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HomeMy WebLinkAboutZ-9212 �U�ppt�.c Town of Southold 6/19/2018 53095 Main Rd Southold,New York 11971 �1 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 9212 Date: 9/15/1978 THIS CERTIFIES that the structure(s)located at: 29925 Route 25, Cutchogue SCTM#: 473889 Sec/Block/Lot: 102.-2-15 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 9212 dated 9/15/1978 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy,for which this certificate is issued is: one family dwelling 6/19/2018 -please note this Certificate of Occupancy has been corrected due to an error with the address only. The certificate is issued to Victoria, Emily G Trust (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. at ' ed Signature FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .Z9;Z!?. . . . . Date . September 15. . . . . . . . . . . 19 78 THIS CERTIFIES that the building located at 29825• . .Main .Road • . . • . Street Map No. . . . . . . . . . . . . Block No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . conforms substantially to the RR 69 �O �MLY �iI�IGTBI��LT 'RIOR TO CERTIFICATE OF OCCUPANCY dated April. . .23. . . . . . . . . . .. 1957. . pursuant to whicht NO- - 292.1.2 dated 5 p.tw)w. . 15 . . . . . . .. 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 . . . . . . . . . . .Private• -One. Family. Dwelling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . . . . . . . . . Anne• Zaneski. . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner, txxVxWaMn7A0 of the aforesaid building. Suffolk County Department of Health Approval . . . . . . .PRE-EXISTING . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . PRE-EXISTING. . . . . . . . . . . . . . 29825 Main Road HOUSE NUMBER . . . . . . . . . . . . . . Street . . . . . ./ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cutchogue,/ ew York 4i Building Inspector Housing Code Inspection September 14, 1978 29825 Main Road R-1 Cutchogue, N.Y. Tax Roll: Anne Zaneski occupied: owner Upon request for a Pre-Existing Certificate of Occupancy I made an inspection of the building at the above captioned premises. I picked up the key from the office of Wickham, Wickham & Bressler P.C. and began this inspection at approximately 1 :45 P.M. This dwelling is a two story wood frame structure constructed on a cement block foundation. First floor contains kitchen, dining room, sun room, living room, toilet room and a side entry vestibule. Second floor contains a full bathroom and three bed- rooms. Heat is furnished to all rooms on the first and second floor from an oil fired hotwater furnace located in the cellar. This unit also furnishes all domestic hotwater to all plumbing fixtures within the dwelling. There are no accessory structures on the premises. I found no violations of the Housing Code, Chapter 52, Code of the Town of Southold, New York. Inspection was completed at approxENDFRMANN '.M. ubmitted, 0- Building Inspector 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 ...Seer 12, 1978 . .. .................. New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Main FtJad Glitch New York .................. Location Of Property ........................!.............°9!?�•. ............................................................ Owner Or Owners Of Property ni ape y ........A........nne..Za..........es.k........................................................................................... Subdivision ................................................................Lot No. ............ Block No. ............ House No. . ��> Permit No. .................... Date Of Permit ....................Applicant .................................................................. HealthDept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ...................3£.................... Fee Submitted $ ...5,.00......................... Construction on above described building and permit is I li I c regulations. f �] Applicant .................. . .. ..... ..................(......r {, I Sworn to before me this % i Url- /�/j ^'`%per/"/��,7.,� � C1� .32th...... day of .......Septenber.,..19.78....... N07Aar AN .IC S MANN(Stamp Or SQOI� "� JL p�eLIC, Srat (/ Nota Public .. ££a].k.............. CountyN•• 52-690560f°! N°` r„, !led o&So C Ta, Sas,* C.an,r 4oirp Mom f I % . ! I Vt�—Yr D F-)V I I AT CUTCMoGUN ` l ,\ I 1 bwN CX= souTf-KJ(_D,:Pr N.27 OS'2C�'F . 90.0 LAi i UMMOMOIYIED ALTERATION EIA AMMON 10 IWI SURVEY IS A WOLATION Of SC.UIP. IWAN R]DP OF THE NEW YORK STATE Z G ' Siy. . D TDUCAGON LAW. rn (] = hfiptlo eti F COPEII OF THIS SURVEY MAP NOF SEARING THE LAND SUMMITS INKED SEAL 00 tMIORSID SEAL SHALL NOT 0 CONSIDERED ]E• E: ..1 I!V EC IF A ULM ME COPY. 0 AM O18F TO FILE?L'SZ:4 fOR vl",DMH HE SEIAVIY , 4 f UAItIDE NL Oi.HIS 6MAU TO 1009 (1j 1. 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