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Home My WebLink AboutZ-10733FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z10133 No .................. Date obe.r.. 19., .................. , 181. . THIS CERTIFIES that the building ................................................ ..................... ;Location of Property...1.95 .......... Oak Street riattituck tVew York :............... House No. .Sheet..Hamlett County -Tax Map No. 1000 Section .. 1 4) ....... Block ... 1 ........... Lot ..23 ............. Subdivision ................................Filed Map No. .........Lot No. ............. Requirements for a One Family Dwelling Built Prior to conforms substantially to the• Fic ie -feF B�i�c i to Peralaii ltaretaferatiledan.ttaisnffice_data&_ April 23 57 CCerttiff .ca e ogp Occu anc ...................... 19 ... pursuant to.whic �u�7�uag earu%Din_ .. P...... ZAQ733..... October 19 1 dated ............................ 19 ... , 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 ......... Private One -Family Dwelling with ,Qc.c,gSy. Mpx..Str.ucture............ The certificate is issued to ...Walter JaFodzinski & Wf. . ......................... of the aforesaid building. Suffolk County Department of Health Approval .... N/R................................... UNDERWRITERS CERTIFICATE NO.. N/R Rev. 1/81 u I BUILDII•:G DEPARTI.IENT TO11N OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 195 Oak Street Mattituck, New York Location number & street) Municipality Subdivision Map No. Lots) Walter Jagodzinski & Wf. Name of Ovmer(s) R-1 Unoccupied Occupancy type (owner -tenant) Admitted by: Self Accompanied by: Self Key available Celic Agency Suffolk Co. Tax No. .141-1-23 Source of request Richard J. Cron DS' ,LING : Date Oct 15, 1981 Type of construction Wood #stories 2 Foundation Cement Block Cellar Full Crawl space Total rooms, 1st. F1 3 2nd. Fl 1 3rd. Fl Bathrocm(s) 1 Toilet room(s) Porch, type Deck, type Patio, type Breezeway Garage Utility room Type Heat oil Fired Warm Air Hotwater X Fireplaces) No. Exits 2 Airconditioning Domestic hotwater Yes Type heater Tankless Other ACCESSORY STRUCTURES: Garage, type const. Storage; type const.Metal Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Remarks: Second Floor unfinished Inspected by: Date of Insp. Oct. 16, 1981 Z4 Y.+ 7 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 ...l%GT./..5� ./.�.d'.� ... New Building ............. Old or Pre-existing Building ../ ...... Vacant Land .............. Location of Property ...Dff��.`� Tf2 e e7 ................... /�.9.� .! / Tu c� .. .... . House No. Street Hamlet Owner or Owners of Property .. L`'.� �!..'.tl o i✓Gc ! /.4 61� D .?-i ^ `r!``.� .......... County Tax Map No. 1000 Section ...... Block .... '..... Lot .0.23:? .... . Subdivision .......... �.- .................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant ........................... \.. ?). ri Health Dept. Approval ........................Labor Dept. Approval ................E ... ..� Underwriters Approval ........................Planning Board Approval ...........kjo Request for Temporary Certificate .....................Final Certificate .......L. Fee Submitted ...................... Construction on above described building and permit ets applic le codes and regulations. Applicant ... �........ ./ !�Xge ..' ......... Rev. 10.10.78 ley tr i ley TOWN OF SOUTHOLD PROPERTY RECORD CARD sine- - / J,/ / - j M-3/ OWNER STREETVI q s-, LLAGE DISTRICT -S,68-- LOT INA 7Lj c FORMER OW4R N E ACREAGE 71 - AIV4 Je-' TYPE OF BUILDING RES. LAND Tillable I Tillable 2 W-cod-1-a-nd- Brushland House Plot . Tctal REMARKS — -- — — ------- M. Bldg. 1 --. Extension Extension I Extension � Breezeway Garage O. B. 2 ,Dv; 'Foundation P : Bath Basement Floors D /C I t. Walls f Interior Finish - - --{ - - - r -> --- -- — - ---- � _ I Fire Place ! Heat E I Porch _ Attic Porch Rooms i st Floor - - Patio - Rooms 2nd Floor , Driveway ,wr