HomeMy WebLinkAboutZ-10606FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z10606 Date July 29 ........... 19 81
THIS CERTIFIES that the building ................................................
Location of Pro~*, 4015 Wickham Avenue, Mattituck, New York
--IJ~aLy .......................... . . .
I-louse IVo. Stree~ ...............
County Tax Map No. 1000 Section .. 1. .0.7 ....... Block 9 . .Lot 3
Subdivision ............................... Filed Map No ......... Lot No ..............
· · . requ£rements for a one-",family dwelling with. Seasonal Dwellin
conforms suostant~ally to the-Al~l~ea~icm-for'B~ftdi'ng-P~llntt'll~re~OTOl,e-fll~l'ifl't~ b'l~g ~la't~d'-
built prior to certificate of OccupancYZl0606
·. ~pr. il. 23 ......... , 19 .~ pursuant to which'Btdl~?Eff~lFNS.--. ....................
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
Private One Family Dwelling wi~h Season~c~8~ and Accessory Storage
TheB~ilt~c~t~qgissued to .... ff.i.e.h..~p.1...L.a.n.~one and Ano.
..................
of the aforesaid building.
Suffolk County Department of Health Approval lq/R
UNDERWRITERS CERTIFICATE NO ....
Building Inspector
Rev. 1/81
Location_
Subdivision
Name of O~cr(s) Michael Langone and And.
BUILDING DEPA~:[THE!'IT
TOV,~ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
4015 Wickham Avenue~ Mattituck, New York
(number & s'tree~) (Municipality) '
Map No. Lot(s)_
Occupancy R-1
(type)
A~nitted by:
Unoccupied
(owner-tenm,t)
Accompanied by:
Key available
Suffolk Co. Tax No.107-9-$
Source of request Henry V. Pecora
Date July 21, 1981
D'¢fELLING:
Type of construction
Foundation Brick
Total rooms, 1st. F1 ~
Bathroom(s). j.
Porch, type Screened in
Breezeway.
.Type Heat 0il Fired
Fireplace(s)
Domestic hotwater Yes
Other
Deck, type
Garage
Warm Air
No. F~its
.Type heater
Wood Framed #s~ories 2
Cellar_~Crawl space. ~t
2nd. Fl_ 4 5rd. F1
Toilet room(s)
Patio, type~
Utility room
x~w~eZ'xx Steam
? Airconditioning
Gas
ACCESSORY STRUCTL~ES:
Oarage, type const. Storage, type const. ~o~ zto~
Swimming pool Guest, type const. ~-
Other 3 Room summer cottage, with bath and hot water also has a separate
~!ectric meter.
VIOLATIONS: Housing Code, Chapter 52
_.Location Description ... Art. Sec.
Wood Storage Everything needs fixing III 52-30-A
Main Dwelling Porch needs repairing, both floor and J__lJ~
.. walls bad. kitchen floor bna;
need repa~ring~ Main house fl oor qe~ 52=~
repairing .
Outside Nee.~s repairin~ and p~ntJng .__~II ,' 52.-3
Summer Co~ ta~e Ceilin~ leaking,' flooF bad ~ .... Ill
windows bad 52-3]
Outside needs mgjor repai('in~ ~_~?_
_ C-~,.
Remarks:
Time start 13:1'io
Lurtl~ W. Horton
July 27, 1 8I~
end 4: 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 features.
2. Final approval of Health Dept. of water supply and sewerage disposel-(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. '~=or existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
~,_~and 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 July 21, 1981
New Building ............. Old or Pre-existing Building XX Vacant Land
Location of Property Vl_'J_].e, ge..q.~'. F4~.tJ;il;p,Q~, Tp.~.r~. 9;t'..~9~.~ho.l¢¢.qq~z~_.t~..9~'. ~qf..~p.%~;.
House No. Street Ham/et
~worth ~y Lon~Cree.k,East by Kneski,South by Wickham Avenue,West by Reiter
ncr or uwners o-r ~roper~y ............................................................
Michael Lango~e and Anthony Marinucci
County Tax Map No. 1000 Section .... 10¥. ....... Block ...... 9 ........ Lot ..... ~ ..........
Subdivision ................................. Filed Map No 1D. Q0...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 $ 5.00
.............................
Construction on above de~ribed building a~d permit meets all applicable codes and regulations. Applicant ~.~ %~ .~.~/~_
~ t ~- -,~-;/[]-~-..~.. ~.~.~ ...........
Rev. 10-10-78 / ,
~shinE, N. Y. 11355
STATE OF NEW YORK
COUNTY OF QUEENS
SS..'
MICHAEL LANGONE~ being duly sworn~ deposes and says in refer-
ence to Village of Mattituck, Town of Southold~ County of Suffolk~
County Tax Map No. 1000 Section 107 Block 9 Lot 3:
That he has always used the building as a dwelling. The con-
dition of the building is good.
That this affidavit is in reference to application for Cer-
tificate of Occupancy for existing building prior to April~ 1957.
Sworn to
before me this
~! day of
NO'*I'ARY PU~3LJC, ~o~e of ~
No. ~0-8312~50
~ Qualified in N~ ~
MICHAEL~ LANG0~E ~'