HomeMy WebLinkAboutZ-9078 FORM NO. S
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. . . . . . Date . . . . .11=1e. .22. . . . . . . . . . . . . . .. 19. .7A
THIS CERTIFIES that the building located at 1540.. M4UI. Rued. . . . . . . . . . Street
Map No. . . . . . . . . . . Block No. . . . . . . . .Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
REQUIREMENTS FOR ONE FAMILY DV=INC, BUILT BEFORE
conforms substantially to the
CERTIFICATE OF OCCUPANCY
dated -April• • 23 • . . . • • • • • ., 19.57. pursuant to which jdjuMJ6-,=it No. Z9075. .
dated .
dune . . . 22 . . . . . . . . . . ., 1978. ., 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 . . . . PRIVATE.OD]E .FRIILY. DW'T�.�LING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . . . . . . . .Rita _Cooke_Woglom. . . . . . . . . . . . . . . . . . . . . . . . . . .
(ownerphmsmantmMu#
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . . Pre-Existing. . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . .Pre'Existineg . . . . . . . . . . . . . .
HOUSE NUMBER . .1.6315. . . . . . . Street . . . . . . . . .Main Road. . . . . . . . . . . . . . . . . . . . . .
East Marion, New York
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . ./i
Building Inspector
Minor Sub. # 151 , Lot # 2
Housing Code Inspection
June 22, 1978
Main Road
�543Past Marion, N.Y.
Tax Roll: Rita Cooke Woglom
unoccupied
Upon receipt of an application for a Pre-Existing Certificate
of Occupancy I made an inspection of the buildings on this premises.
I began this inspection at approximately 3:.30 P.M. with Mr.
Woglom.
Located on this property is a large two. story wood framed
structure.. This .structure .is a single family dwelling. Also
located on this property is a three car garage, no other buildings.
Cellar is a half cellar, rest crawl space with 3' clearance.
Inside and outside entrance. In the cellar is the electric panel,
three zone hotwater heater, and pump and tanks; all are in excellent .
shape.
First floor consists of living room with fireplace, .dining room,
a very large sun room, full bathroom and a kitchen with a good size
porch outside. In the kitchen was a electric stove, refrigerator,
washer and dryer.
Second story consists of five bedrooms, two full bathrooms and
a large deck with steps leading to ground.
Outside of dwelling consists of wood shingled roof and sidewalk
and all necessary screens and storm sash. All are in very good
shape.
No violations of. the Housing Code, Chapter 52, Code of the Town
of Southold, N.Y. were found.
Inspection completed at 4: 15 P.M.
Respectfully submitted,
CURTIS HORTON
Building Inspector
Minor Sub. #151 , Lot # 2
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 building§;(prior fo •April 1957), Non-conforming' use. .or buildings, and "pre-existing':
land uses: ,
1, Accurate survey•;of property showing all property, IineS, 'streets, 'buildings 'and unusuol 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 inspectiion, of buildings or1 premises,, or other ,pertinent in-
formation required to prepare a cerfificate.
C. Fees: '
1. Certif-icate of occup u cy $5.00
an
2. 'Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy'of� ertifi' fe'of occupancy $1.00
Date 4141,t P.4..:�.�78::.:�......
New Building ................ Addition ............:... Old or Pre-existing Building ....X......... Vacant Land ............
Location- Of Property ':...SQQ:.attachod.."mi1kX y...':.:.'.:...:.:......:....:.....:!:
Owner. Or Owners?Of.Property, 5? .Q�1,.....:....:............:........ .........,..:.............. ....... .....
Subdivision .` ::. ....................................................hot No. .:.:.: Block N'o. .. House,"
.... ...
No,.
Permit No. .................... Date Of Permit ................ :Applicant .............................
Health Dept. Approval ..........................:.................Labor Dept. Approval ................................................
UnderwritersApproval ... ..........................................Planning Board Approval ...........................................
Request For Temporary Certificate ........................................ FincJ Certificate .......A...............................
5.00
Fee Submitted $ .....
Construction, on above,described building'and permit meets all applicable codes and regulations.
Applicant ............................ . ..... .......................................... ...
.... ......... .....
Rudolph H. Bruer
Sworn to before,me this
19
..........th...... day of .....June r...1978................ . (stomp or seal) ell
NotaryPublic r6. .......... County G V
y 4? •14......... ty /L
7
I"VEY 15 A VIOLATION O/
• - - SECT:-N 7209 OF THE NEW YORK STA Tt
' EDJCATION LAW
• . - COPIES OF THIS SURVEY MAP NOT GEARING
.�. , 'HE LAND SURVEYOR'S IN'L) SEAL OR
. - t•',''•c:�SSED SEAL SHALL NOY'ClE CON'SIDEkEU'Cl8E A VALID TkUE COPY
• GUARANTEES INDICATED HP,cpN SHALL RUNT
)NLY TO THE✓E,:SOr+. FOP vL.OM THE SUk'VEY
+S PRU ACED,.<.�.,, C', H,S
4 I�TLE CGrHFAK.r. ^ALF TG THE
:�OVE'+,'N:_Ni A' AGENCY AND
• ENL h.�: ttiSTi?JilON !iSTcu McR 0N, AND
. - Aar 'ES CF T E LL,•Dl,-�G INSTI-.
GLAeANTECS ARE NCI TkANSFERASLE
fNST!Tbii"NS 0,SUE:FOUENT
4: L,q v O Un1' J I f
j: A T.
• _-I� y T _---__- -- - - - �•�-�-_�7 ���lJ_'�i_�. j!�'.'tip'Ll-r•�_--_ � _� _._ _ - _.
Aj
• - n�r 7 l 1
f J R
• `S, �, ,tea�r� � � .. •
(j7J• � / �•1 lJ f
- 1 . w',•'' �i'�'3•��, `•r y I Y/- ham'. • ^t���. .` 77 /e-
1 ;Z0 d `ems
Li
c
t t' j I CI e vv
77
des ?a i t-,n Di f ri;_ -t c)v
-------------
}