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Home My WebLink AboutZ-10644 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . . Z10644. . . . . . . . : . Date . . .August 18. . . . . . . . . . . . . . . . . . 19 . .1. THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property .?7475 ,Main ad.Ro ; . Cutchogue , New York House No. Street . ;Gfmjet County Tax Map No. 1000 Section . . .1.02. . . . . .Block . . . .1. . . . Lot . Subdivision . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . ... . . . . . . conforms substantially to Two Buildings Built before April 1957 and Used -as a Store with habitable space and a smaller store . The occupancy for which this certificate is issued is . .a . . . . . . NAri Conforming ,Store, uAe with habitable space and a Accessory. Building . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . .Estate of Helen Mad��zPeelan �� (owner7CX7�{CxXXXX. . . . . . . . . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . .KIF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . 11 ZR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/81 BUILDING DEPARTMENT TOl',I': OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 27475 Main Ro (nu ber & street Municipality) Subdivision Map No. Lot(s) Name of O:rner(s) Estate of Helen Madzelan Was B-1 Unoccupied Occupancy (type) (owner-tenant Admitted by: Self Accompanied by self Key available Unlocked Suffolk Co. Tax No. 1.Q2-1 -13 Source of request Stephen F . Griffing , Jr . ,Atty . Date July 30 , 1981 D'•rTELLING: Type of construction Wood rstories one Foundation Cement Block Cellar Partial Crawl space Rest Total rooms , 1st. F1 3 • 2nd. Fl 3rd. Fl Bathro�_m(s) Toilet room(s) 1 -Porch, type Deck, type Patio, type Breezeway Garage Utility room Type Heat Oil Fired Warm Air Central Hotwater FireDlace(s) No. Exits _ 1 Airconditioning Domestic hot;.rater Yes Type heater Other Wood Burner ACCESSORY STRUCTURES: Garage, type const._ Storage, type coast. Wood , 3 Rm. Swimming pool Guest, type const. Other This storage building use to be a Barber Shop but has not been used as such for years . VIOLATIOII•�S: Housing Code, Chapter 52 Locattion Description Art. Sec. Cellar Inside cellar steps bad II 52-27-A Toilet Toilet room floor not waterproof III 52-32-D Storage Room Needs various repairing III 52-32-C Remarks: - Inspected by- � Date of Insp. August 17 , 1981 Curtis W . Horton Time startll : 00 end 11 : 30 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 July 30, 1981 . New Building . . . . . . . . . . . . . Old or Pre-existing Building . .X. . . . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property N/W/s Main Road, Cutchogue, NY . . House No. Street Hamlet Owner or Owners of Property .Estate,9f.U9j9n,klgLftQJ41�r ,AQG�14L$$d. . . . . . . . . ... . . . . . . . . . . . . . . County Tax Map No. 1000 Section . . .102:00 . . . . . Block . , .01:00. . . _ . . . Lot . . .013.000. Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . �\\ Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . ./. . . . . . . . . . Nx Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . . . Fee Submitted $ . 5;00. . . . . . . . . . . . . 4andmeets Construction on above described buildin a ica des an- reg ati ns. �Applicant . . . . . . . . . . . . . . . . . . . . . .It -GRIFFING, JR. .or.ey o tate of Rev.10-10-78 Helen Madzelan, Deceas . .MAP AT CUT•CE--(OGUF. �nwN dF UTNo�-��f ~r�� OTHIS ORIZED SU VEEYALERATION OR 15TA VIOLATION OFTIOEI �In .•.CTIOt1 7709 OF THE NEW YORK STATE V I DUCATION LAW. L uJ _ : ., .• t,• CONES OF TI;IS SURVEY)AAP NOT 6FARING. . THE LA;D SU..V,YOG'S IZ• SEAL 00. F.MBOSS',D SEAL SF;AII COT P,f CONSIDERED 0 tq �,•> TO DE A VALID MUE CCFY. } - GUARANTEES !NDI:AT.D•H:CEOLN SHALL RUN ONLY TO TH' ej_S'i;: FOR wi:--m THE WRVEY 15 FREPAGED, A�:U O;;HIS GBHALF i0 T:SE j TITLE COMFAt;Y, G")Wai:W-.EPRAL Af"Xcy AND D D Scales : 20 1 � LENDING Ir:ST;TUTIUN LISTED H.0.iON,.AL:73 �+ TO THE ASSIGNEES OF THE LENDING INS7I1 (UTIOtI. GUARANTEES ARE NOT TRANSFEkA + TO ADDITIONAL INSTITUTIONS OR SUBSEOUENI I f'1 7WNERS, Suffolk Cq,TcYx M«� U�s►c�rrc� , rorr:' /r 3To tz Y L. t7 fs f 400, Q a rp8"t t?. RT G'�NE 1 pdSFr (suar-,✓rrt 1 �c� Fo f lre 5 yv - 50.0 � 9�5:37 fn Ghicctic�o Tip-!e' lrtsurixr�c� Gom�rry �7Y1 f:FTC� t8E� da aUt-V 1 .July ISl�81. � t A . L20� 1G(C1C 1�1�N TUYL_,pC_. L'r en8c�al Land sur-vcyot Ct- �rT� 14 New