HomeMy WebLinkAboutZ-5230FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificete Of Occupancy
THIS CERTIFIES that the building located at . Mayflower. Road .......... Street
Map No...xx ......... Block No...:lg~ ...... Lot No.. x~ .... . .Mat$i~;.u. ck...~i ~Y., .......
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ........... l~.y ........ , 19.~..~. pursuant to which Building Permit No..
dated ........... May ......... , 19. ~8., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is ? .r.t.v.a.t.e...qn.e...f.a.m.i .ly..4w..e.~.l.!n. g ..... (O.~ig .~.a. !..~.~..0. ~..Z~ .~.~.). ..........
The certificate is issued to .Pa~..~.. Ja~Tr~e.. )~tmola ....... 01~ers. .................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval ~qre.-. H ,D ~. 2.equil. ethel,,ts .........
UNDERWRITERS CERTIFICATE No.. pr.e.-., existing ................................
ttOUSE NUMBER .... ~2~0. ...... Street...}:',.ay..~.~..o~./~.r..R..oa.d..~' ............................
· itouain~ .code .lnspectioa..Ju~-27..;97.3~..Exceptions$ .....................
llsLug cellar for bedroom- non habiteD1® area Sec 207
k
Building Inspector "~(
Paul Mamola
530 Mayflower Road
Mattituck, New York
HOUSING CODE INSPECTION
June 27, 1973
About 10:45 A.M. I was admitted by Mrs. Mamola and
looked around. There was a C.O. issued, 9182, for BE 324
dated May 1958 for new dwelling for Paul Mamola.
The house hasn't any additions. The cellar is finished
off. One room for a bedroom. I told Mrs. Mamola that such
is not permitted under our Housing Code - it's a cellar, non-
habitable space (Sec. 207 and 208). I saw no other violations.
George Fisher, Bldg. Inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Deportment
Town Clerks Office
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
Inspector 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
installations, a certificate of Code compliance from the Architect ar 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 property 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 in-
formation required to prepare a certificate.
C. 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
Dote ......... ~.~i.t~?.S ............
New Building .................... Old or Pre-existing Building ...... II ................... Vacant Land ............................
Location Of Property ........ ..M&~oweI'..~,O~d)...MI~I~c,,~..~C.,.Y~ ........................................................
Owner Or Owners Of Property .......... POl~..~.JO.yllO.~la~OJ& .................................................................
Subdivision ................................................................ Lot No ............. Block No ............. House No....?.'..?...O
Permit No ..................... Date Of Permit .................... Applicant ..................................................................
Health Dept. Approval ............................................ Labor Dept. Approval ................................................
Underwriters Approval .............................................. Planning Board At~roval ........................................
Request For Temporary Certificate ........................................ ~al Certificate
Fee Submitted $ ~'G~ ...........................
Construction on above described building and per~J'f med~s__~.all a~rc:~le c~- ..,d ,~u~t:',,~s.
Appl ~cant ........... .-,~....~..;'~-'-~..~ ......................... ,¢ .............................................
... Oar~,/-FLpifmer Olaen, Attorney
Sworo40~'before me tins
................ d~'jof ... .............. ii-..! ....................... /~/ (stamp or seal)
Notary Public ............................... : .... County