HomeMy WebLinkAboutZ-9322FE -M
No. ..Z9.3.2.? ....
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
Date December .... . . . . . . . . . . . . . .. 19. 78
THIS CERTIFIES that the building located at ..1235. ,Fac dory, Ave ...... §,ta&
Map No .............. Block No........... Lot No................................. .
REQUIR M=S FOR ONE FAMILY DW ELLING BUILT PRIOR TO
conforms substantially to the li ;�
dated .. !�pr. �.l....23........ , 19.37. pursuant to which%igiau-NO-OCCUPANCY
dated .. December .. 1........ , 19.7s., 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 ......n:p�ate One Family Dwelling with Accessory. Structure
.........
The certificate is issued to ..... ..... Irl mer , Srko„
(owner, ales geeA kagpk) a
of the aforesaid building.
Suffolk County Department of Health Approval .......... pre -E i.sting
UNDERWRITERS CERTIFICATE No....................Pre.k�cisting
HOUSE NUMBER ....235...... Street ...... Factory Ave
T�Ia t �itttck, �1
County Tax Number
1000-122-2-18
:���� ...................
.�u
Building Inspector
3—
S—
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location / Z� a?` /`-Ac Tat 4w"
number & street
Subdivision
Map No.
Lot(s) _
Name of Owner(s) tO44,7:E-( o
i/s
Occupancy ¢K A0Ti4
ty e � owner -tenant)
Admitted by: 400/S a 75_Xtc5 Accompanied by: S,4/7,c
Key available
Suffolk Co. Tax
Source of request4� 4. �{kmoF Date z} k'a)7
DWELLING•
Type of construction A/G®.D 1jZRe�4AE #stories
Foundation 6F<7,En., r H/o c% Cellar ;�bizT- Crawl space
Total rooms, lst. Fl 2nd. Fl Ta4ac�?3rd. Fl
BathroomV) 4NE- iYo ZW-eA Toilet room(s)
Porch, type Deck, type Patio, type --
Breezeway Garage Utility room
Type Heat 014_7 2E0 Warm Air Hotwater
Fireplace(s) No. Exits Ti.Go ' Airconditioning
Domestic hotwater 41e' F1xTT.c&=s Type heater fc�i2c,.occ
Other -
ACCESSORY STRUCTURES: w a
Garage, type const. U)ppp F1eXAjG Storage, type const.
Swimming pool "" Guest, type const._
Other -�
VIOLATIONS: Housing Code, Chapter 52
Location
Description
Art.
Sec.
xEtir
o E14N6; 67
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5.4-.5,4 r Ste c o c`zeczAen
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Remarks:
Inspected by;
K' Z1_
Z3.
Date of Insp.�7/
Time start U,' end f2 g/V 4 h
N/O/F MARY R04CHE
Z
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r N.71'54'E.
man
217.92'
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N
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mon
r
S. 710544.
216.23'
men
N/O/F FRANK HAUPT
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ro
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ro
Unauthorized alteration or addition to thts survey is a violation of
sc•.:!:on 7209 of the New `icr!: St -to Education Law.
Crpios of this survey map not 7ng li-.e land survcyor's inked
seal cr crnc_sscd c l shell to en a vn!Id copy.
Guc.r....l-•as
or Cerlif;w;iUP, Ton only to the
tear x. Lx w'acm t..o :VhB, is pr:par,,1., .J on his behalf to the
till corepor;, gor=Tanta1 agency c—1 a,•<!::,g in7ii!ution listed
hereon, ar.d to Ilia assignees of the landing institution. Guarantees
or certlPicotions are not transferable to additional institutions or
subsequent owners.
SURVEY FOR
LOUIS 8 RUTH STOKES
AT MATT/TUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
SCALE r 1"= 40'
OCTOBER 11,1978
OCT. 17,1978
`^SOF NLWYO
`a ` F,T q• nir
3 � 1
287Z"
F OAD
R
►SAND
LONG
REFERENCE+
\ GUARANTEED TO:
tf SECURITYT/TLEaOUARANTYCO.
LOWS 9RUTH STOKES
L
4•Mmw
STATE OF NEW YORK)
ss..
COUNTY OF SUFFOLK)
Premises: No # Factory Avenue
Mattituck, New York
Town of Southold
HELEN SIRKO GAJEWSKI, being duly sworn, deposes and says:
That your deponent is over the age of eighteen (18) years of
age and resides at Riverhead, Town of Riverhead, Suffolk County, New
York;
That I am the former owner of the premises above described and
Administratrix of the Estate of WALTER SIRKO;
That WALTER SIRKO acquired title to the subject premises by
deed dated August 20, 1940, from HELEN SIRKO and WALTER SIRKO.
That HELEN SIRKO and WALTER SIRKO acquired title to the subject
premises by deed dated November 12, 1937, from JOSEPH SIRKO and SADIE
SIRKO.
That title has remained in possession of WALTER SIRKO since
1937 and prior to April, 1957, the effective date of zoning in the
Town of Southold;
That the annexed survey is an aecurate representation of the
premises as they existed prior to April, 1957, the effective date of
zoning in the Town of Southold; and no other structures, as defined by
the Zoning Law of the Town of Southold have been erected and no alter-
ation to any of said structures since the above specified date has been
made.
GATZ. ARNOFF & CZYGIER - ATTORNEYS AT LAW . RIVERHEAD, N. Y.
That the building on said premises up to and including the date
of this affidavit has been used as a one -family dwelling and remains in
an average condition subject to reasonable use, wear, tear and natural
deterioration;
This affidavit is made to induce the Town of Southold, through
its appropriate officials, boards or employees, to issue a certificate
of pre-existing use in reference tothe premises herein referred to; and
knowing and intending that the said Town, its officials, boards or
employees will rely upon and be induced to act by reason of the repre-
sentations made herein.
HELEN GAJEWS
Sworn to before me this
14 day of OckJOW , 1978.
MWQ[ - M.,
Notary Publ'c
MARY ANNE KLIPP
NOTARY PUBLIC, State of New York
No. 52-4616337 - Suffcl!< County
Commission Expires Vcrch 3,, 19-11
GATZ, ARNOFF & CZYGIER - ATTORNEYS AT LAW - RIVERHEAD, N. Y.