Loading...
HomeMy WebLinkAboutZ-9478FORM NO.! TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy Z 947i3 No. Date ...... March ............................---% , 19..79 THIS CERTIFIES that the building located at ..3895 Sound Ave 1mmatxx Map No.. xxxxxxxx Block No... xxxxxx Lot No...... xxxaacxxxx REQUIREMENTS FOR ONE FAMILY DWELLING BUILT PRIOR conforms substantially to the -afiawA%R CERTIFICATE OF OCCUPANCY AAril ?_7 , 19..57 pursuant to which E rril:limac2kindi No.. 2.9478. dated .... March. ..28......... 19.7., 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 .. _ ......... Or n. 737i7ty Dwel.lini' ........................... Leo W. Sl.edzieski & w . The certificate is issued to .................................... .................. . ( owner, beasesxwjtemxxW of the aforesaid building. Suffolk County Department of Health Approval ......Pre- ........ . n .................. Pre-Existin7 UNDERWRITERS CERTIFICATE No. ... ........................................ . 3895Sound Ave HOUSE NUMBER .............. Street ............. I .......... . ...... ....................................... :..... Mattituck,.�w York...... Builing Inspector County Tax Number 1000-121-01-002 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION.REPORT Location number & street Municipality Subdivision Map No. Lots) Name of Owner(s) &/,C - Occupancy / e owner - Admitted by: .5�G-F Accompanied by: Key availableSuffolk Co. Tax No. Source of request Ixlloleo — Date d-aI?0 - %� ` DWELLING: Type of construction 000 11?A1Y1eF #stories / �Z Foundation,yt��G Cellar.5l/ Crawl space Total rooms, 1st. Fl zLyes' 2nd. Fl z E12S 3rd. Fl Bathroom(s) Twa FuGII Toilet room(s) Porch,.type Deck, type Patio, type BreezewayF.v C L IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�Garage .i GW ZA1—,,ocvw Utility room Type Heat Z QyL&- ` Warm Air - Hotwater Fireplace(s) No. Exits Aircondi-tioning Domestic hotwater 6 ,�// ���K Type heater -ZA_1 /VkXE�55 Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description jArt.j Sec. Z�ke % — /,/O RJS Remarks: Q Inspected by ate of Insp. U� 7 "'fiend Time starter:''© 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: 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 20, 1979 ........................ New Building ................ Addition ................ Old or Pre-existing Building .....X........ Vacant Land .............. Location Of Property.....Nor.....therly side of Sound Avenue, Mattituck, New York ........................................................................................................................... Owner Or Owners Of Property ...Robert Sledzieski and William Sledzieski .......................................................................................................... Subdivision �a Ax /oo G - /� c Y�� ................................................................Lor 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 ........................................ FinaJ Certificate....... ................................... Fee Submitted $ ...5.:.00 ............... Construction on above described building and per et; PPI* codes and regulations. Applicant • i•• a"rd" '':"'�" r ',"A fo'r'ri'ey".f6r.... Ipp7 i'c'ari£s"' Sworn to before me this \�ec��p' t720th.,.... day of ........March ........................ (stamp or seal) ' 5-q r7 Suffolk County C+p Zci Notary Public ...(....... ty BARBARA Notary Public, Stateate of of New York No. 52.4635190 Suffolk Countv Commission Expires March 30, 1990 Y ..r Title No -- File No_ 113Q NjF ThornfOn S rifh 5 85 0 48140 "E __'8Y S� So 11'N 76 0 4g 40 ,!l/ 208.'96 4t1el1lV F 176 •X87 0 a Q) I � 111 W4SHINGTON DRIVE t PHONE r,FNTERPORT, N.Y. 11721 LAND SURVEYOR (516) 423-0117 LIC. NO. 45021 � � o IC OF irEK, TITLE SURVEY FOR 7 w N tia�Y Y P �3UARANTEED TO IPI'>. CU. ('F' Pi.Y. F'.(i.A. °� 6 I OT(s) BLOCK I (i f M��CA� �' °• ON p ;.':'i' �'.T; t.r .'i1UTii( 11119 SUFFOLK CO. N.Y. 4so7' KALE 1in.= ft. DATE _�`�F0t:1rvo°s)'� IT I l r ' (! S F,}:}.:T NV1 AINb,D BY TOWN . NjF ThornfOn S rifh 5 85 0 48140 "E __'8Y S� So 11'N 76 0 4g 40 ,!l/ 208.'96 4t1el1lV F 176 •X87 0 a Q) I � t c c � � o IC \ lU ci 7 w N ac �' 0 LU m 4�g � 9 NjF ThornfOn S rifh 5 85 0 48140 "E __'8Y S� So 11'N 76 0 4g 40 ,!l/ 208.'96 4t1el1lV F 176 •X87 0 a