HomeMy WebLinkAboutZ-11804TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPLCTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
THIS IS TO CERTIFY that the
/ X/ Land
/ X/ Building(s)
/ X/ Use(z)
No. Z11804
July 26, 1983
located at 725 Pacific Street Mattituck
Street H am et
shown on County tax map as District 1000, Section 141 , Block 04
Lot 012 , does tmWconform to the present Building Zone Code of the
Town of Southold for the following reasons:
The land, building, and use: a private one -family dwelling is
a permitted use in this 'A' Residential -Agricultural Zone.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above Mhconforming /X/ Land /X/ Building(s)—
/'T/Use(s) existed on the effective date the present Building Zone Code of the
Town of Southold, and may be continued pursuant to and subject to the appli-
cable provisions of said Code.
IT IS FURTHER CERTIFIED that, based upon information presented to
the Building Inspector's Office, the occupancy and use for which this Certifi-
cate is issued is as follows: a private one -family dwelling.
THIS DWELLING IS NON -HABITABLE UNTIL REPAIRS ARE MADE AND
APPROVED BY THE BUILDING DEPARTMENT.*
The Certificate is issued to JAMES MASON & HIS WIFE
(owner, tessee--or-tenant)
of the aforesaid building.
Suffolk County Department of Health Approval n/a
UNDERWRITERS CERTIFICATE NO, n/a
*SEE ATTACHED HOUSING INSPECTION REPORT.
�.. , N . �4S .I��I
BUILDIi,TG DEPART1,1E TT
TOIN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 725 Pacific Street Mattituck
�numoer & street) iiunicipality)
Subdivision X IlTap No. X Lot(s) X
Name of Owner(s) James Mason & wife
Occupancy R-1 unoccupied
type owner -tenant
Admitted by:_ self Ac�c�rapanie3 uy.
Key available Griffin garage+
Suffolk Co. Tax No. 141-4-12
Source of request Richard F. Lark, Esq. Date Mar. 31, 1983
MTELLI�TG :
Type of construction wood framed
,`stories 2
Foundation brick Cellar full Crawl space
Total rooms, lst. Fl 3 2nd. F1 2, 3rd. F1
Bathroom(s) 1 --first floor Toilet room(s) 1 --second floor
Porch, type wood, roof ovelreck, type Patio type
Breezeway Garage Utility room
Type Heat oil fired Warm Air X Hotwater
Fireplace(s) No. Exits 2 Airconditioning
Domestic hotwater yes Type heater .gas
Other
ACCESSORY STRUCTURES:
Garage, type const._
Swimming pool
Other
NONE
Storage, type const.
Guest, type const.
VIOLATIONS:
Housing Code, Chapter 52
Location
Description
IArt.l
Sec.
kitchen
floor needs repairs badly
1III
152-32-A
bedroom(down
large rotten spot in floor
III
52-32-A
bathroom
floor walls fixtures need repairing
III
152-32-A.C.D
stairs (up)
rails missing and broken
II
IV
152-27-A & B
lower floor
heater rills in floor broken
52-50-A
windows & do rs some broken, all need repairing
III
52-32-B
outside
chimney falling away from house
III
52-32-B
" I
wood shingles missing
III
52-37B
cellar
cellar ste s broken and no rail
II
52-27-A & B
outside
porches need repairing IIII
52-31-A & B
THIS DWELLING IS NON -HABITABLE UNTIL REPAIRS ARE MADE
Remarks: AND APPROVED BY THE BUILDING DEPARTMENT.
Inspected by: Date of Insp. 7/13/83
Curtis W. Horeon Time start 10:45 end 11:25
• y
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 .. March 9, 1983
New Building ............. Old or Pre-existing Building(X) . Vacant Land
Location of Property ... Pacific . Street ._ ._ ............. . Mattituck
House No. Street :.....Hamlet
Owner or Owners of Property James Mason and Ida Mason
County Tax Map No. 1000 Section , , .141 . , , , , , , Block .._!I ......... Lot .... 12.
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 $ . 15..00
Construction on above described building and permirmeets all appl.cablg-codes and regulations.
