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HomeMy WebLinkAboutZ-7647FORM NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z70k 7 ...... Date ............. *w....6......9 1977. THIS CERTIFIES that the building located at ...4/0. X14414 .AM4 . (CM7)Street Map No. .. ....... Block No. ?P...... Lot No.. XXI .. Ng94A . , oX t ........... Cods conforms substantially to the Built os is o�oc"�pc dated �1`©r.. APT. A3 19.?7. pursuant to which o. If 64 dated ...........�*T• • .k ...... 1977.. , 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 Prinats. one f"ily dwe111n`.. xith accsasorr buildin` The certificate is issued to ..CM,.rles. GoiXer... "r ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval D? 7 .exlstin9............................. UNDERWRITERS CERTIFICATE NoPr!e *. Px410n9 .............................. HOUSE NUMBER ....359.40.... Street . Middle. R94APP)..... _ ...... . . Building Inspector HOUSING CODE INSPECTION April 29, 1977 35900 County Road 27 R-1 Peconic, N.Y. Tax Roll: Charles Geiger Occupied: Owner Upon receipt of an application for a Pre -Existing Certificate of Occupancy, I made an inspection of this one-story, wood framed dwelling. I picked up key at the Silleck Agency, Main Road, Cutchogue, New York, and began this inspection at approximately 3:35 P.M. The building consists of three bedrooms, living room, dining room, kitchen, full bathroom, and enclosed rear porch. Heat is furnished to all rooms from an oil -fired, hot water furnace located in partial cellar at west end of building's foundation. The bal- ance of building is supported by wood posts. There is an accessory structure in rear yard area, a wood -framed building with corrigated metal roof and siding constructed on wood posts. The following violation of the Housing Code, Chapter 52, Town of Southold, New York, was found: Exterior - finished grading of soil around perimeter of building covers lower portion of siding, Article III, Section 52-30 C, Section 52-31 B. Inspection completed at approximately 3:50 P.M. Key was returned to Silleck Agency after office hours and left at rear door as instructed. Res tfully s�U/bmitted, Edward in rmann Building Inspector EH:med 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 DateApril....25....x..1977............ New Building ................ Addition ................ Old or Pre-existing Building .. X........... Vacant Land .............. Location Of Property S/S of North Roads E/o Suffolk Co. Highway Department premises ........ .... ......................... Owner Or Owners Of Property Charles Geiger Subdivision................................................................Lot No............. Block No............. House No............. PermitNo ..................... Date Of Permit ....................Applicant.................................................................. Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ..............� ................... Fee Submitted $ 5, QQ............................ Construction on above described building and rt mee all appl' le codes and regulations. Applicant ....�/'ZtL.`�i�l..,........................................... Charles Geiger Sworn to before me this 7io y7 .,,25th...,, day of......Apri1....1977............... (stamp or seal), c ... .. ,.-ASO Not Public Suffolk County STEPHEN w.KRETZ � Notary Public, State of New York No. 52 - 4607148 Qualificd in Suffolk County Commission Expires March 30, 19ii STATE OF NEW YORK ) : ss.: AFFIDAVIT COUNTY OF SUFFOLK ) CHARLES GEIGER, being duly sworn, deposes and says: I am over the age of eighteen years and reside at 281 Broadway, Amityville, New York. Your deponent purchased the subject premises by Tax Deed dated January 5, 1937, recorded in the Office of the Clerk of the County of Suffolk in Liber 1981 Page 528. Your deponent had resided on said premises since 1932. The dwelling and garage currently located on the premises were in existence as they now stand prior to 1932. There have been no additions or improvements to the property since 1932. l Charles Geiger SWORN to before me this 25th day of April , 1977. STEPHEN W. ETZ Notary Public, Stat of New York No. 52 - 4607148 Qualified in Suffolk couAtyl Do�mmission Expires March 30, 19,W