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Home My WebLink AboutZ-4996FORM NO. 4 , �! TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. +....... Date ............ FablintX7...?..., 19.7.1 THIS CERTIFIES that the building located at . X/J . *Ukhuz .iv*......... Street Map No. M......... Block No.. XX...... Lot No.. g t f i t " 1 , . ., " � ......... )G O.I. ,,. � b� � �icr Lis t conforms substantially to the t o . 1111111M ....................... 19.77. pursuant to which #1g., -Ye ti No. dated ......... �'r•,�.. 19.. 73 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 .':S'i.v.;tig i*'. fh tl1Y: Av0?11y.kg....................................... The certificate is issued to.TT6t*r46 A. ;AP- f3.t#. .t21!!hi i* .. ( owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .11."X9. 0A4*t .A9 ..................... UNDERWRITERS CERTIFICATE No... PIS .*X1.S%ir19 ................................ HOUSE, NUMBER.715.5 .......Street..... WS.O �V*.............................. Building Inspector HOUSING CODE INSPECTION September 27, 1972 7155 Wickham Avenue Mattituck, New York Tax Roll: Tetsuo Ochikubo Tenant: John Auzins and family (second floor) Upon request of the Southold Town Building Department I made inspection of this two story, two family masonary dwelling and found the following violations of Local Law #1, Housing Code of the Town of Southold. I began inspection at approximately 10:05 a.m. and was admitted to front entrance and -directed to first floor apart- ment by Mrs. Auzins: FIRST FLOOR APARTMENT Entrance to hallway of apartment - no switch to control light - Section 529b. Kitchen - Rear, outside entrance, no switch to control light in room on entry - Section 529b. Living Room - Broken window pane - Section 302b. SECOND FLOOR APARTMENT Kitchen - Gas range, no shutoff at unit - Sect o 508b. Cellar - Outside access only, no light switch to control light at entry - Section 529b. Storage Shed (lean to)- north side of building - open junction box - Section 528a. Inspection completed at japproximately 10:45 a.m. R ectfull su itted, Edward Hindermann Inspector EH:tle STATE OF NEW YORK) ss.: COUNTY OF SUFFOLK) AFFIDAVIT HAROLD LEVINE and FLORENCE LEVINE, his wife, being ,jointly and severally sworn, depose and say: THAT they are the purchasers under a contract between 'Tetsuo Ochikubo and Jeanie Teruye Ochikubo, his wife, as sellers, ',and your Deponents, as purchasers, of certain property located on 'the north side of Middle Road, Mattituck, Town of Southold, Suffolk II;e,County, New York; and THAT your Deponents have been advised by Mr. Howard Terry, Building and Zoning Inspector of the Town of Southold, that the building on the subject premises is presently being utilized as a two-family dwelling, in violation of the zoning ordinance of the Town of Southold; and THAT your Deponents covenant and agree that upon the expiration of the lease on the subject premises, which lease ex- pires March 1, 1972, to eliminate the two-family use; and THAT your Deponents further covenant and agree that they will not utilize the said premises for their own use so as to occupy the house as a two-family dwelling, until the premises have been reconverted into a one -family dwelling; and THAT your Deponents make this Affidavit to induce the ;Building and Zoning Department of the Town of Southold to issue a conditional Certificate of Occupancy for a single-family dwell- ing, and to further issue a Certificate -of Compliance that the 'building conforms to the housing code of the Town of Southold. Sworn to before me this 010 day of October, 1972. A6"AA dJAI 114 tary Public \, SHEV RD M. SCHMNSSRG / NOTARY 9 JBLIC, State of New Yorli No. 62.3486775 - Suffolk Co'5 Commission E:c,'Arer Mcrcn so, 1 2 - "I&_ 4 _� Harold Levine Florence Levine 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 triplicate 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 dispcsal—(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 DateSeptember 14 ; 172: New Building .................... Old or Pre-existing Building ........................ Vacant Land .................... Location Of Property Hi AmQ. uo..,..................................... Owner Or Owners Of Property `�.0 S.LIQ...Q Y1 1.kJQ...alad....Qanle..TQx-. y.e..00h].1S.L1b.Q.a..k17.