Applicant �...,.._�.-. Zai U � James Mason-''
Rev. 10-10-78 —� ( -Lu l 83
J LH 4 r Ida Mason
CONSENT
TO
INSPECTION
JAMES MASON the undersigned,
Owner(a) Name(a)
do(es) hereby state:
That the undersigned (is) Jwavo the owner() of the premises in the Town
of Southold located at Pacific Street, Mattituck, New York
which is shown and designated on the Suffolk
County tax map as District 1000, Section 141 , Block 4 , Lot 12
That the undersigned (has) (kzvei) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Certificate of pre-existing use
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: March 31, 1983
}�r� �v✓� *1 a4-�
a` (signature)
James Mason
(print name
sicnature)
(print name)
STATE OF NEW YORK:
. ss.
COUNTY OF SUFFOLK:
says:
JAMES MASON and IDA MASON, being duly sworn, deposes and
That we are the owners of a parcel of land on Pacific Street,
tituck, New York (Suffolk County Tax Map No. District 1000,
141, Block 4, Lot 12). We acquired this parcel on April
10, 1964 from Clara L. Benjamin (Liber 5531 Page 460).
Located on the property is a two-story frame house which has
been used continuously as a residence since approximately 1920.
1 of the buildings are in good condition and have been
constructed prior to 1957.
The application is made for the purpose of obtaining a
sting Certificate of Occupancy from the Building Department
of the Town of Southold.
to before me this
a_� J day of March, 1983.
Notary P
c
�- James Mason
Ida Mason O 04t <
BARBARA DIACHUN
Notary public, State of New York
No. 524635190 SuHo& county
Commission Expires March 30. 19Rq
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
1000663 THE NEW YORK BOARD. OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
Fe-hg 41 STATE STREET, ALBANY, NEW *061K 12207
Date January 4. 1982 .Application No. on file 152812/81 N / A 5 8 9 83 8
THIS CERTIFIES THAT
only the electrical equipment as described below and Introduced by the applicant namwel on the above application number in thepremises of
Jamas Mason, Pacific Street, Mattituck, N.Y
in the following location; KI Basement ❑ let Fl. ❑ End Fl. Section Block Lot
was examined on and found to be in compliance with the requirements of this Board.
December 28, 1981
NXTURE
ACUS
SWITCNlS
RXTURRS RANOK GOOKEYG DECKS OVENS DISH WASHERS
EXHAUST FANS
FLUORESCENT
AMT. I K. W. AMT. K. W. AMT.
K.W. AMT. I K. W.
AMT.
H. P.
OUTUITS
INCANDESCENT
DRYERS
FURNACE MOTORS FUTURE
APPUANC! �
SMAL RWPT TIM! dAgcs
EEK UNIT
TRANS.
NIATM
M ATIOUTMITsysma
NO T
DIMNItRS
AMT. WATTS
AMT. K. W.
OL
H. P.
GAS
H. P.
AMT.
NO. A. W. G.
AMT. AMP. AMT.
AMPS.
AMT. H. P.
$M%40 DNKX*001I7 -_ ..NO
OF
S. E .A ._ V 1 C E
AMT. AMP. TYPE
�
1.9 21N
10 31N
3 X 31N
9 4W
OF CC
OF CC W.W.
NO.OF HI-LEG
OF &&.
NO.OF N MMUS
OF NWEU RAL
1
100 CB
%
1
4
1
4
OTHER ANARAM.
�7
Glenn R. Bradley
RFD1169 . - Horton Avenue WANCH MANAGER
Mattituck, N.Y. 11952 Lic.11227 1`l
per
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
BUILDPIG DEPARTMENT
T0VIN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
numoer 6c sz&e
Subdivision
Name of Owner(s)
Occupancy
typ e
Admitted by:
cepa-Li
Map No. Lot(s)
Accompanied by: 929�_= -
V
Key available &d� Suffolk Co. Tax No.
T
Source of request _jr4, ��� Date��
DWELLING:
Type of construction #stories_
Foundation„� Cellar�Crawl space
Total rooms, 1st. Fl 2nd. F1 _3rd. F1
Bathrooms) Toilet room(s)
Porch, typeck, type Patio, ype .
Breezeway Garage _Utility room
Type Heat 'Warm Air Hotwater
Fireplace(s) No. Focits Airconditioning
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
d�r1�
i
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1T '.ti.0 W, -7rA, ..✓.M
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Inspected by:
N
• � • . rL GvJZR
Date of Insp.
Ti e start
!end