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Home My WebLink AboutZ-7626FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 27625...... Date ............. April..... 28 , 19. 77 THIS CERTIFIES that the building located at ... NIS. Jackson. St ....... Street Map No. xx......... Block No.. ? ......Lot No. ??. ... New...Suffolk ... N.Y......... se uirements for one fam"J dweilin & Housing Code conforms substantially to the IN built before ADD ? as occu ancy dated 19 5� . pursuant to which o, a176r�, . dated .........April.. 2...� 19,77., 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 isPrivate one family dwelling with two car .praage ( Frances Rideck] The certificate is issued to ? AX=114M..H H. W4001c. A. Wife ... ownex3.Of .EA0.0X4.. . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval prp-, exieting ..................... UNDERWRITERS CERTIFICATE No. P.re--eXi5t1Ag ............................ . HOUSE NUMBER ... 495....... Street...da�kSQn .Street... Neva►. auffp.1k..... l Building Inspector HOUSING CODE INSPECTION April 28, 1977 495 Jackson Street R-1 New Suffolk, N.Y. Tax Roll: Maximilian H. Rudeck & wf. Occupied: Mrs. Rudeck Upon request of William Clark, Attorney, Mattituck, New York for a Pre -Existing Certificate of Occupancy, I made an inspection of this one and one-half story, wood -framed dwelling. I was admitted to building by Mrs. Rudeck who accompanied me during this inspection that began at approximately 3:15 P.M. First floor consists of a kitchen, living room with fire- place, dining room, sun porch, and a toilet room off vestibule serving rear entry to building. Second floor has four bedrooms and a full bathroom. Heat is furnished to all rooms from an oil -fired, hot water furnace located in cellar of building's poured concrete foundation. A wood -framed, two -car garage is located in rear yard area. The following violation of the Housing Code, Chapter 52, Town of Southold, New York, was found: Front entry - no means of controlling light in room on entry, Article V, Section 52-56 B 2. Inspection completed at EH:med approximately 3:35 P.M. Resp ctfully submitted, E ward Hindermann Building Inspector 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 pion 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 ....April 28, 1977 ........................... XX New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property.......North side of Jackson Street, New Suffolk .............................................................................................................................. Owner Or Owners Of Property FRANCES . ... J . ... . RIDECK . Py ............ . ................................................................................................. Subdivision................................................................Lot No............. Block No............. House No............. Permit No ..................... Date Of Permit ....................Applicant ...................... ............................................ Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Finnl Certificate X Preexisting. use Fee Submitted $ ..........5.' 00 Construction on above described building and permit meets all applicable codes and regulations. Applicant ...... Y..�` ...... Sworn to before me this William Lr. Clark ,Attorney for Owner �?� .....2..th day of .�Pri.......�977................ (stamp or seal) % y74 y16 Notary Public ...... S. Cif F..Q,�.'t�...... County PUBLIC to stymy 1VOTPRY N', C FSt + : t ri�.W York _ - J o C:�mmi..,a,on EzPI:I tvi+r;;%i 30,-i3%�` lomd •/-aI. ,- J. 7r4O:i0'F, Gai r 014cKs40N S T T S Cale -40 o = rrroisu��f a = irohP/roc 1WAP off- PROPERTI� �URt/E'YE"O FOR MAXAL /A IV A NU FR,4NCES (J R(/OECK A T NEW SUFFOL K !OWN OF' SoUTNOL O, N. Guaru�+fe�o� 1�o ffsc Gut/ros>lcc� � Ti�/cu�� /Nor�yQ9c Go/Yi/a7ry ps survEycdOcf_ otto w. vA� ruyi� �y Liccirsco/ Lar�Scin.�-��-s Grcc�r�ri, VCW LSr.E i e h v, Z 3a r 014cKs40N S T T S Cale -40 o = rrroisu��f a = irohP/roc 1WAP off- PROPERTI� �URt/E'YE"O FOR MAXAL /A IV A NU FR,4NCES (J R(/OECK A T NEW SUFFOL K !OWN OF' SoUTNOL O, N. Guaru�+fe�o� 1�o ffsc Gut/ros>lcc� � Ti�/cu�� /Nor�yQ9c Go/Yi/a7ry ps survEycdOcf_ otto w. vA� ruyi� �y Liccirsco/ Lar�Scin.�-��-s Grcc�r�ri, VCW LSr.E i STATE OF NEW YORK COUNTY OF SUFFOLK and says: WILLIAM J. CLARK , being duly sworn, deposes That I reside at 1515 Marlene Lane, Mattituck, New York and I am the attorney for the owner of the premises located on the North side of Jackson Street, New Suffolk, Town of Southold and State of New YorkSince JAZVXrPM5M Nov. 17, 1961. Thatthe premises were owned by NELLIE T. prior thereto and have been used and occupied as a one -family dwelling since at least November 1961 That the building erected on the said premises is and has been in good condition and suitable for occupancy as a one -family dwelling. William J.'Clark, Attorney Sworn to before me this 28th do L of ;AROEET9 "I Y0r NOTARY vu?LIC,