HomeMy WebLinkAboutZ-7431NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
THIS CERTIFIES that the building located at .l[/$...l~y..AV~ ............. Street
Map No. XX ......... Block No. XX ....... Lot No..XX.. l~at~;ltU~k..N,~, .........
confor~ substantially to the ~~~
b~.
~fl~te~fl te oceu ~ey
dated ........... D~.~ .. 2.~ .... , 19..~, was issued, ~d conforms to ~1 of the req-lr~
ments of the applicable pro~sions of the law. The occup~cy for which this certificate
The certificate is issued to .. ~~.
(owner, lessee or ten,t)
of ~e aforesaid building.
S~o~ County Department of He~th Approv~ P~ .,. e.~S~.~g ...................
U~ERWRITERS CERTIFICATE No. pr~ex~s.t~ .............................
HOUSE NUMBER .... ~ ...... Street ...~. A~ .... ~aZt~ ................
Bffilding Insp~
HOUSING CODE INSPECTION
December 20, 1976
745 Bay Avenue R-1
Mattituck, N.Y.
Tax Roil: Raymond W. Pluschau & wife
Unoccupied
Upon receipt of an application for a Pre-existing Certificate
of Occupancy, I made an inspection of this one-story, wood framed
building.' I picked up the key from Augie's Delicatessen in Mattituck
and began this inspection at approximately 1:35 P.M.
The building consists of a living room, dining room, two
bedrooms, kitchen, and bathroom. Heat is supplied to building from
a warm-air furnace located in the cellar of building's cement block
foundation. Heat outlet is cut into floor approximately centered
in the building.
The following violations of the Housing Code, Chapter 52,
Town of Southold, New York, were found:
Living room - no means of controlling light in room on entry,
Article V, Section 52-56 B (2).
Bedroom - southeast, lampcord outlet on baseboard of east wall,
Article-V, Section 52-56 A (1).
Smoke stack - of furnace, stack switch cover is off, Article V,
Section 52-56 A (1).
Hot water heater - gas fired, no shut off valve at unit,
Article V, Section 52-52 B (2).
Fresh air vent - for building's sewerage and drainage system,
pipe runs through exterior wall, no perforated plate, and
paper has been stuffed into pipe opening, Article V, Section
52-51 C (8).
Inspection completed at app~ately 2:00 P.M.
returned to the Delicatessen.
Re~_~tf~lJsubmitted,
~Edward Hi'ndermann
Building Inspector
Key was
EH:med
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 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: ]. 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 ..~...e..q.e...m..b...e..~.....'l. ~.,....'l..c~.~..~. ......
New Bt4ilding ................ Addition ................ Old or Pre-existing Building .....~. .......... Vacant Land ..............
Location Of Property ........ ..~..~..~.~...~.~..~..e.....~.~....~..~.~.....~.y...e..~..U..~..'....~.~.~..~..~..~.. ..........................................
Owner Or Owners Of Property ...... ..~..~.~9..~.~...W.,...?..~.U.~..q.~..U.,..~.t .......................................................
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 ........................................ FinoJ Certificate ......... ..X. ..............................
Fee Submitted $ ...... ~.~.0.0 ....................
Construction on above described building and/f~it~/_~~meets oll~,~. I~odes~;I regions.
Applicant ..... ~~....~..'. ,Z'. ~....g~......'=. .........
w. Zuschau, Sr.
Sworn to before me this ,/~ / /_ .'~_
......................................... ,sram
.......'l..~.~..h. day of December
Notary Pu I::~/~,.~ ...,~/X~.Joff nty .........
~-- - 7 ~ /'~' ~rV~ILLIAM CLARK
/ ~ NOI'ARY PUBLIC. $!'~*s of New Yo4~
TOUallfled in
STATE OF NEW ~
COUNTY OF SUFFOLK
)
) SS:
)
RAYMOND W. PLU~OHAU, ~R., being duly sworn, deposes
That I reside at Main Road, Mattituck and I am the
owner of the premises located on Bay Avenue, Mattituck since
November 25, 1975.
That the said premises had been owned by William Peter
for more 'than 25 years 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 oooupancy as a one-
family dwelling.
uschau, Sr.
Sworn to before me this%
day of Decem~r~
WILLIAM CLARK
IO}AIT PUBLIC, State of New Ya4~
No. 52-5712500
~)ual;fied in Suffolk
'l'.~m Explr.s March 30, IgZ.o~