOWN OF ~OUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLIGATION FOR GERTIFICATE OF OCC:UPANCY 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 "pro-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 .....C~....~...5.,...L .g.7..8. .............. New Building ................ Addition ................ Old or Pre-existing Building .... Z ......... Vacant Land .............. Location Of Property ..... ...C~...~..q~.e./...~..e~....Y..o..~..~. ........................................................................................ Owner Or Owners Of Property Ernest and Olga Guidal Subdivision ,.b~,~,...o.~..~,,~9 ,~..,.'~-,~....o.~..,~.,-.,S,.-...~ ........ Lot No.~7...,&,..[,8 Block No ............. House No ............. Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ FinQI Certificate X $ 5.00 , Fee Submitted ................................... / ConstrucHon on above descri bed building and per/mtt~ee~ll~C~~~ regulations. Applicant ............. (~~_.~.....~ ...................................... Sworn to before me this .. 5.'c~ ....... day of ...... ~'T,~,~ ~,~Z~ .............. Nc~ry Public [.jl..~'~.F.f~r, ................. County (stamp or seal) ~ereh ~ n~ L.O~ ~9 .......- NOTE: SUBD/VIS/ON MAP FI~ED IN TH£ OFFI~£ OF TH~ CL£t~K OF SUFFO£K COUNI~Y ON SEPT, I,~'., /950 AS FI~£ NO. AT CUTCHOGU£ TOWN OF SOUTHOtD SUFFOLR COUNTY, NEW YORK SURVEY FOR ARTHUR DAVID & I~II DR£D DAVID LOT NOS. I? ~ 18 , '~AP OF PROP£t?TY O£ M.S. HAAID " SCALE: / "= 50 ~ ~UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION /AW. ~COPIES OF THIS SURVEY NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BEA VALID TRUE COPY. ~GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- MENTAL AGENCYAND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. ~DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR THE ERECTION OF FENCES. ~'8- 562 NO. ASSOC. YOUNG a YOUNG ~oo OSTRANDER AVENUE RIVERHEAD~ NEW YORK ALDEN W. YOUNG,PROFESSIONAL ~NGINEER AND LAND SURVEYOR N.~S: LICENSE N0.12845 HOWARD W. YOUNG, LAND SURVEYOR N.~S. LICENSE NO. 45895 HOUSING CODE INSPECTION October 6, 1978 3825 Stillwater Ave Cutchogue, N.Y. Sub. Div.: Tax Roll: occupied: M.S. Hand, Filed Map 730, Lots # 17 & 18 Ernest & 01ga Guidal okrfler Upon receipt of an application for a Pre-Existing Certificate of Occupancy I made an inspection of the above captioned premises. I was admitted to dwelling ~by Mr. Guidal who accompanied me on this inspection that began at approximately 3:45 P.M. The dwelling is a one and one half story wood framed structure constructed on a cement block foundation. First floor contains a living room with fireplace, dining room, kitchen, two bedrooms and a full bath- room. Second floor contains two bedrooms and a full bathroom. Heat is furnished to all rooms from an oil fired forced warm air furnace located in full cellar. Domestic hotwater is furnished to all plumbing fixtures within building from a gas fired hotwater heater. A small wood framed accessory structure constructed on a concrete slab is located in the front yard area. The following violation of the Housing Code, Chapter 52, Code of the Town of Southold, N.Y. was found: Gas cookin$ range - no shut off valve at unit. ~rticle V, Section 52-52 B 2. Inspection completed at approximately 4:0~.M./ / Re~c t ful~ s~ubmitt ed, Building Inspector