HomeMy WebLinkAboutZ-10000FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No. 7.2999~ .........
Date ...... ff...1~. ?..2.7? .................. 19 .~..0
THIS CERTIFIES that.the_ building ................................................
960) ad Mat i k
Location of Property .... t ..................... ~ ....................................
· W S Marratooka Ro t tuc
House No. Street Hamlet
County Tax Map No. 1000 Section ...1..1.5 ...... Block ...9. ........... Lot ..... .~ ...........
Subdivision ............................... Filed Map No ......... Lot No ..............
requirements for a one-family dwelling built prior
conforms sub st ant ially -to_th ~ .,&l~plgg~ fox -ll~l~li~ -P. esnaiI .,he~e,l ofos,. ~,~ed_i~ .4his_of~. dazzl.
Certificate of Occupanc~lo^~o ...
... ~.p.l~..t.1..2.5..~ ....... , 19..5.~ursuant to which B~tdiwg'~rrrrit~N~.--.-. ............ VV..
dated .J..1~. ?..2.7~ .................. 19 8.0. ,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 .........
... ?.~.~ .,,9.t.e...o.n?...?.~..i.z.y...d~e.Z.Z..t.n.g. ............................................
The certificate is issued to . .~.O..n.~0...d...H.i.l.~.e..~.8.h.~.e. lg ....................................
(owner, les~p.~.~r_~n_aj2t)__
of the aforesaid building.
Suffolk County Department of Health Approval ...... .N?.R. ................................
UNDERWRITERS CERTIFICATE NO. N/R
to
Building Inspector
Rev 4/79
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
Subdivision
960 Marratooka Road,
(number & street)
Mattituck
(Municipality)
Map No.
Lot(s)
N~me of Owner(s) Donald Hildershiem
R-1
Occupancy
(type)
Admitted by: Self
Unoccupied
(owner-tenant)
Accompanied by: Self
Key available
Suffolk Co. Tax No. 115-9-8
Source of request Abigail A. Wickh~m
mate May 14, 1980
DWELLING:
Type of construction
Foundation Cement Block
Total rooms, 1st. F1
Bathroom(s) One
Wood Framed #stories 2
CellarPartial Crawl spaceRest
2 2nd. FI 3 3rd. F1
Toilet room(s)
Porch, typ~
Breezeway.
Type Heat Oil
Fireplace(s)
Domestic hotwater
Other
Deck, type Wood Patio, type.__
Garag~ Utility room
Warm Air Centre] Hotwater
No. Exits Two Airconditioning
Yes Type heater Electric
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
~$al
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
Outside Steps to Wood Deck III 52-30A
Stairway Needs more stair rail II 52-27B
Remarks:
6-27-8O
Inspected by:~Date of Insp.
Curtis Horton Time start 10:30 end 11:00
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 featu res.
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.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
Date May 14, 1980
New Building ............. Old or Pre-existing Building .. ~ ....... Vacant Land .............
Location of Property ...~/.S. ~r~t.o.o~ .R,o.a.d.,. ,M~,~.~c,k.,. ~e.~ .YD. rk ........................
House No. Street Hamlet
Owner or Owners of Property Donald A. & Florence E. Hildesheim
County Tax Map No. 1000 Section 115 Block 9 Lot 8
Subdivision ................................. Map No ............... Lot No ...............
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 $..5...0.0. .......................
Construction on above described building and De,nit meets all app, l, jc~le codes and regulations.
.........................
Applicant / Abigail A. Wickham
Rev. 10-10-78
now or formerly Cedric H, Wichham
POS..
now or formerly dohn 7'andy
now
NOTE: m: MONUMENT
SUFFOLK COUNTY TAX MAP
DIST. I000 SECT. 11,5 BLOCK 9 LOT 8 '
SURVEY FOR
ROBERT A. PARKIN 8~ DIANNE L. PARKIN
AT MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
DATE : MAY 8, 1980
SCALE: 1"=40'
NO. : 80-253
~UNAUTHORIZED ALTERATION OR ADDITION TO THIS
SURVEY I$ A VIOLATION OF SECTION 7209 OF THE
NEW YORK STATE EDUCATION LAW.
~ COPIES OF THIS SURVEY NOT BEARING THE LAND
SURVEYOR'S INKEO SEAL OR EMDOSSEO SEAL SHALL
GUARANTEED TO:
CHICAGO TITLE INSURANCE CO.
ROBERT A. & D~ANNE u. PARKIN
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 ADDiTfONAL INSTITUTIONS OR SUBSEQUENT
OWNERS·
· R-DISTANCES SHOWN HEREON FROM PROPERTY LINES
TO EXISTING STRUCTURES ARE FOR A SPECIFIC
PURPOSE ,&ND ARE NOT TO BE USED TO ESTABLISH
PROPERTY LINES OR FOR THE ERECTION OF FENCES.
YOUNG nYOUNG E
ALDEN W. YOUNG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S. LICENSE N0.12845
HOWARD W. YOUNG, LAND SURVEYOR
N.Y.S. LICENSE NO. 4589:5