HomeMy WebLinkAboutZ-9850FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No. Z9850 .......... Date ......Januar^y ,25 ............... 1980.
THIS CERTIFIES that the building ................................................
Location of Property... 3Z1.30...........Main •Rpad .............. Cu�tchog-ue • • • • • • .
House o. Street Hamlet
County Tax Map No. 1000 Section ... 085 .....Block . p3 ...........Lot ..003........... .
Subdivision . )g ...........................Filed Map No. X ......Lot No. . X...........
conforms substaniPw AA ��yy
•April -2-,. ........... 19 57 purssuuan-tFtowfu(%0.29850 ...............
dated .... Januar%y •25• • • • • • • • • • • • 19 80 , was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
• •Ons •family• residential• -with •Qommeroial• ..B1. use. ......................
The certificate is issued to ... •Marie • V•.• •B a SoN n it ......................
of the aforesaid building.
Suffolk County Department of Health Approval ...... N -/R ................................
UNDERWRITERS CERTIFICATE NO.............N/R.................................
Wuflding Inspector
Rev 4/79
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
number & street Muni ipality
Subdivision Map No. Lot(s)
Name of Owner(s)
Occupancy VA CA i- /
(type) owner. -tenant
Admitted by:Accompanied by:
Key available y(/ 1%tel 47 Suffolk Co. Tax No.1006--6 15-00
Source of reques / .1 'E w Date
DWELLING:
Type of coratruction #stories �Ze
Foundation '/- Cellar ,rj Crawl space k)a„)
Total rooms, lst. Fl!�L 2nd. Fl S/,-F-V6S 3rd. Fl
Bathroom(s) Toilet room(s)
Porch, type,? Deck, type Patio, typeU c
Breezeway - Garage — Utility room
Type HeatE 10` Warm Air�,�s Hotwater
Fireplace s) %W/o No. Exits -3 Airconditioning
Domestic hotwater �5 Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
VIOLATIONS•
Storage, type cons t..M. 6op'?7'A/VE
Guest, type const.
Housing Code, Chapter 52
Location
Description
Art.1
Sec.
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T "c-
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.� zeal - `-
c-36
ccC
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Remarks:
Inspected
3.Z'
ate of Insp.�RAJ /0 f
Time startZ`endZ_ �'Sb 1-21y'
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
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 Inspec-
tor 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 installa-
tions, 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 peoperty 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 informa-
tion 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 ...January 23, 1980.. ,
New Building ............. Old or Pre-existing Building .. X ........ Vacant Land .............
Location of PropertyMain Road Peconic
...................................................................
House No. Street Ham/et
Owner or Owners of Property ....... C1.AF.U= ...
V. SCHALII�NN
.............................................
County Tax Map No. 1000 Section .....$5........ Block ... 3........... Lot ....3........... .
Subdivision .................................Filed Map No. ..........Lot No. .............
Permit No. .......... Date of Permit ..........Applicant ..................................
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 all applicable codes and regulations.
Applicant
Claenc ,. 's iau_man�r
Rev. 10-10-78
STATE OF NEW YORK:
ss..
COUNTY OF SUFFOLK:
CLARENCE V. SCHAUMANN, being duly sworn, deposes and
says:
That I am the owner of premises on the north side of
Main Road, Peconic, Suffolk County, New York, referred to in
the annexed application for a Certificate of Occupancy.
That until her death on April 20, 1979, the premises
were owned by my wife, MARIE V. SCHAUMANN, who left a Will,
which has been admitted to probate by the Surrogate's Court of
Suffolk County, under which her residuary estate which included
the aforesaid property, was devised to me.
The lot, which is approximately 64 feet wide on Main Road
and 300 feet in depth, has an historical significance, the
building on the premises being more than 100 years old. For
more than 20 years, the premises and building have been used as
an antique shop and operated by my wife and myself as Schaumann
Antiques. My wife also owned the building since 1950. Numerous
renovations have been made, including a new heating plant two
years ago, operated by gas. Water is provided by an electric pump
and the premises have been very suitable and adequate for the use
to which same have been put.
(CL ' fp�i,-i-f� �a ,,
Clarence V. Scnat<uffidiir�
Sworn to before me this
day of Januarv, 1980.
Pi ftiRyF.,P" 1c
Notary Public, State of i<uw York;
No. 52.1, 6520!
Qualified in SIAJOIK County
Commissson Expires h7arch 30, 19�
OWNED BY
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