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Home My WebLink AboutZ-9763FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. ..Z970 ......... Date .. Novekber. 26 ................. 19".19 THIS CERTIFIES that the building ................................................ Location of Property .... 16?S Woodcliff Drive Mattituakt .wpy, ..................... House No. Street Hamlet County Tax Map No. 1000 Section ... 107. ..... Block .... 06 ........Lot ..... 0020....... . Subdivision ...............................Filed Map No. ........Lot No. ............. requirements for a one family dwelling built rior to conforms substantially to the Al?rU. Z3 .......... 1S5.7.. pursuCertWhih39CK1 afWaonoy..... ?970........ dated .... NOveOer. 26 ....... , .. 1979 . , 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 ......... ............... Private. One .8'amily. Dwelll.ng............................... The certificate is issued to ....... �!rank EnwArd, 4:td0111............................. (owner, NAMENIZONS of the aforesaid building. Suffolk County Department of Health Approval .............. )!/R....................... . UNDERWRITERS CERTIFICATE NO ...................... 1!/.R....................... . ildi' Ins ector P Rev 4/79 Location Subdivision BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 16,5.5- (&00'PC6 number & street Map No. Name of Owners)-/�,�,c�,E 177/ 7ur-lc - iv- ciDalitvT Lots) Occupancy L- /' type owner- Admitted by: 4,i/25..57cc,� Accompanied by:S�- Key available - Suffolk Co. Tax No.1�0107-e--0Z0 e> ,, 111,2C , Source of request Z&jc%I/Qu (&(ak:c%ate "ov- DWELLING: Type of construction 110do0 24 -1w -1G #stories dtic` Foundation Cellar�Crawl space2 Total rooms, 1st. F1 2nd. F1 — 3rd. F1 — Bathroom(s) 7Ll d Toilet room(s) Porch, type Deck, type Patio, type -- Breezeway Garage Utility room - Type Heat Caa,:�L `'Varm Airotwater Fireplace(s) No. Exits ^71k.)d Airconditioning Domestic hotwater � Type heater (:�2/L_ 2 Other ACCESSORY STRUCTURES: Garage, type const._ Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Remarks: Inspected CCS � of Insp. startd'/5?H• end 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 ....November, .2 3,r. ,1,9,79, New Building ............. Old or Pre-existing Building X ......... Vacant Land Location of Property .. ,North side , of Woodcliff. Drive , ,Mattituck, , NX . , , , , , , , House No. Street Hamlet Frank E & Beverl Ann Steele Owner or Owners of Property ....................... �'.................................. . County Tax Map No. 1000 Section ....107........ Block ........6...... Lot ....... ?P....... Subdivision .................................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant ... William Wickham... , . , . . Health Dept.Approval ........................Labor Dept. Approval ........................ Underwriters Approval ........................Planning Board Approval ...................... Request for Temporary Certificate .....................Final Certificate ....................... Fee Submitted $ . , 5: 00 / , A Construction on above described building and er . me s all lic c e and reg ul ions. Applicant. .. .. ...................... ... ill'am ick m Q,r63 Rev. 10-10-78 * � �• -7,f,763 l n l� this was constructed by Edward Slaga in 1956. v i AOENLE1i BROWN N.72.07' 40"" E. Do o- � p7 N N N MAP OF PROPERT Y S -~ RVEYE() P0V l' 51TUATE Al MATT►TUCK T6WN OF SOUT'POL ] , j4.Y, UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY 15 A VIOLATION OF SECTION 77C9 OF THE NEW YORK STATE 75.0 EDUCATION LAW. _ COEITS CF THIS SURVEY AZAR N G S• 78 - 4'4 ' + 1V. THE LA: D SU;. V,INK.ID OT BEARING ;0 ?36.87 V —a t"'to:5:D SLAL' MALL NOT BE CONSIDEREDSEAL VQAND AV15, TO DI n VALID MUE Copy. iV00()i ' C L 7 F F D R .- GUARAI ilEi 7rDICnTtD REP.EON SHALL RUN 1 SI�Y lU 1Hi Y. SJ;� FUR ViHOIA THE SURVEY RVAMID, A CG Ui. Hi5 B:IIAIF TO THE "- IMF CCLI: ANtN, �+;IV;frMLNIAL AGENCY A D ItF:CII•:G i/:: LiIi110N LISTED H,REON, AND TO THE ASS:UNEES OF ME LENDING INS,!. roy;04. GUARANTEES ARE NOT TRANSFERABLE rO J CA L E RF 0'= ' = I 11 WNE STIUNAI fN5T1iU11UN5 OR SUBStQUENT O = IRON P1VE U - MONUMENT, GUAV_ANTEGO TO TPE U.S. L!'•E ?(TrE ItNSUZANCE CO. ANO TO T kE MOZ-: W 70"K SANK ANO TZUST COMMAI 0 SUVVEYE-1) • JULY L7, 1472 VAN TOIL.� SON GU-'L-'NP0Z-C F NEW Y1OZK J Pit. SHOR rn . ou't: E 4AR LJ 10' UNOGQ w r IN OT 2 6 To r MAP OF PROPERT Y S -~ RVEYE() P0V l' 51TUATE Al MATT►TUCK T6WN OF SOUT'POL ] , j4.Y, UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY 15 A VIOLATION OF SECTION 77C9 OF THE NEW YORK STATE 75.0 EDUCATION LAW. _ COEITS CF THIS SURVEY AZAR N G S• 78 - 4'4 ' + 1V. THE LA: D SU;. V,INK.ID OT BEARING ;0 ?36.87 V —a t"'to:5:D SLAL' MALL NOT BE CONSIDEREDSEAL VQAND AV15, TO DI n VALID MUE Copy. iV00()i ' C L 7 F F D R .- GUARAI ilEi 7rDICnTtD REP.EON SHALL RUN 1 SI�Y lU 1Hi Y. SJ;� FUR ViHOIA THE SURVEY RVAMID, A CG Ui. Hi5 B:IIAIF TO THE "- IMF CCLI: ANtN, �+;IV;frMLNIAL AGENCY A D ItF:CII•:G i/:: LiIi110N LISTED H,REON, AND TO THE ASS:UNEES OF ME LENDING INS,!. roy;04. GUARANTEES ARE NOT TRANSFERABLE rO J CA L E RF 0'= ' = I 11 WNE STIUNAI fN5T1iU11UN5 OR SUBStQUENT O = IRON P1VE U - MONUMENT, GUAV_ANTEGO TO TPE U.S. L!'•E ?(TrE ItNSUZANCE CO. ANO TO T kE MOZ-: W 70"K SANK ANO TZUST COMMAI 0 SUVVEYE-1) • JULY L7, 1472 VAN TOIL.� SON GU-'L-'NP0Z-C F NEW Y1OZK