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Z-9505
FORM NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z9505 . . . . . Date . . . . . . April . . .19. . . . . . . . . . .119. 79 THIS CERTIFIES that the building located at .6915• • •County• Rd. .27 • • •9kra3txxx Map No. . . . . . . . . . . . . Block No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . REQUIREMENTS FOR ONE FAMILY DWELLING BUILT PRIOR TO conforms substantially to ril 2 C�FIC .E QF JOCCUPANCY Ap. . . . . . . 3 . . . . . . ., 19. 5.7. pursuant to which ,� }t o. .29505. dated . . . .April . . 19 . . . . . . . .. 1979 ., 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 Family Dwelling with THREE Accessory structures The certificate is issued to . . . . . . . . . . . . .Marlake Associates. . . . • . . . • • . . . . . . . • . . . . (owner, of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . .Pre..Existing UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . . . . .Pre-Existing . . . . . . . . . . HOUSE NUMBER . .269.1.5 . . . . . . Street . . . . . . C-0rei .Road, .27. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fec N • Y. rk. . . . . . . . . . . . . i. l/Z . . . . . . . . . . . . . . Building Inspector County Tax Map Number 1000-084-02-004 Part BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y'. HOUSING CODE INSPECTION REPORT Location d( C17 27 Cv7-Cl-loo vL-L number & street (Municipality). Subdivision Map No. Lot(s) Name of Owner(s) Occupancy Z7-/ec� -��J� typ e -ew -tenant Admitted by: Accompanied by: ��>LsIff Key available Suffolk Co. Tax No. Source of request �(l/ctcfa" f,()/ck 42Lrt AeDate -- ! 7 - 79 DWELLING. Type of construction U/0Cj,0 E-fAi,4,f #stories Foundation���cn CAri � Cellars���'r� . Crawl space Total rooms, lst.. Fl 2nd. Fl J A7R9 .3rd. Fl ,0/-7 STo2 c . Bathrroom(s) 'duo / -- 0AV_ ,F4-Toilet room(s) Porch, type ZoFi o mo?a Deck, type Patio, type — Breezeway Garage Utility room 46',A,4 r 4 Type Heat fE7 /� ''Farm Air Hotwater. 0/Z_ c 0 Fireplace(s) A�ollC No. Exits j-Ud Airconditioning Domestic hotwater,Ol/��t3<� Type heater �-&-c7`1Z1C_ Other ACCESSORY STRUCTURES: C,a� �,aTcr2 . Garage, type const. Storage, type const. uz-:-/Z_6t,;0ur>i�MAVcE. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. CA Fa l u,D,d 7/-o A) .- G - - ZUI,u .dk� is �=l/ 2Sr l� 0 Joy o �o.�= — :� �€s� ucVlaU� ./1 3Z A. Ing ,4lZ.oC c ! .� !S iv •- ��c� , G -iu �tssij2105- uz- Remarks: Inspected by: Date of Insp. Time start Z`Zo PAt-end-0:4 P�`2 ,t� (516) �z� a�5 . r f. j ,� 1 r F� ,. 1 ,j{ r .{ .x�-"� •;f� �:t '`«� '1 r57 ` "�y9 r' ��.^� /,...,' r'-.,-•r•- ��'� i�t I t _ // _ '" ir t - Mrs } (� '": r ��J �`/ (( t1 CiJF 1 f l `y { r T C'�1 .�..J�Yi�. � .3 t! {{ i 1' ... .. y. _ .,7. r.. rt s� t13Uf I.} .. ,-.... :. ... Y,., n r.�a. F t�. 1A/fUTHOF IZID ALi RA-"O 1 : .: 1 .' ,'1' �, TO THIS SL'CVEY: t . a S..4'IL AT QN�F }! A: r,.•' -:. �. :. ., t?� h Tfl.'1 t 1`Y:1JC$1AT i :r- C . ,. f EDUCAsIO1!LA" r \�j ... ,,,,. ,.,, ., d,. _ .'^_� - .. ':':. {' 4 �o - 1 . ... _ co,1, f� ..., _. , S.CF t} } , , y;, T. ARINO _, ? _ Ay OR a S- ,. ... e. _.. .. E't ., EhSE D cr ( a< A ,T �, -:.. { t � TO.CE ,f L4151 REQ .. -,. } , : t '. .r, :. . - .::.�. - .�. i ... ;.. .. ,G11 ; ,4, ,kr ::. 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I ..,, .......... .. ..,. .'? .:.� s xi :,.:> .:., ..s c r, ,,t ,. - ..• -. t r. :r .. r .,:. .. _.a. .,. ,:,, .. q `' l t ., .x :{ rr )) , YCJ14 :, .. t .,,.r ,1 :a. .,,.. . ...' :. �,. , .