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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