HomeMy WebLinkAboutZ-8099FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. .28099 .. • • Date .... January...... b ......... 1948
THIS CERTIFIES that the building located at 55 Bayer Road & Street
2350' Wi6kheA" AV® '
Map No... 1.184..... Block No. '03'.00 ... Lot No. p. O.............. .
conforms substantially to theLiC�( BILLRX
dated 19. pursuant to whichC, F (,'pT-E . }O(CCU^ANCY
April...... ?3 ....., 5i � NR '� 0 CZ8099'
dated .. JANVARX....... 6...., 19. 78, 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 'FA TLY' DWELLING ' ( ' WITH " ACCY' BUILDING)
The certificate is issued to ..... • • • • •
JOSEPii'J'."ZULEWSKCo nerd, lessee or tenant)
of the aforesaid building. 11
Suffolk County Department of Health Approval ... Pre -Existing . . . . • . . • • • . • • • • •
UNDERWRITERS CERTIFICATE No . ............ P.re.Existing..................
HOUSE NUMBER ...55......... Street . Bayer. Rd. ..............................
....................................... Hattitucisi•New•York... 1•1952 ........
.-.......... .
Building Inspector
Housing Code Inspection
December 301 1977
#55 Bayer Road & 2350 Wickham Ave R-1
Mattituck, New York
Sub -Division: Mattituck Heights -Lots x;-26-28 incl. and s-33' lot 25
Tax Rolls Joseph J. Zulewski &. Wf.
Occupied: Richard & Joan Tandy (V.
Upon receipt of an application for a Pre -Certificate of Occupancy,
I made an inspection of buildings at this location. I was admitted to
dwelling by Mrs. Tandy and began this inspection at approximately
4:00 P.M.
The dwelling is a two story, wood framed structure constructed _Q-P'f3A-
a cement block foundation. First floor has a kitchen,toilet room,
living room with fireplace, sun room, dining room and family room.
Second floor contains three bedrooms and a full bathroom. Heat is
furnished to all rooms from an oil fired hot water furnace located
in full cellar. Aac•essory buildinv is a wood framed, one and one-half
car garage constructed on a poured concrete foundation.
The following violations of the Housing Code, Chapter 52, Code
of the Town of Southold, N.Y. were found:
Gas cooking range: no shut off valve at unit. Article V, Section
52-52 B.2 .
Electricals service panel located in furnace room, front panel
cover removed. Article V, Section 52-56 A.1.
Accessory building : stair,(exterior) on rear of building leading
to attic storage area have 6th & 8th steps that are broken.
Article II, Section 52-27 A.. Article III, Section 52-30 A.
Inspection completed at approximately 4:20 P.M.
Re ctfuLly submitted,
r
Idward Hindermann
Building Inspector
says:
JOSEPH ZULEWSKI, JR., being duly sworn, deposes and
I am one of the former owners of the residential premises
depicted upon the annexed survey print.
I make this affidavit to induce the Town of Southold to
issue a certificate of pre-existing use for said premises.
From on or about April 10, 1964 until on or about October
20, 1977 I was one of the fee owners of the said premises. Further-
more, at the time that I purchased the said premises on or about
April 10, 1964, I was advised by the former owners as to the facts
surrounding the prior status of the premises and, especially, its
relationship to zoning in the Town of Southold.
Accordingly, I state of my own personal knowledge and
belief that the said premises as same are depicted upon the attached
survey have existed in such fashion without any additions or altera-
tions whatsoever since prior to April of 1957. Accordingly, same
is entitled to the issuance of a certificate of occupancy on a
pre-existing dwelling and/or land use.
Sworn to before me this ,
22d day of Decemher , 1977.
2_��I ZI 14—"
NUTAWXFVWZC FR, -1. 5,1 ITIi, JR.
CP , JA Asst SJA
110, 32d Army Air Defense Command
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T _ - SECTION 7209 OF THE NFW YORK STALE!
EDUCATION LAW.
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GUARANTEES :NDICAIfD ILi:ON SWILL RUR'
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IS F0.69ARLD• ANb O:: HIS 6MALF 1Q-1HE •':
TITLE COMPANY. VGYtRi::AENTAI AGErICY AH
LENDING INSTHUIION LISTED HLRION, AND:
_ - - - 10 THE ASS!GNIES Of THE LENDING INSM .
- TUITION. GUARANI:(S ARE NOL l0.ANSFi:A0.[
- - f-/YLQ DIv AL %I ITU110NS O'R 3UBSKNLN
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Aflierrdec! I"Cyh o,c oGdn%cIG1'ic�/rfs; d3 :.ur-ve,ford Oc+i1,1977 '
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f i lod n -!ham S, iH Court. Clerkly a.
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olfrce as Mc -7 No: 1184.
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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 asipilieete 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 DECEMBER 13.1 ... 1977
New Building .................... Old or Pre-existing Building .... 29�X................ Vacant Land ............................
Location Of Property ..... ............................................
Owner Or Owners Of Property ... RICHARD„B,, Ano„JOANN..B,;,
.....TANDY..............................................:...
Mattituck Hei hts 25&26 03.00 -
Subdivision .................................. ............................Lot No............. Block No............. House No.....:::: u
Permit No.....N/.A........ Date Of Permit .... NIA ........ Applicant ...... VA.........
Health Dept. Approval ............................................Labor Dept. Approval .....
Underwriters Approval ..............................................Planning Board Approval .........
Request For Temporary Certificate ........................................ Final Certificate ...........
Fee Submitted $ , 5:00
Construction on above described building and permit meets
Applicant ARTHUR DI PIE 0, as
.... ................ ...........
prior owner
Sworn to for me this
7LC December, 1977
. .day of.......t[y�.................................
Notary Public ...... County
I61b&
IvOWARi rUdL:C, 01i3ie or iGew
No. 52-4651406, County of Suffolk
Term Expires March 30, 19_1q
rble codes a
�4t n f
r
(stamp or seal)
co7-8099
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