�, + - ,, ..; -. , -.' .. ..._. : . ., < ::,. - '..:,,.. ..c '..... .. 4••- _. �' _ .. .:. :< t - - I.rSX �1.�'j f( F1afflGG. .. :: r `1 Y ! . 'i,.,L,-��.' f•�P C, �" G. , Y� :�UY'4'Sd �7R"GfJ: +a.a�� `, > .. l..rr .A, F y '.y r- y j ,��:',..f ' , , '. 1 ;`:�. . ; ' be a€ J ,M.! 1. 9� �t a r .rr a7;C c l r rx,':c� �xJt^t��x ear;; - - - - - r . - 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 . .April.16,.1979. . . . . . . . . . New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . . .:K. . . . . . Vacant Land . . . . . . . . . . . Location of Property, . . . . . . . . . . . . . . . . . . . . . . . . . . .L�idd1e.12oad. . . . . . . ... . . . .Cutchogue. . . House No. Street. Hamlet Marlce Owner or Owners of Property . . , . . . . . ). . Associates . . , . . . County Tax Map No. 1000 Section . . . . 54. . . . .'. . . .' Block '?. . . . ... . ... . . . Lot'. :PLO. `7. . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .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 . X. . . ... . . . . . . . . . . . . . Fee Submitted $ .5.00 . . . . . . . . . . . . . . . . . . . . . . . . Construction on above described building and permit meets all applicable codes and regulations. Applicant � .�. . . . . . . . . . . . . . . . . . . A'bigai Rev.10-10-78 t ( f J BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location ce( `F..IC ��wi /�.�,� 27 C071110C v`�nr number & street Municipality). Subdivision Map No. Lot(s) Name of Owner(s) 2Ghl " /A5oCr t,4T .5 Occupancy type -tenant Admitted by: /y/2s (7ala�7;0-!/j --,t Accompanied by: ,-,57X) yam Key available Suffolk Co. Tax No./auq_aV OoZ Source of requestrc�C//��P j,Utc��/�o�r, �,Cc �C'Date -- ! ? - 7 DWELLING: , Type of construction L,l1ou;0- ElEx-1,— #stories � 77vd Foundation ,�� ,� CellarYOWW/"i- Crawl space ,g2rL Total rooms, lst.. Fl 2nd. F1 S lyfz 3rd. Fl Bathroom(s) Toilet room(s) Porch, type Deck, type Patio, type Breezeway Garage Utility room 6,1V,01ry Type Heat_ (rr,�rr��c►[_ `'darm Air — Hotwater O!� F/2�o Fireplace(s) I-Ia h/c No. Exits 71U6 Airconditioning - Domestic. .hotwater.4//P/ere e heater Other . . ACCESSORY STRUCTURES: C/o AL _4744E Garage, type const-. wuo,o 'F2A1rc� Storage, type const. /aw ?YewAA Swimming pool Guest, type const. Other ;/Gov I-/ou51:51 U./ocj&, r2o�r VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. u,c,o,4Tialy 4 c-- - l.U/u dw r5 L6f -7W A � ,q - ---�'l/ /�s7' 1� �o Ja� •�� �c�.may " !� �sT ucVl�tr� .i i Z'3 - ;4/l�'C c'' / O - .warn /S N •- /iclC'L , cIO 5 < 14.1 - LL Z-3l Remarks: Inspected by: Date of Insp. l - 7!2 Time start Z`,?oIftend Z:4. R/`1 P D SO! D S T Southold, N.Y. 11971 . JOHN WICKHAM. Chairman TELEPHONE FRANK S. COYLE 765-1938 HENRY E. RAYNOR,Jr. - FREDERICK E. GORDON JAMES WALL March 7 9 1979 Mr. and.Mrs. Eric Bergman 2 Dennis Lane Coram, New York 11727 . Dear Mr. and Mrs. . Bergman: The :Southold Town. Planning Board reviewed your plan to parchase. the house including one acy a of property from Marl ake Associates. The Planning Board has determined.that filing for a minor subdivision would be a hardship in this instance and as long as you meet all zoning requirements - 150 foot front with one acre of property - there . would be no objection to this land being parcelled out.. Yours.'truly, ,�-_,�,�`�..� , Muriel Brus , Secretary - Southold Town Planning. Board Copies to Building Inspector , Robert Celic Ben Kasper Real Estate Inc. :3 ��ii