HomeMy WebLinkAboutZ-23415 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRB E%ISTING
CERTIFICATB OF OCCUPANCY
No Z-23415 Date DECEMBER 15, 1994
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1555 FACTORY AVE.&10530 SOUND AVE. MATTITUCR, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 122 Block 2 Lot 15
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-23415 dated DECEMBER 15, 1994
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 ONS FAMILY DWELLING WITH ACCESSORY BUILDING
The certificate is issued to BLAISE DiPA0LO
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*THIS UPDATES CO Z-5415 DATED AIIG. 31, 1973.
~L
ilding nsp ctor
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD ~ ~ IN
BUILDING DEPARTMENT
' TOWN HALL f1FG' ~ 21994
765-1802
s+7
APPLICATION FOR CERTIFICATE OF OCCUPANCY '--t;,..
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building 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 from Health Deft. of water supply and sewerage-disposal(S-4 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 17 lead.
S. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building,
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building-and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date November, 29, 1994
New Construction........... Old Or Pre-existing Building. X ,P,re,-g)ci St}j1g, , UPDATED
Location of Property....., Corner of Factory Ave..,. Old North Road, Mattituck, NY .
. . . . .
House No. Street Hamlet
Onwer or Owners of Property.,, B1d1Se Di Palolo
County Tax Map No 1000, Section.??,.........Block...?............Lot,,,15.
Subdivision ....................................Filed Map............Lot......................
Permit No ................Date Of Permit................Applicant............................
}Iealth Dept. Approval ..........................Underwriters Approval...
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate..:
GARY FLANNER OLSEN, ESQ.
Fee Submitted: $.....50_QO........P'~•BOX~
~.~,e.,• Yg9 ( Q CUTCHQGUE, LL, N.Y, .1,1935...... ~ ~ .
~ ~ ~.a 3 ~ ?s ~ ~ AP ~ICANT
HOUSIT~G CODE IiQSi ECTIOPd
August 30, 1°73
19530 Sound :!ve., & 1555ractory give. R-1
I~Yattituc, Id..
Tax Ro11: E. Russell Johnson ~ UJf.
Occupied: Owner
Upon request of the Southold Town Building Departlient,
I trade inspection of this two story framed dwelling and
found the following violations of Local Law 3~1, Housing Code,
Town of Southold. I was admitted to east side, front entrance
by i~irs. Johnson wiio accompanied. me on inspection which bean
at approximately 10:40 a.m.
The first floor consists of enclosed front entrance porch
which is unheated, livir_g room, dining room and kitchen, hecit
is furnished to'these rooms. Rear enclosed porch, unheated,
access to cellar through trap door in porch floor.
• kitchen: gas range, no shut off valve at unit-Section 50?'~~~
Front Entrance: no switch to control light in room or.
entry. Section 529b.
Ce11ar: water supply pipe to ~>itchen sink leaking at elbow
to riser. Section 502b. Ceiling light in sectioh of
cellar near furnace wired with lamp cord. Section 528a.
The second floor contains three bedrooms and bathroom and
walk in closet-heat is sr~~~~lied to bedrooms only. The ceilin„s
are under seven foot six inches, in violation of The Building
and Zoning Ordinance, hrticle I, Section 101, Floor area
livable.
Accessory bl.zilding-stable, tool and work shop with h::~y loi't.
Roof has several missing shingles. Section 302C.
Inspection completed at approximately 11:05 a.m.
Respectfully subrsitted,
Edward Hindermann
Building Inspector
EH:jk
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. 4~~~-9 Date .............:3ug...?9...1.9'7~y 19... .
THIS CERTIFIES that the building located at .Sound.d. ?'actc:r..iavp...... Street
Map No. Block No. Lot No.. xxx ,1~1a t • i tuck . , iV . `.t .
conforms substantially to the
~i~lt C 'ti ate ~ Gccunancy
,~+~f.
befogs ~ ~:pr• L1 •2j • 19 • •?3 pursuant to which ~i t C~°. , ,
dated .............;;ug...3 ~ , 19.7 . , was issued, and conforms to all of the require-
ments of .the applicable provisions of the lava. The occupancy for which this certificate is
issued is r3.uate..one. famil~~ .dwe1.].ing .
The certificate is issued to ..i.. Russell..Johnson.....& .wife o~mers........... .
(owner, lessee or tenant )
of the aforesaid building.
Suffolk County Department of Health Approval p•re- • exi sting • • • • • • • • ~ • • • • • .
UNDERWRITERS CERT[FICATE No...ppg..gXisting• • .
HOUSE NUM BER.~9.530......Street..50'Wld .ewe .
1555 Factory Ave
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Building Inspector
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