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Z-8099
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.'. . .Z80.99 . . . . Date . . . .January . . . . . .6 . . . . . . . .. 19. .78 THIS CERTIFIES that the building located at 55 Bayer Road &., Street -z350. 1Vdi6klfam' Abe ' _ Map No. . . 1.,84. . . . . Block No. .03'40. . .Lot No, P49. &0-S6. . . . . . . . I �IE ° F. 0 FA L �J B TLT BEI'ORE conforms substantially to the } dated April: ' ' 23 19.57. pursuant to which � F Y��T 1 80ANCY 99 dated . . JANUARY. . . . . . .6. . . ., 19. 78, 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 'ONE' -FAI-TILY— DW LUNG I WITH AGCY'BUILDING). . . . . . . . .. The certificate is issued to . . . . J©SEPTA J ' 'ZULEWSIC Sc' W '' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' . '_' ' ' Owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Pre-Existing. . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . .Pre+-Existing. . . . . . . . • . . . . • . . HOUSE NUMBER . . .55. . . . . . . . . Street . Bayer. Rd . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Mattitucki •Nets •York . . . 1-1952 . . . . . . . . . . . . . . . . . . Building Inspector i , JOSEPH. ZULEWSKI, JR. , being duly sworn, deposes and says : I ' am one of the former owners of the residential premises depicted upon the annexed survey print. I make this affidavit to induce the Town of Southold to issue a certificate 'of pre-existing use for said premises . • From, on or about April 10, 1964 until on or about October 20, 1977 I was one of_ the fee owners of the said premises . Further- more, at the time that I purchased the said premises on or about April 10, 1964, I was advised by the former owners as- to the facts surrounding the prior status of the premises and, especially, its relationship to zoning in the Town of Southold.- Accordingly, I state of my own personal knowledge and belief that the said premises as same are depicted upon the attached survey have existed in such fashion without any additions or altera- tions whatsoever since prior to April of 1957 . Accordingly; same is entitled to the issuance of a certificate of occupancy on a pre-existing dwelling and/or land use. Sworn to before me this 22d day of December 1977 . i .. ry .. 1IT JR. CP JA Asst SJA j [IQ, 32d Army Air Defense Command APO New York 09175 V 133.07 . .10 r''. = 1 E•! ti •y - _ - . Y._ Lot 210 4- 1 Lajar } . ll� ;�• �•}•..` •.�.• N F ' ; t ems: t?. - - - - E� •- --- �-j� _ -•- _ - ----- �� ! - � - - / "= - .•.-E";tip: Ip In ZJ YAYe2. -o/Q .~� ' ..� , Scale. Sa:' !'' `$ :•; :. '1•(v ��' - T' Ft. • ' //�1'! �tr/'♦.--•'('•t •/'�u'1 i• � - �) +':.�j•:.� '"r +�-z '_•' I �_ ... J'-• +. - _ - i4_ is ,.T�."• - <+ �;.•'�c::• _ � - .i _�:d;^�.k.A.t�`':L`•'6- //_ O.• - '� U• 1'',�. ,•�''y • •-�1 t� - 7�-! J -JfJAUTH�¢IZ AL7 ERATION•OR ADDETIOtf t: - . 10 iHIS'-SUnVCY'TS-'A'VIOLATION-OF=-•" _ SEC710H 7'<D9 OF THE NEEM.YORK STATE;' ti:' '. .,• - - -. •�"' F I-f 1(''�• '( ''/. - . ' EDUCATION LAW. .-0 s-'1t_•'''.:-~ •� 1 - - t Y.(r"7 l !^� / t.,./�{•` r COPIES OF THIS SURVEY•MAP'NOT BEAM* ••I'e`�J:.• - - '•. , - THE LAND SUZV.YOE-IVIED$EAL OR :t ' .L'.:• - _ _ TQi'VN:or- � 1 ri: oL_U N..x . '".k`•:;• EMtOSSED SEA! SNAIL KC7 EE CUNSIDLCFD;r A is _ _ --. _ -\i: Iti •1�- _ - ,'L• TO BE A VALID TRUE CC-FX.,' • - •E- ; t'_ ,{ X••�.���-' '•} _ GOA RANT C ES'iNDI CA I E D HLRLON'SH L RUN' •• •� -•4 _ _ - _ �i '.