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Home My WebLink AboutZ-11228FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. 2.1.1225.......... Date ....... Prtober..1................ 19.$2 THIS CERTIFIES that the building ................................................ Location of Property..445............. I;arleri4. ),.aw? ...............Mattituc*.... House No. Street Hamlet County Tax Map No. 1000 Section .1.43 ........ Block ..Q3 ...........Lot ..Q29........... . Subdivision ...X ...........................Filed Map No. A ......Lot No. . X........... Requirements for a private one—family dwelling buiat prior to conforms substantially to the Aerplieatlom—fef-Billing-Permi44wre4e€ererKW-ire-this-of£iea-dated. Certificate of Occupancy A.P.r 11. 23 ......... 19 5A pursuant to which Building+ern it No. . Z 3 1 Z $ ............. dated ... O..tgpVA .I .............. 19 32 , 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 AK iv.at4V.or,G-faMjjy..dWg11.� r1�T......................................... . The certificate is issued to Niildred F. Litchhult another SMad®line M. Litchhult) ................ (owner, les�eoor Asnentf— of the aforesaid building. Suffolk County Department of Health Approval .... 1)/ri................................... UNDERWRITERS CERTIFICATE NO ............ m/a................................... Building Inspector Rev. 1/81 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 ... 1, ,1982, .. , . . New Building ............. Old or Pre-existing Building .... X....... Vacant Land ............. Location of Property 445 Marlene Lane , Mattituck New York House No. Street Hamlet Owner or Owners of Property ..Madeline ,M. , Litchhult„ County Tax Map No. 1000 Section .. ,143, , , , , , , , , Block ......3 ........ Lot .... .......... Subdivision .................................Filed 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 ....... X............... Fee Submitted $. 5; 00,,,,,,,,,,,,,,,,,,,,,,, Construction on above described building anal mit meets all applicable codesya regulations. Applicant ..,%/CC—c�'`L�'�c�"'� *9a,aeline' M. ,LI!Cd itiu,TE7 Rev. 10-10.79 �/UL, _ co T I / 0Z a /Z.Q� . aQ 7 5- /- ,- 38 I q � r Q111AL STATE OF NEW YORK: ss. COUNTY OF SUFFOLK: MADELINE M. LITCHHULT, being duly sworn, deposes and says: That I am the owner of a parcel of land at 445 Marlene Lane, Mattituck, New York (Suffolk County Tax Map No. District 1000, Section 143, Block 3, Lot 29). I acquired this parcel on March 16, 1978 along with my mother-in-law, Mildred Litchhult, in deed recorded in Liber 8402 Page 388. Located on the property is a one-story frame house with an attached garage, which has been used continuously as a residence since approximately 1956. All of the buildings are in good condition and have been constructed prior to 1957. This application is made for the purpose of obtaining a 1pre-existing Certificate of Occupancy from the Building Department lof the Town of Southold. `%L-�—c� Madeline M. Litchhult (Sworn to before me this Ilst day of October, 1982. Notary Public BARBARA DIACHUN Notary Pubk, State of Now York No. 52.4635190 Suffolk l mwW Commkslon Uplm Mamb &% ],Pgy BUILDIi`2G DEP!u' RT TE"'iT T0,'J�N OF SOUTHOLD, N. Y. HCUSI,G CODE INSPECTION REPORT Location �n=cer (�( s uree-cT - � 1iunicipality) Subdivision ikiap No. Lot(s) Name o Owner(s) s Occupancy —'� type own bnan Admitted by: ';ead-Fccompanied by: Key available ' Suffolk Co. Tax No. Source of request 2° L. D _,_g,� �i %� Date L,5 D1.1FEJ LI`?G: Type of construction rstories Cry Foundation �i Cellar r �Crawl space Total rooms, lst. F1 2nd. F1 3rd. F1 Bathrooms) Toilet room(s) Porch, type Deck, type Patio, type Breezeway Garage' -Utility room Type Heat % Warm Air Hot --water Fireplace(s) No. Exits Airconditioning Domestic hotwater .rol ,Type heater, Other ", '-1 - / , / - /-— �i ACCESSORY STRUCTURES: Garage, type const. �'�torage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Remarks: Inspected by:K Date of Insp.� `�, Time start,2-; 3C end t TOWN Of SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT A /t FORMER OWNER N e, T14 V X", E ACR.K 41 4 W TYPE OF BUILDING C- RES. SEA FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 9;z 3oo �3c,6 360 0 M t F- i i u 14- Dec - ,Y' 700 3 50 0 C) CP 0 S! 14114,0,0 0,- Z/ ikv1fx6 P AGE BUILDING CONDITION N" NORMAL BELOW ABOVE FARE Acre Value Per Acre Value Tillable I Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD -7, 0 House Plot DEPTH BULKHEAD Total I DOCK CCLOR -- 1 �-- �- ------ --, �--�-� -- TRIM : -+--_i— - - � � I I � cul � I i � - •� i i f .a. __T- - M. Bldg. _- f < �' / � �, c 1 ��.Foundation � ,; f. Both % Dinette I Extension ! I iBasement t i Floors Extension j ! !Ext. Walls t. _ Interior Finish LR. — Extension i Fire Place1YG r Heat L.^ DR. — -- -- Type Roof Rooms 1st Floor— Porch i I 'Recreation Room lRooms 2nd Flocr i I R N. B. Porch ! I Dormer 1 1 --- Breezeway % /= Driveway Garage Patio O. B. Total