HomeMy WebLinkAboutZ-11321 FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No..Z 1 i 321. „ . , , , Date N.auembpr.. 3A 19 $2.
THIS CERTIFIES that the buildings... 13.) .
Location of Property . 2:LJO ...............~qupdv,iew, Avenue , , , , , . Niatl:ituck
House No. Street Hamlet
County Tax Map No. 1000 Section . GS 4........Block . 9 ............Lot . 0 0."1 . L L 2
Subdivision ............................Filed Map No. c........Lot No. .
Requirements f"or a private one-family dwelling built prior to
conforms substantially to the A~plic~atiarr€car-Bteitding-Permifkerett~fore-f~led-iir-Hasoffrceilated
::ertit'icate of Occupancy
Apr.~.l . 2~........ , 195?. pursuant to which Btri~ding-Permit No. 1;;,21 , , , . , . , , , . ,
dated ....Noy.e.mber..30........... 19$?. ,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 .
a..r r.iY?.r:e, f'P?-family, d.wel.line, R .twq, ?,ccQs9.or~ storage structures.
The certificate is issued to .......L'a.l~ianx.v.sJ.oar,•.jC.e.~natYi,,,,,,,,,,,,,,,,,,,,,,,,,
/owner, lessee-oF tepa?it1
of the aforesaid building.
Suffolk County Department of Health Approval ..not , ap.p 1 i c a.b 1 e
UNDERWRITERS CERTIFICATE NO......... ,not. applicable
, ~ ,
Building Inspector
Rev. 1/81
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BUILDING DEPARTi~1ET3T
TO`~hi OF SOUTHOLD, N. Y.
HOUSIi1G CODE INSPECTION REPORT
Mattituck
Location 2700 Soundview Avenue
~nL:.-.~oer do s ~reez) i'~iunicipality
Ivlap No . X Lot (s ) X
Subdivision. X
Name 02" O:ener(s) William & Joan Keinath
son
Occupancy R-1
t tYP e o~~rner-tenant
Admitted by: Mrs Keinath Accompanied by: same
Key available ' Suffolk Co. Tax No.o94-02-001.2
Source o£ request Joan Keinath Date 11!15!82
Type of construction wood framed stories 1
Foundation cement block Cellar partialCrawl Space rest
Total rooms, lst. Fl 4 2nd. Fl 3rd. Fl
Bathroom(s) 1 Toilet room(s)
Porch, type Deck, type Patio, type
Breezeway Garage Utility room
Type Heat oil fired '~Tarm Air Hotwater X
Fireplace(s) No. Exits 1 Airconditioning
Domestic hotvrater yes Type heater tankless
Other wood burner
ACCESSORY STRUCTURE'S: two
Garage, type const. Storage, type const. wood
S~•~imming pool Guest, type const.
Other
VIOLATION?S: Housing Code, Chapter 52
Location Descril7tion Art.` Sec.
cellar I cellar door rotten and broken III 152-30-A
cellar I dirt floor, very moist III 52-31-A
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Remarks•
Inspected by: Date of Insp. 11/24/82
Curtis W. Horton Time start 10:45 end 11:15
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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-
for 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, acertificate of Code compliance from the Architect o~ 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-
lion 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 //~/s/~ .
New Building .............Old orPre-existing Building(X) . X.__. --3 Vacant Land .
Location of Property , 2700 fvL!.f'.4~:~EGU,A.? . : . . . ...r~('1~TF"1:T41Ck...... .
House No. Street Hamlet
Owner or Owners of Property .WFC(.!/.1.M- d-JO!r)'t/,.e~'~'t,t/ATG•(,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
County Tax Map N~o(. 1000 Section ~g.~....... Block Lot ..00l~7.. , , , , , , ,
Subdivision ......n ..........................Filed Map No. ..:.......Lot No. .
Permit No. Date of Permit ..........Applicant .
Health Dept. Approval ........................Labor Dept. Approval
Underwriters Approval ...................Planning Board Approval ...............:..r, •
Request for Temporary Certificate .....................Final Certificate
o~
Fee Submitted S ...S....? .
Co~~}}struction on above described building and rmirmeets all appl~cable~odes and regulations.
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I IrllNpR SUBDIVISION PLAN FOR
~
~ WILLIAM KEINATH 8 JOAN KEINATH
SEPT. 21 , 1982
I AT MATTITUCK GATE : JULY 22, tPil
TOWN OF SOUTHOLD SCALE: 1"' S0'
SUFFOLK COUNTY, NEW YORK NO• 61-419
M UNAUTHORIZED ALTERATION OR ADDITION TO TN18 R
SURVEY IS A VIOLATION Oi SECTION 7201 Of THE pSY U~ "fW
NEW YORK STATE EDUCATION LAW. S~ r
MCOPIE8 OP THIS SURVEY NOT BEARING THE LAND RD W `
9URVEYOR~B INKED SEAL OR EMB088ED SEAL SNALL y+P' ~ f~'~~fl
NOT BE CONSIDERED TO BE A VALID TRUE COPY. O G ~
MOWRANTEES INDICATED HEREON SHALL RUN ONLY TO 'r Z
NOTES THE PERSON FOR WNOM THE lURVEY IS~PREPARED, ~
I, •=MONUMENT ANO ON NIS BENALF 70 THE TITLE COMPANY, BtlVERN- ~ ,
2. CONTOUR LINES SHOWN THUS: ---ARE APPROXIMATED MENTAL ABENCYAND LENDING INSTITUTION LISTED ~?~k
NEREON,AND TO THE ASSIGNEES Of THE LENDING
FROM U.S.G.S. CHART, MATTITUCK HILLS, N.Y. INSTITUTION. OUARAN TEE8 ARE NOT TRANSFERABLE
3. SUFF. CQ TAX MAP- DIST. 1000 SECT.094 8LK.002 LOT 01.2 TO ADDITIONAL INSTITUTIONS OR SUifEOUENT ~ '1y g
4. LOT I IS PROPOSED TO BE CONVEYED TO JOAN KEINATH owNERa.
iF DISTANCES SHOWN HEREON FROM PROPERTY LINES f~l~j A
TO EKISTINB STRUCTURES ARE fOR A SPECIFIC ~/f/W~
PURWSE AND ARE NOT TO BE USED TO ESTABLISH
PROPERTY LlNE3 OR FOR THE ERECTION Oi FENCEB. ~
5; S -
YOU (t, ~ a ~/O~ A i~'! ~ 400 OSTRANDER AVENUE
~VV 1 'V\.7 RIVERHEAO,NEW YORK
ALOEN W. YOUNG,PROFESSIONAL ENGINEER
AND LANG SURVEYOR N.Y.S.LICENSE N0.12845
HOWARD W. YOUNG, LAND SURVEYOR
N.Y.S. LICENSE N0.45893
TELEDYNE PDST N01779