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HomeMy WebLinkAboutZ-9719FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Tovm Clerk's Office" Southold, N.Y. Certificate Of Occupancy No.. 7.9719.......... Date .... October. .19 ................. 19 79 THIS CERTIFIES that the building ............................................. . Location of Property House N05 Bayer Road .... , ... , Mattituck Hsm% i County Tax Map No. 1000 Section ..107.......Block ....09.........Lot .......024..... , Subdivision .. Mattituck, Heights , , , , , , . ,Filed Map No. Requirements for a one fe conforms substantially to the 1184 ;I a $ft No. .. 42....... . ly'dwelling built prior to A ril 2Certificate of Occupancy297, , , , , , ,19 ..... P. ....... 19 .57pursuant to which 1fDt No. . • , ... dated Oetober ,19 .... . . . . . . . .. 19 79, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ...................... .One ,Family, Dwelling, .w/Accessory• Garage ....... . The certificate is issued to ..... .Ch..arles A., Price III , , , , , , , , , , , , , , , ,, , , . (owner, /oiaRJC of the aforesaid building. Suffolk County Department of Health Approval ...............N/R ....................... UNDERWRITERS CERTIFICATE NO.. Rev 4M N/R ............................ ....9 ................. ,i . Building Inspector FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No.. 71)71,-1 .......... Date .... 4cterer 19 19 7? ............... THIS CERTIFIES that the building ................................................ Location of Property .... M ? . Payer Road Mattituck House No. ..................... Street Hamlet County Tax Map No. 1000 Section ..1?? ....... Block .... 09 ......... Lot ........24..... . Subdivision.. Mattituck Heip,hts , , , , , , , •Filed Map No. 1184 1 0t No 42 Requirements for a one family dwelling built prior to conforms substantially to the Certificate of Occupancy A-pri1 23, , , , ... , 19 .57pursuant to which BbiiIII�O� No. .....?97 9 .....Z................ dated .............. 19 79, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... .......... . ............. Cnc gamily I:nmelling .w/Accessory- Garage ........ The certificate is issued to ..... ce , TTI , . , , ... (owner, %StS�B biSZil of the aforesaid building. Suffolk County Department of Health Approval ...............NIR....................... . UNDERWRITERS CERTIFICATE NO ..................... . .N/R it ... Wil..... .... .... .._. ........................................ Building Inspector Rev 4/79 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y HOUSING CODE INSPECTION REPORT Location (number & street) kriuni.cipaiizy) Subdivision1�6qc 4-/QAa_Map No. /% ?S/ Lots ) Name of Owner(s) Occupancy �-- Admitted by: --7;;=/p Accompanied by: Zr,_F% Key available,p/ec%Jw! Suffolk Co. Tax No. /0 40C3 -/p�-09-0 ZS/ Source of requestjZ2&_1<e,< (fy LllicktlQX1 /Fa Date (0 mac. DWELLING• Type of constructionC�Rftey�/Qct- �/o �C d #stories / r Foundation�,,,� 5/acCellar Crawl space Total rooms, 1st. Fl 54 2nd. Fl � !3/zS 3rd. Fl Bathrooms Z'`'`� Flo -,z Toilet room�4 ! sT tEaB/Z_ Porch, type Deck, type Patio, type Breezeway CZdMZg4 Garage Utility room Type Heat 'Warm Air Hotwater!zk Fireplace(s) -No. Exits -7-W d Airconditioning Domestic hotwater Type heater Other ACCESSORY STRUCTURES: Garage, type const./�[ock�Storage, type const. Swimming pool Other VIOLATIONS: Guest, type const. Housing Code, Chapter 52 Remarks: Inspected by:4-kezA ii( Date of Insp. /© -/r?- % Time start?-'301'h•endZ,*:5 PM• FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall 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 Inspec- tor 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 installa- tions, 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 peoperty 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 informa- tion 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 .... 10/5/79 ............... New Building ............. Old or Pre-existing Building . X.......... Vacant Land ............. Location of Property ..Bayer Road, Mattituck, New. York House No. Street Hamlet Owner or Owners of Property Charles .. Price,. 3rd. &_ Norma B. Price .....Charles A . ......................... County Tax Map No. 1000 Section .... i0?........ Block 9 .............. Lot ............ Subdivision .................................Map No............... Lot 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................... Fee Submitted $ . 5. -OO .. . .................. . Construction on above described building and permit meets all applicable codes and regulations. Applicant.. ....................................... ... Abigail A. Wickham yR Rev. 10.10.78 Z / v\ UNE�i foJNO d NOT£ SUSDI WSION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON JULY 24, /933 AS MAP NO. 1184. SURVEY FOR RUTH ENGEL LOT 42 °AMENDED MAP OF MATTITUCK HEIGHTS AT MATTITUCK DATE TOWN OF SOUTHOLD SCALE SUFFOLK COUNTY, NEW YORK NO. * UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW *COPIES OF THIS SURVEY NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY *GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- MENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS *DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR THE ERECTION OF FENCES I I,, I ,.J:°. SEPT. 24, 1979 1" = 30' 79-495 GUARANTEED T0, CHICAGO TITLE INSURANCE CO. YOUNG & YOUNG ALDEN W.YOUNG,PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y-S. LICENSE NO. 12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y. S. LICENSE NO.45893 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK