HomeMy WebLinkAboutZ-5677FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. . Z..4677.... Date .............Dec ... 3......., 19.73j.
THIS CERTIFIES that the building located at i slay. Apgd.............. Street
Map NWatt.. Pk.. Plock No ........... Lot No...10fz1 I ..... h attituck• l aurel dist)
y r� irements fq, ;. on fam 1 , d � 'n Cadet
conforms substantial) to the : .
abilt Certifi ate o1 occupa.npy
ed . before .Ap.r.il• 2.3.., 19..47 pursuant to which 0,
dated ....... 1Je c ....3 ........ 19..',23, 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 .. J-.' ivate. orie, ,fAMji y..clwe', ixig . ,with accessary buil ling
The certificate is issued to . Thomas.McGjogern. 4.411.fe .... OtzOers................ .
of the aforesaid building. (owner, lessee or tenant)
Suffolk County Department of Health Approval p?'.s P; it tij ?g ....................
UNDERWRITERS CERTIFICATE No. pr.@-.exC sti.Ag............................
HOUSE NUMBER ..... 5'x-0...... Street ..Sigsby. Road ...........................
.........................................................................
Building Inspecto�
o��y�fF�kco�
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y. 11971
HOUSING. CODE INSPECTION
November 30, 1973
540 Sigsbee Road R-1
Mattituck, New York
TEL. 765-2660
Subdivision: Mattituck Park Properties Lots 10 and 11
Tax Roll: Thomas McGovern and Wife - unoccupied.
Upon request of the Southold Town Building Department
I made inspection of this one and a half story cement
block and stucca building and found the following violations
of Chapter 52, Housing Code, Town of Southold. I picked
up key from the Mil -Matt Real Estate office in Mattituck,
and began inspection at approximately 10:30 A.M.
The first floor consists of bedroom, living room,
kitchen, full bath, and utility room.
The second floor has two rooms; appears to have been
used as sleeping quarters. Building is on slab and is
unheated.
First Floor Violations: Enclosed front porch - no
switch or means of controlling light on entry. Sec.52-56 B-2.
Kitchen: Gas Cooking Range - No shut-off switch at
unit. Sec. 52-37_B_- .
Utility Room: Gas and Hot Water Heater - No pressure
relief valve. Sec. 52-53 I-1. Smoke stack runs through
wall; elbow on exterior terminates with discharge directed
downward. Sec. 52-53 A-2.
Second Floor Violations: Access to second floor by
means of folding attic stairs. Sec. 52-27 A -B. No light
or means of controlling light for safe ascent or descent of
stair. Sec. 52-26 B-3.
Headroom - six feet eleven inches (6'11") - violation
of Building and Zoning Ordinance - Chapter 100, Article I,
Sec. 100-13. Floor area liveable.
Building unheated, occupancy from May 1st to October 31st.
Sec. 52-53 A-1.
Housing Code Inspection -2- November 30, 1973
541 Sigsbee Rd.
Mattituck
Accessory building - cement block- north wall excessive
cracks in blocks running vertically. Sec. 52-62 B.
Inspection completed at approximately 11:00 A.M. Key
returned to Mil -Matt Agency.
tted,
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
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 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 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 $5.00
3. Copy of certificate of occupancy $1.00
Date
New Building ................ Addition ................ Old or Pre-existing Building ..... X........ Vacant Land ..............
Location Of Property .. 40...Sig....sbee....Ro...ad....
, Mattituck........................................................................................................
Owner Or Owners Of Property ...Thomas,_McGovern and McGovern
........................................
Subdivision................................................................Lot No............. Block No............. House 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.... p.o-.axi,sting,.I}wellin
Fee Submitted $ ...5.00 .......................
Construction on above described building and per i ;meets all qpplicobjb codes and regulations.
l/
Applicant }..
:Thomas McGovern / yrwN30 t )3
Sworn to before me is
%
�•.1.� y ...7� (stomp or seal)
D Z 7
daof ........................ ............. !
Notary Public . County �!
...................... ......
n WILLIAM tate of
NOTARY PUBLIC, S2 State of Now Y C r
No. 52-5712500 (�
Qualified in Suffolk CountyTerm Expires March 30, 19171«6
s/GjS,EE
STATE OF NEW YORK )
) SS:
COUNTY OF SUFFOLK )
says:
Thomas McGovern, being duly sworn, deposes and
That I reside at 13-07 124th Street, College =`
Point, New York and I am one of the owners of the premises
known as 540 Sigsbee Road, Mattituck, New York since
May 21, 1970®
That the said premises had been owned by
William A. Weithaas and Frances C. Weithaas, his wife,
since November 16, 1949 and had been used and occupied
as a one -family dwelling.
That the building erected on the said premises
is and has been in good condition and suitable for
occupancy as a one -family dwelling.
Sworn to before me
this 16th day of
November 1973-
NOTAPY PUBLIC, Stat® of HOW YOB
Re. 52-5712500
qualified in Suffolk Countye
fie
Term Expir®5 March , i$7,
6
-
� 3
Thomas Mic:Govern
�- I-_ W. - L