HomeMy WebLinkAboutZ-9511 Fosas No. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. . `: 5. . . . . . . Date . . . . . . . . . . . . . . . . . . . . . . . . . . . ., 19. 79
THIS CERTIFIES that the building located at . . 7745 Oregon Road graft=
Map No. . . . . . . . . . . . . Block No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
REQUIREMENTS FOR ONE FAMILY D I 4.0 � U,IL PRIOR TO
conforms substantially to the
19. pursuant to whiCIF �'IC TE , FNO CCUPANCY
Atc . . . April. . .23. . . . . . . .. 57• P X951 q. .
4NM May..1. . . . . . . . . . . . . .. 19.79., 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 Detached Garage & Accessory
'Sto"rage" 'shed's" 'Ctwo)" "
The certificate is issued to . . . . . . . . . . . . . . . . . Anthony .Zanieski• • • • • • • • • •
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . . . . . .Pre-Existing . . . . . . . . . . .
UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . . . . Pre-FXIst 9. . . . . . . . . . .
HOUSE NUMBER . . . .7.7.45. . . . . . Street . . . . . . . .Or on. Road. . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . cho , . ew.York. . . . . . . . . . .
Building Inspector
County Tax Man Number
1000-095-01-008 Pt.
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 ...AP.TU..26.,,...1.97.9..........
New Building ................ Addition ................ Old or Pre-existing Building .....X........ Vacant Land ..............
Location Of Property North side of Oregon Road, Cutchogue, New York
..... ..... ............
Owner Or Owners Of Property Anthony_.J:.. Zanieski and Dolores Zanieski
...............................................................................
Subdivision ...........NLA.............................................Lot No. ............ Block No. ............ House No.............
PermitNo. ...NI.A......... Date Of Permit ....................Applicant ..................................................................
Health Dept. Approval ..........WA..........................Labor Dept. Approval .........NSA...............................
Underwriters Approval ............NI.A..........................Planning Board Approval ..N/A...............................
Request For Temporary Certificate ........................................ Final Certificate ...........X............................
Fee Submitted $ S...QO..........................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant ... �Von
r)rz ... . ...............................................
Anan eski,�'
Sworn to before me this Applicant. . .zo
. . -�K... . . . . . . . . . . .. . . . . . . . . . . . . . .
�✓//rr'' (Dolores Za eski)
�:TI4.... day of .... ......................... (stamp or seal)
1979 . MMcu►L f1EFTB1 /h"S?D
Notary Public ..... .. C Mbd<
Na
00111isd In l uft&Cw* 4 q�
C.onvnb"EVIra March 3061580 �. .
AFFIDAVIT
STATE OF NEW YORK )
ss . :
COUNTY OF SUFFOLK )
ANTHONY J. ZANIESKI, being duly sworn, deposes and says :
1. That he resides at (no number) Oregon Road, Cutchogue,
Town of Southold, County of Suffolk and State of New York.
2. That he, together with his wife, Dolores Zanieski,
is the owner of a one-story dwelling situate on the north side of
Oregon Road, Cutchogue, New York.
3. That your deponent acquired title to said premises
by deed dated March 19, 1979 from his father, Alexander Zanieski.
That annexed to this affidavit is a letter from the Planning Board
of the Town of Southold dated December 5, 1978, acknowledging the
fact that no further approval was necessary in connection with
this transfer.
4. That the premises conveyed to your deponent and
his wife have been owned by your deponent' s father, Alexander
Zanieski, since December 18, 1936.
5. That since 1936 there have been no structural al-
terations to the dwelling.
6. That no changes to the premises or their use have
been made since April, 1957, that being the date of the adoption
of the Southold Town Zoning Ordinance.
7. That annexed hereto and made a part hereof is a
survey of the premises prepared by Young & Young, dated December 12,
1978.
8. That the said premises have been shown on the annexed
survey without change since April of 1957.
9. That your deponent requests that a Certificate of
Occupancy for a pre-existing building for the subject premises be
issued.
nt ony J. Zanieskl)
Sworn to before me this
,,�t�,day of April, 1979.
Notary Pu 'c
MAN AL HWM
11e1u11 ft
oil In f In SUM It Gountlt
Commimion Edna Mwoh 90.1 M
-2-
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location -7 y C
number & street) (Municipality) '
Subdivision - Map No. Lot(s)
Name of Owner(s)
Occupancy /�F- �i �7-�o�c� ZA AEZZk-
type owner-tenant
Admitted by: 141 Accompanied by:
Key available Suffolk Co. Tax No./p6��5-01-00,f
Source of request4L ,C Date --,/- 2 j� - 7
AV
DWELLING:
Type of construction ajoo41YA5 #stories
Foundation ,p ,U �' '` Cellar' ;;l:7�4 Crawl space iri
Total rooms,, lst. Fl .6— / &At-- 2nd. Fl ,,:T ZIE<, 3rd. Fl
Bathroom(s) fl Toilet room(s)
Porch, type e'�,o�s ,u C-G, Deck, type Patio, type
Breezeway Garage Utility room
Type Heat. Warm Air Hotwater
Fireplace(s) — No. Faits Airconditioning
Domestic hotwater == Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const.o,u- r-o/e-�6&,Storage, type const. (,vow
Swimming pool Guest, type const. —
Other
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
�i
�- z -3o b
Remarks:
Inspected by: 4"Q1 ,1 Date of Insp. o0 Time start7_end Z '0'6