••i �i'�•,'•i..'T - _ _ ONLY 70 THE-r`L6SON FOR',.vf10M:1H�'SURI ! "i' •' - _ - - = - - •' 'a -. IS PREPARED,AKD ON,HIS M ALF iQ_TFIE•+_. -�•- t - - - ^: ' ' TITLE"COMPANY, uGVERt:lACNT,4l AG'E A LENDING IN57ilUTION USTCD H'REON,-AND-' -t. TO THE ASS!GNEES OF THE LENDING.IN51F t•;'• Y TUTION. GUARANTECS ARE NOT-,1RANSFERAFy£ 70 A 011r!AL INSTITUTIONS OR SUBSbQUE - - .. - .�• - . - - • - • . _ -_:,° .�- U. S:L_rf�• Tifl�'./r�suia�r�c� Ccrn.� - , q�:• --o: y ; ,.� S vrr cis crrr . : "4 trlettde•d.Mqk o _ Mdlfl f,✓clL 1����:�rfs; : cts sv► v��yctd.0e_+, l Q9 -7 � . :,;• f!e'a( rti -Ihe -5u(.or'k• Of Mr No nr0: rlcg /ZCUC�E:r<f VrIrJ�JYI- l� 5ufforl-_ CO. M� D��i9rrcxf jolt: Licr=r75eca' Lotid Scjr�v w O!^-P. 1000, Secf: 139, 8(ock 3,I_c7/-9. 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 ' a 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 DECEMBER 13 1977 Date ............................r.. ............... New Building .................... Old or Pre-existing Building ...AM................ Vacant Land ............................ LocationOf Property ..®`.Ave?z ..............................................:......... Owner Or Owners Of Property ...RICHARD„B,,,,and„JOAN ...B,;,,.TANDY............................... ... Subdivision .,Mattituck Heights . .. , ,,, ,,Lot No. 25&26 Block No. 03.,.00 :�.s:v ................................ ... . House No.. Permit No. .....VA........ Date Of Permit ....N/A........Applicant ....... .................................................... HealthDept. 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 appli ble codes a r gulations. Applicant ARTHUR DI PIE R0, as t n or Joseph Zulewski , ......... ............. ... .... ............................... prior owner �� Swo^n to,J,�'�for me this .. . ycof ....December:...1977...... aY (stamp or seal) Notary Public .....: ...... County it� PATR PUBLIC, A.St e of i f �C_ N07ARY PUBLIC, Stae oi� iVew York No. 52-4651406, County of Suffolk Term Expires March 30, 1925 7-2-`7 — �"'d Housing Code Inspection December 30, 1977 #55 Bayer Road & 2350 Wickham Ave R-1 Mattituck, New York Sub-Division: Mattituck Heights-Lots 7/:26-28 incl. and s-33 ' lot 25 Tax Roll: Joseph J. Zulewski & Wf. Occupied: Richard & Joan Tandy � 1 Upon receipt of an application for a Pre-Certificate of Occupancy, I made an inspection of buildings at this location. I was admitted to dwelling by Mrs . Tandy and began this inspection at approximately 4:00 P.M. The dwelling is a two story, wood framed structure constructed _o-f' a cement block foundation. First floor has a kitchen,toilet room, living room with fireplace ,. sun room, dining room and family room. Second floor contains three bedrooms and a full bathroom. Heat is furnished to all rooms from an oil fired hot water furnace located in full cellar. Accessory building:,is a wood framed one and one-half car garage constructed on a poured concrete foundation. The following violations of the Housing Code , Chapter 52, Code of the Town of Southold, N.Y. were found: Gas cooking range : no shut off valve at unit. Article V, Section 52-52 B.2 Electrical: service panel located in furnace room, front panel cover removed. Article V, Section 52-56 A.1 . Accessory building : stair, (exterior) on rear of building leading to attic storage area have 6th & 8th steps that are broken. Article II, Section 52-27 A. . Article III, Section 52-30 A. Inspection completed at approximately 4: 20 P .M. Re ^ctfuLly submitted, c3_ward Hindermann Building Inspector