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Home My WebLink AboutZ-7626 FORM NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z762b. . . . . . Date . . . . . . . . . . . . .A. 3.3. . ?$ 19.77 THIS CERTIFIES that the building located at . . . .N/.S. JAcks.0n...S:C. . . . . . . . Street Map No. xx. . . . . . . . . Block No. . ? . . . . . .Lot No. b? . . .Your Sufffolk. . .N.Y... . . . . . . requirements for one family dz�ell"n & Housing Code conforms substantially to theAVVUM-S,i�i� ,-0&U � built ka� 'ore 57 � 'i '��teoccupancy dated 19. . pursuant to which o. w�,r . . dated . . . . . . . . . A-T).;rtl. . . n. . ., 19.77., 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 On .a family. . .tve�l�ri� . .�,rith t�ya c2r ��'aa°. . . . . . . . . . . . . r ice The certificate is issued to AAXx 1:,11sn. i.-P,4dQ0,- (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval P;VP,-. existing . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. reTeX: Qiti . . . . . . . . . . . . . . . . . . . . . ... . . . . . . HOUSE NUMBER . . . 9.5. . . . . . . Street . . .JaAk,sPR -Qtreet. . . 11elf. -SufffP),k. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector HOUSING CODE INSPECTION April 28 , 1977 495 Jackson Street R-1 New Suffolk, N.Y. Tax Roll: Maximilian H. Rudeck & wf. Occupied: Mrs . Rudeck Upon request of William Clark, Attorney, Mattituck, New York for a Pre-Existing Certificate of Occupancy, I made an inspection of this one and one-half story, wood-framed dwelling. I was admitted to building by Mrs. Rudeck who accompanied me during this inspection that began at approximately 3 :15 P .M. First floor consists of a kitchen, living room with fire- place, dining room, sun porch, and a toilet room off vestibule serving rear entry to building. Second floor has four bedrooms and a full bathroom. Heat is furnished to all rooms from an oil-fired,, hot water furnace located in cellar of building ' s poured concrete foundation. A wood-framed, two-car garage is located in rear yard area. The following violation of the Housing Code, Chapter 52 , Town of Southold, New York, was found: Front entry - no means of controlling light in room on entry, Article V, Section 52-56 B 2 . Inspection completed at approximately 3 :35 P.M. Resp ctfully; submitted, 0 E ward Hindermann Building Inspector EH:med 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: L" 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 Date ....April. ...28..., ... 1977. . ................. .... .... . .. .... XX New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property North side of Jackson Street, New..Suffolk ....................................................................................... ............................................ FRANCES J. RIDECK OwnerOr Owners Of Property ........................................................................................................................ Subdivision ................................................................Lot No. ............ Block No. ............ House No............. Permit No. .................... Date Of Permit ....................Applicant .................................................................. HealthDept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........... Fincd Certificate ...XX. Preexisting, use ............................. .... Fee Submitted $ 5.•00 ............ ..................... Construction on above described building and permit meets a I a placable codes and regulations. Applicant ..... ................ ................................................ William Clark , Attorney for Owner Sworn to before me this � ,r/ ��7 2... day of .April, ..977 (stamp or seal) >_-6 r )�77,5 s Notary Public .......-�C/f tr1��..... County ROBE J.B. SHAW NOTARY PUBLIC NO , State of New York, No. 52-8949000 Qualified in Suffolk County Commission Expires march n, 19 7� i s. -ie'so�E a. 7s-4o:Z4o C.. M.4f-� of / :�ROPERT v.,- Z �s t � �URliE'YEO FOR d `p Gam �k MAXAMIZ- L- /A/V /y RUOE A NO `. � � t FRANGES C� RC/OECi� � 3 NEW SUF-F-OL � K zs 0 �l Q raW/V 40E- SOUTNOL O, N. o = 'n v Ac%e VJ w .63 s 7-,QEE. T Guar4�r�ec��a ftic Guarati Ti f/c A��Morf-9ayc Co.�i�va�y p = ftlo/1UHf�/1f as s urvecic� /96/. W. 1/!� ?Z y soy . L iccs�sco� Lq�o/SurVcyo rs Grccy�rf, / CW �r� STATE OF NEW YORK COUNTY OF SU..FOLK WILLIAM J. CLARK being duly sworn., deposes and says: That I reside at 1515 Marlene Lane, Mattituck, New York and I am the attorney for the owner of the premises located on the North side of Jackson Street, New Suffolk, Town of Southold and State of New YorkSince K x XX%_ Bov. 17, 1961. That the premises were owned by NELLIE T. TYRREL prior thereto and have been used and occupied as a one-family dwelling since at least November 196.lc-(- That the building erected on the said premises is and has been in good condition and suitable for occupancy as a one-family dwelling. 7M fli al J. Clark, Attorney Sworn to before me this 28th NOTARY PUBLIC, State of ea! YorEc No. 52.8949000 Qualified in Suffolk county Commission Expires March 30, 19 7r z ` u II � 2 n� z � I