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Home My WebLink AboutZ-7178FORM NO.! TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 2.7.178...... Date ............. A,tig .....17...., 19.76. THIS CERTIFIES that the building located at .. 8/8 . Wivkum .Ave........ Street Map No. X= ....... Block No. ...Xxx.... Lot No. xxx ... X&ttituek q • B.Y. • • • • • . « .,.I XPAs o .k / / • / '1 e:: i:�J��LiSii�ii�ii �'�►'r'i'i�'i1iul Ci J'a S'� L,►«�'T �:.�_� bNM ..before. April. 23.., 19..57 pursuant to which t r o �?up$ ey dated .......... Aug ....17 ... , 19-76., 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 Private. one. family. dwelling .with .acasssory. garage ............. The certificate is issued to ...Stanley. Probka .&. WSfe .. ownero. of . renord...... . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval pre... existing ..................... UNDERWRITERS CERTIFICATE No. Fre—existing • ............. • • . • • ....... • • • HOUSE NUMBER ... 4700...... Street ..Wiekham• Ave • • • • • • • Mattituek• ....... Building Inspector 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................................................ New Byildin Addition ............... Old or Pre-existingBuilding. Vacant Land .............. Location Of Property South side of Wickham Ave. 631 feet easterly from the .......... o -f-- Tgyy ff R6ad .... tta "ituck. Owner Or Owners Of Property ...... Ot?I.... .?I20BKA / _.fl �.,�'d,;j,t ., ,.,. ............................................. Subdivision................................................................. 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 $ .? • 00 ......................... Construction on above described building and permit meets all ppplicable r........cc.o.des and regulations. Applicant ..... &.�.......................;?/V1 i ..................... Attorney for Sophie Probka r " Sworn to before me this vyy/� 17tiZ day of .. August.....1976 ...... (stamp seo) 7n �17� c Notary P blit ..,..r(/ff��!!�......... County (/ 9r1 1.II SHAW /�M { o' New Yorll rj ( V C' Yu. 52-89-^,�'"iC00 E nli r.0 .,r Juflolk cuorty z (;pmmi,-, ,n Expir-S Misch 30, 19,4 HOUSING CODE INSPECTION August 13, 1976 4700 Wickham Avenue R-1 Mattituck, N. Y. Tax Roll: Stanley Probka & Wife Occupied: Owner Upon receipt of a written request for a Pre-existing Certificate of Occupancy, I made an inspection of this two-story, framed dwelling. I was admitted to building by Mrs. Probka who ac- companied me during this inspection which began at approximately 1:25 P.M. A two -car garage of cinder block construction is located in rear. The first floor of dwelling consists of a kitchen, dining room, living room, enclosed rear porch, front entrance vestibule and side entrance vestibule which includes a half bathroom and laundry washing machine. Second floor has four bedrooms and a full bathroom. Heat is furnished to all rooms from an oil -fired steam heat furnace located in cellar of cement block foundation. The following violations of the Housing Code, Chapter 25, Town of Southold, New York were found: Rear Porch: Kitchen: Bedroom: Laundry: outside entry, no means of controlling light in room on entry, Article V, Section 52-56 B 2. gas cooking range, no shut off valve at unit, Article V, Section 52-56 B 2. northwest - lamp cord outlets on baseboard, Article V, Section 52-56 A 1. washing machine - waste line discharges to open yard area, Article V, Section 52-51 C 1. Buildings and grounds in good condition. Inspection com- pleted at approximately 1:45 P.M. Re ectfully sub�itted, iufid-t-G=1i ward i dermann Building Inspector EH:med yt1Tl.!/LL 1:;?o.4z;;,) 37d9 0 �EL ,3Jr G�'S v oNC. PVM 'T No r-SJRB O.� W.4G. •ti WATGT? ? BL6�. ini .57'7Q.E�7` Sf�p�aFl� G,J/.Ot EG..�79 73 lv2 E4;3 — �yo��Q w N� h 0 16 t; Oq S7UCC0 RE"'�5', R is �i47eao q v F.F.EL.4S.i2 6L.gig.a Ec.dS 3 O Y O 1B 5 STUCCO wSNoP � '1700 �L i S% lv4,E Y i. y t �G f44- �-z , - I -a- CC� lXq�/