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
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