�..W� f Subdivision................................................................Lot No............. Block No............. House No............. Permit No ..................... Date Of Permit ....................Applicant.................................................................. Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval..............................................Plpnning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $.................................... Construction on above described building and permit meets all applicable codes and regulations. Applicant AM ... JgA�11U... � Sworn to before me this�l BY : .'0Z At `f day of ..ti?f3PiPITi�1S:x a...� G7 ,.... (st mp or seal) e J. `�.. ', ,y��•t f Y Notary Public ................................... County pR. H C: KAREL Fs STEKR NOTARY 7lIBLl::, State of Now York 1'1,. 37,_i"33MD Qualified in Nassa'.: County ifl STATE OF HEti YORK C00T1,72Y OIL -- NASSAU JERRY T. OKII40TO., residing at I NASSAU ROAD., GREAT NECK.,i NEW YORK, bein.r, duly sworn., deposes and says: I air! Attorney -in -Fact for TETSUO OCHIKITBO and JEANIE iiTBRUYE OCHIKUBO-, his wife, who are the ewners of premises ,7155 WICKHA14 AVENUE, MATTITUCK., NEW YORK. This affidavit is being ,made for the purpose of securing a Certificate of Occupancy 4 concerning the above premises. I an familiar with all of the facts of the occupancy of this property since the property was purchased by Mr. and Mrs. �iOchikubo from Doctor John A. Northridge. Since the time of this purchase'6n April 28, 1961, t'ie !property has been used for residential purposes, day of September,, 1972. CY" �T F-. �rw-R JERRY T. OKIMOTO NOiA 'f FU o I'. . L � of Ne jk N, - 35050 Quat;CCO, in Nassau County Commission Expires Match 3b, 1973 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 triplicate 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 dispcsal—(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 $1.00 Dote September...l?I... 1 72: New Building .................... Old or Pre-existing Building ....... (�................. Vacant Land ............................ Location Of Property.ZU5..Z9;LQXk7.=..AzJ'(xauQa... Mat rX.................................. TC--rTu5o Owner Or Owners Of Property Mein$.LIQ... QQbiliub.Q... azd..sT.eariae..�QX:uy.e..Ochik.UbOr..x1iz..wJLfe Subdivision?iTn.>4/<-:w%......................Lot No............. Block No............. House No............. PermitNo ..................... Date Of Permit ....................Applicant.................................................................. Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $.................................... Construction on above described building and permit meets all applicable codes and regulations. Applicant TZT.V.Q...WRIKUQ..AND ...%TFAXIB... ` MUB... QCUIX... Sworn to before me this BY:JERRY T. 0KT7oT (� ...�.�'�... . day of ..r...�972r.... (st mp or seal) Notary Public .: 01"le–zlrel- ............. County � � Y .fC C-. KAREL K STEKR NOVOY PUBLIC, 330 3^50 New York QueOiiied in1fNasssaafcho30 unty 1473 commission Exp' STATE OF NEW YORK COUNTY OF NASSAU JERRY T. OKIMOTO, residing at 1 NASSAU ROAD, GREAT NECK, NEW YORK, being duly sworn, deposes and says: I am Attorney -in -Fact for TETSUO OCHIKUBO and JEANIE TERUYE OCHIKUBO, his wife, who are the owners of premises 7155 WICKHA.M AVENUE, MATTITUCK, NEW YORK. This affidavit is b made for the purpose of securing a Certificate of Occupancy concerning the above premises. I am familiar with all of the facts of the occupancy of s property since the property was purchased by Mr. and Mrs. ikubo from Doctor John A. Northridge. Since the time of this purchase on April 28, 1961, the erty has been used for residential purposes. porn to before me this day of September, 1972. ✓ S!✓ Vii✓ 1 I $TEKRI v 111 y� NOTARY PUGS!;'., Sato of New ot} {L No. 3�-3733050 Quatified in Nassau County Commission 1�xpires March 30, 19n 4 *Iik SAu i'�yRM db4 t y 1.4 L 8r 80 s , - • r u R'ri �l� J �" r,�'�aM17F »f•,� � C .� , - `' �,/fw+✓.,inJ I7! er r. - _ } • � A. A1,x r � yy r . .5 au-j1�}•Y Y f1 .r � � T• �� .. �� 4CX^yyy'. �i MAY x 1. p r N �1l A � `a•. ��; -.11 �50.T5 - 1 zj pp ir 00 a fd rae b° s•T8 R n 4 �� o0 . Survey for r JOHN A. NORTHRIDGE Mattituck a _ Town of Southold Suff. Co -jay GUARANTEED TOr INTER—COUNTY TITLE GUARANTY n MORTGAGE CO. Mart 8,1957 PROFESSION GINE AND APRIL IT, I96I LAND SURVEYOR, N.Y.S. LIC -NO, 12845 RIVERHEAD, N.Y. �i� iii � - --