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Home My WebLink AboutZ-6627FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .46627 ..... Date ...............: !.I... 19..75 THIS CERTIFIES that the building located at ... West ,Cove . Road ........ Street Map No. Vass .. Rt o. Block No........... Lot No. .260.... C1.1tc1199A. e.... XJ P ...... conforms substantially to the rements o on farm dwellin & housin code built cert .ficate of occupancy dated .. before ,Apr U—, , 19. 5.7. pursuant to which o.Z6627 dated ........... A}tgu,4t... 1.1, 19.75., 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 prinat®. one. family dweiling...(addition under construction permit #� ................................ 77642) The certificate is issued to . Raj.ean• C . • Salmon, • • . Owner • ........................ . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval pre- existing UNDERWRITERS CERTIFICATE No. Pre- .existing ................... . ..... • • . HOUSE NUMBER .... P.30..... • Street .. W@fit. Cove„Road...................... ................................................................................ ` J Building Inspector J HOUSING CODE INSPECTION August 11, 1975 830 West Cove Road R-1 Southold, N. Y. Subdivision: Nassau Point Club Prop. Lot 280 Tax Roll: Rajean M. Codish, Salmon Occupied: Owner Upon receipt of an application for a Pre -Existing Certificate of Occupancy I made an inspection of this one story framed dwelling. I was admitted to building by Mr. Salmon and began inspection at approximately 12:50 P.M. Prior to construction of addition under Building Permit #7764Z dated 3/24/75 the original building consisted of a kitchen, utility room, dining room, living room, bedroom and bathroom. Heat is furnished to all rooms from an oil fired forced warm air furnace located in cellar. Building is constructed on a cement block foundation which includes a two car garage. I found no violations of the Housing Code, Chapter 52, Town of Southold, New York. Inspection completed at approximately 1:15 P.M. l j 4eRetf 1 submitted, EH:mm Edward 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 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 $1.00 / Dote ..... Y/ . .......... New Building ..... Addition ........ ... Old or Pre-existing Building ....../... Vacant Land .............. Location Of Property..11/..t �.r.......�....6.....1�Lit�........41!!..5!SIV.....AQ.�/.e.�..... 11�1-V Al (bD161V Owner Or Owners Of Property ..... .....1� /....... '....:56...!nM....../Y........................................... do Subdivision P �...N Ss19✓ .Pat w r Lot No...°1..If .. Block No ............. House NoAr.j Q .... ,..� ,/V� c a /. Permit No,7741.Z.. Date Of Permit 4/k/.IR..Applicant...�/[. L- .. l.�.... Health Dept. Approval 1!%? Cxt$...lr!A............Labor Dept. Approval.........IVA............................. it . \ Underwriters Approval .............................................. Planning Board Approval .... AA .......................... Request For Temporary Certificate ........................................ FinaJ Certificate ......... !i< ....................... Fee Submitted $ .. ,...'.-..�'S.'. �..... Construction on above described building merect pp le codes and regulations. Applicant............................4...(.....0..^......................... �- Swor/n� to efore me this Notary Pul JOSEPH 1. Notary Public Qualified No. 52-9091250 Commi/>fian Expires March 30, 1976 //t/ .1 (stamp or seal)" r /"� 40 7 /o3y , STATE OF NEW YORK) ss: COUNTY OF SUFFOLK) WALTER L. SALMON, being duly sworn, deposes and says: 1. That he resides at West Cove Road, Nassau Point, Cutchogue, N.Y., and is acting for his wife, &SX&XHS RAJEAN C. SALMON, in connection with the Building Pmit and Application for a Certificate of Occupancy for Lot 280, Map of Hassau Point Properties, Nassau Point, Cutchogue. 2, Deponent purchased the within premises in July of 1950. The existing main dwelling and the small cottage presently on the premises were erected and in existance on the premises at the time of purchase. The location and size and exterior appearance of bothildings was the same as at present, eRi'R rJ Gol✓sravinow UNPc�VUY Z 3. Title was taken in July, 1950 by ELIZABETH SALMON, deponent's then wife. ELIZABETH SALMON thereafter conveyed the premises to deponent in December of 1960; I conveyed the premises to Rajean C. Salmon in February of 1963. I have occupied the pr»mises since 1950 4. I am advised by Van Tuyl & Son, Surveyors, that they have no actual survey showing the location of the buildings on the property, although they have surveys of Lots 279 & 1/2 Lot 278 which show the approximate location of the main dwelling in 1952, ///? (/-m 6 /� e. C- (t Walter L. Salmon Sworn to before me this It day of AUC-U,5r 1975 JOSEPH J. SNELLENBURG 1f Notary Public, state of New York Qualified in Suffolk County No. 52-9091250 Commission Expires March 30, 197& "I 49 4fo� AL� --l' j -- Y-6- 17, 1L i -4 -7 A MMAIAM�W� wl� V_`