HomeMy WebLinkAboutZ-5423FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
Z 51+23Sept 5 19.73.
No . ............ Date ....................... . , , . ,
THIS CERTIFIES that the building located at Bartley. .114-. WIS. Bay. AT.* Street
Map NoLidia BartlVock No ........... Lot No..6... Mattit....uck
................
r &
conforms substantially to the
builtCertificate of occu may
dated . before April 23 .1 1957. pursuant to whichX%0W3X1Q9WVo. Z..+2j.
dated .......... Sept .. _ ..5.. , 19.7.3 . , 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 Priy4te —one. ,r4m11y. 5*03- .ing A. accessor
building
The certificate is issued to . Eatate..of. Lattia .Pileski .....Qvner ...............
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval P7A-! . existing ....................
UNDERWRITERS CERTIFICATE No. pre-existing . .............. .
HOUSE NUMBER ... 2460. 42fttreet ...Bay, _Aye ...............................
Baxeptionst
................................................... ...... ........
Main Houses jury rigged electric wireiig to outside 11 t 52$
• Cottage: no heat summer occupancy only 513a
half bath inside — no exhaust fan 215d � c,
...................
Building Inspector
HOUSING CODE INSPECTION
September 5, 1973
#2+60-2+90 Bay Ave. and # 50 Bartley Road (Pvt. Rd #8)
/Y1 A Fj_j Te/ c k , .v . c1,
Sub -Division: Lida Bartley Lots #6 & 7
Tax Roll: Lottie Pileski
Tennant: Two dwellings unoccupied
Upon request of the Southold Town Building Department,
I made inspection of the buildings at this location and
found violations of Local Law ##1, Housing Code, Town of
Southold noted herein respectively. I was admitted to premises
by Mrs. Helen M. Rynier_ who accompanied me on inspection which
began at approximately 2:00 p.m.
Main house: one story framed dwelling with partial
full cellar consisting of kitchen, living room, full
bathroom, and three bedrooms, with heat being supplied
to every room from hot water furnace located in cellar.
There are two porches, front and rear, glass enclosed -
unheated.
Front porch: electric switch controlling outside lamp
post receiving current from porch ceiling light, wired
with trouble light type lamp cord, plugged into light
socket outlet. Section 526a.
Second house: cottage with attached one car garage, no
cellar. This building consists of two bedrooms, combina-
tion living room -kitchen, half bathroom, and glass en-
closed porch. Building is unheated, occupancy between
the first of November and first day of May not permitted.
Section 513a.
Half Bathroom: inside, no exhaust fan. Section 215d.
Accessory buildings and grounds are properly maintained.
Inspection completed at approximately a:40 p.m.
Re ectfully s mitted,
Edwar Hin ermann
Building Inspector
EH:jk
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 + ,`, , q..
New Building .................... Old or Pre-existing Building ......aa................... Vacant Land ............................
T �1-" r; is 711�17f }, iri Ii-�♦'f i
le Location Of Property ... :. :.:::.................... A........... ......... .........:h..3...... .....
Owner Or Owners Of Property T `'
. ♦ .m
Subdivision................................................................ Lot No. c .. ...7. Block No............. House No.............
d Permit No. Date Of Permit . Applicant
Health Dept. Approval ............................................Labor Dept. Approval: .:......
Underwriters Approval ..............................................Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate
Fee Submitted $ „5 nn �J
Construction on above described building rmit meet all appli able codd nd r tgulations.
Applicant................ ... .... Y'................
Sworn to before me this
?...... day of ....i :-:: .! :� .,...1.0.7.3... (stamp or seal) '� Qz-5.-1 ,3
Notary Public ....�. �....... County
` H RVEY A. A1111 FF
NOTARY PUBLIC. State of New York
No. 52-009ri5B5 - Suffolk Countg
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reLA A ., L 1 ALF TO THE
t TLE C . y I ENIAL AGENCY AND
-:NLAI,G Ir 1 1 T - Ht REON, AND
TO THE A.'.S ..oL;S _ F Tt.E LENDING INSTI;
%TI0'A. GUARAI.TEES AsE NOT TRANSFERARUII
TO ADDITIONAL ilSIRUTIONS OR SUBSEQUEN_1
O W.,ERS.
