HomeMy WebLinkAboutZ-7599FOXX NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. .4759.9..... Date ...............Apr. \ . . . . . . ., 19..7.7.
THIS CERTIFIES that the building located at S/.S. Central .Drive ....... Street
Map NoCapt.11tid .$dock No ........... Lot No. 138 ..... Hattituck .. NaY.......
conforms substantially to the ® n s -fqr,.Qnek family dvall JU& do ou Code
built ggrt ,fi to . p occupancy
ated . bofore..Apr. 23 ....., 19.57. pursuant to which 1Vo.. 7599
dated ...........April. A..., 1977.., 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 . PT.I,Qate..Qne. f4�417.dwolling....... . .............................. .
The certificate is issued to . Ji0=y. F...Prause .&..W:Lfe. (. A7%/A/..3l3a .Garsch)AMPIS of
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval prew• •existing• ... • ............... .
UNDERWRITERS CERTIFICATE No. pre.-. existing .............................
HOUSE NUMBER .... 1105-- ... Street ... Central . Drive...... Mattituck • . • • . .
LC, -<!.. ..........
Building Innspecto
HOUSING CODE INSPECTION
April 1, 1977
1105 Central Drive R-1
Mattituck, N.Y.
Sub. Div.: Capt. Kidd Estates, Lot #138
Tax Roll: Henry F. Praus & wf.
Upon receipt of an application for a Pre-existing Certificate
of Occupancy, I made an inspection of this one-story wood framed
dwelling. I was admitted to building by Mrs. Garsch who accom-
panied me during this inspection that began at approximately 1:00 P.M.
The building consists of two bedrooms, a full bathroom, a
kitchen, and living room. An enclosed porch is located on the
east side of building. All rooms except porch have electric heating
units located at baseboards. Building is constructed on a cement
block foundation with crawl space.
I found no violations of the Housing Code, Chapter 52, Town
of Southold, New York.
A rustic fence is located along front yard property line.
Building and grounds are in good order.
Inspection completed at ap imately 1:1 P.M.
Res ectfull bmitted,
ward Hi d rmann
Building Inspector
EH:med
FORM NO. B
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 $1.00
Date .,March 30, 1977
........................
New Building ................ Addition ................ Old or Pre-existing Building X............. Vacant Land ..............
Location Of Property ...S/S Central Drive, Mattituck, New York
...........................................................................
Owner Or Owners Of Property ...Ella P. Garsch f/k/a Ella K. Praus
..........................................................................................................
Subdivision .,Captain Kidd Estates Lot No. 13.$..... 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 ......... ?...............................
Fee Submitted $ .5. -AQ ..........................
Construction on above described building and p it meets all�oppficable codes and regulations.
�'.
Applicant ......... .Q.. .... ..::......................................................
Ella P. Garsch f/k/a Ella K. Praus
Sworn to before me this�� 77
.30th day of ......March r 1977 (stamp or seal) 75/
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