NOTE'
•_ MONUMENT FOUND
SUEDIVISIONMAPFILEDIN THEOFF/CE
OFTHECL ERK OFSUFFOL K COUNTY ON
JUL Y 27, /922 AS FILE NO. 770.
REVISIONS YOUNG & YOUNG
400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
ALDEN W. YOUNG HOWARD W. YOUNG
PROFESSIONAL ENGINEER AND LAND SURVEYOR
LAND SURVEYOR. N.Y.S. LIC. NO, 12845 N.Y.S. LIC. NO. 45893
SURVEY FOR:
VIRGINIA VAN BOKKELEN & ELIZABETH CROAKE
LOT NO. 6 &7;1 LI DA BARTLEY II
OF v
AT GUARANTE TQC „1'}
MATTITUCK HOME TITLE I IOF CH AG�
INSURANCE
TOWN OF VIRGINA V B KKEL E`T2A
SOUTHOLD CROAKE i li�,a:'�i.
SUFFOLK CO., N.Y. BY
SCALE:I D = 3d °ATE. SEPT. 4, 1973
I:
CHARLES W. GATZ
ATTORNEY AT LAW
RIVERHEAD. N. Y.
STATE Ox 111E'.'1 YORu 1
oc;
C-TTrTTV nF .:LTFFCLY, )
iIELEIT M. RYNIEC bei_nn dlil;r sworn; depos^_s and says:
That she is over the age of +-wcnty-one (21? years of ag^
and^side:: at Track Avenue, Cutchogue. Town of Znuthold.
Suffnik County New York;
That ^.he is the Frecutri�: of the Estate of Lottie nileski.
deceTsed;
Th -i7 the decedent is her mother and she ire very familiar
with the dwelling and real property owned by her lEO-e father
and mnthcr 7'gmund nd T_o!-tie
Tha`_ her mP ther ar.d father 7.7rd Sa' dP" Pm1� sein
1953 and have used same for their residence until their deaths;
Th -it her father died April 7 1964 and rcr mother died
March ° 1973 and the premises were never nr:d for anything
P1se --c-pt their residence, except- tha+- the on- ctorlr cottngr
a: occasionally rented during the 5li7mmer. month:-;
That the one-story frim- house and the one-ztory cottage
end ga ag^ are in gond condition;
That she Is raking this affidavit knowing that the
Euildin; nepa.rtment of the Town of Sou!hold will rely upon
th^ st,�t:ments made. herein.
Sworn to before me this
5..day of Segjtember. 1973.
UW -k uc, stdlwvf Row Yud1
'r�a�
s,com
.. ams 30, is S
I}ET:EA' M. RYN=
STATE OF NEW YORK )
ss:
COUNTY OF SUFFOLK )
HELEN M. RYNIEC, being duly sworn, deposes and says:
That she is over the age of twenty-one (21) years of age
and resides at Track Avenue, Cutchogue, Town of Southold,
Suffolk County, New York;
That she is the Executrix of the Estate of Lottie Pileski,
deceased;
That the decedent is her mother and she is very familiar
with the dwelling and real property owned by her late father
and mother; Zigmund and Lottie Pileski;
That her mother and father purchased said premises in
1953 and have used same for their residence until their deaths;
That her father died April 7, 1968 and her mother died
March 8, 1973, and the premises were never used for anything
else except. their .residence, except that the one-story cottage
was -occasionally rented during the summer months;
That the one-story frame house and the one-story cottage
and garage are in good condition;
That she is making this affidavit knowing that the
Building Department of the Town of Southold will rely upon
the statements made herein.
HELEN M. RYNIEC
Sworn to before me thi s
S ay of Se ember, 1973.
40�7-o ifarc
A..ARNo
N LM1C, St ` ew York
o `a' es - sufiA Count
Tim es Mat& 30.29 fS
CHARLES W. GATZ
ATTORNEY AT LAW
RIVERHEAD, N. Y.
14
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oole '1111,
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