HomeMy WebLinkAboutZ-19840FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPDuqT~/gT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19840
Date APRIL 8r 1991
THIS CERTIFIES that the building.
Location of Property 2000 Kenney's Road
House No.
County Tax Map No. 1000 Section 59
Subdivision
ONE FAMILY DWELLING
Southold, N.Y.
Street Hamlet
Block 3 Lot 15
Filed Map No. Lot No.
conforms substantially to the Application for A Private One Family
Dwelling built prior to: APRIL 9r 1957 pursuant to which
Certificate of Occ. #Z-19840 dated APRIL 8{ 1991
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ONE FAMILY DWELLING WITH ATTACHED DECK & ACCESSORY SHED *
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
JAMES R. WHEELER
Rev. 1/81
Locaticn
BUiLDi[:C DE?/JJi'~XT
T0~'r OF SCUTHOLD, N. ¥-
HOUSiXG CC~E IliS?ECTI02'[ REPORT
2000 KENNYS ROAD SOUTHOLD
Subdivision
Nm-ne of Owner(s)
Occupancy SINGLE
~,Iap No.
JAMES R. WHEELER
FAMILY
tot(~)
~zype)
~.~ ?ed by': WM. PRICE
Key ~vailable
Source of request WILLIAM H.
-Ac~;ump~nied by: WM. PRICE
Suffolk Co.
PRICd'; 'JR.
Ts.TJ No. 10D0-50-03-{5
Date 2/22/91
D%'~LLIS~:
Type of construction
Foundation
Total rooms,
Bathroom(s)
Porch,
Breezeway OPEN
Type Heat OIL
Fireplace(s) BRECK
Domestic hotwater
Other
WOOD FRAME
CONCRETE BLOCK
lat. F1 4
2
CONCRETE
XX
Cellar Xx
~stories
Crawl space PARTIAL
3rd. F1
2nd. F1 3
Toilet room(s)
Deck, typ% WOOD
Garage { CAR ATT.
'Warm Air xx
No. ~cits 3
Type heater
Patio, type__
!
Utility room
Hotwater
Airconditioning
GAS PROPANE
~CCESSORY STRUCTL~EE:
Garage, type const. ---
Swim.ming pool
Other
STABLE. &
Storage, tYPe const.
Guest, type const.
POOR CONDITION
WOOD FRAME
VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORH FIRE PREVENTION & BUILDING CODE
Location Descrioticn
Art. { Sec.
{ I
J I
Remarks: BP I/ll404-Z CO Z-19841 FOR BEDROOM & GARAGE ADDITION
I,s.ected by: //~,'~,.-'wv---' , a~e of !nsp. 2_./28/.__~!
VINeBN~ R. Wieczo ek 'Time st2rt I!:00 end !1:30
TOWN OF SOUTUOLD
BUILDING DEPARTMENT
TOWN UALL
SOUTUOLD, NEW YORK
765 - 1802
ll97l
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILHING.~...VACANT LAND ........
Location of Property .... ~OQ.~...~O~Y[~.~Q~ ........ ~Q~Q~ .............
HOUSE NO. STREET HAMLET
Owner or Owners of Property ............ ~.~.~%~ .....................
County Tax Map No. lO00 Section q~,~ Block ..~%~ Lot ...~..0~
Subdivision ....................... Filed Map ........ Lot ..........
Permit No ........... Date of Permit .......... Applicant ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate .......
Fee Submitted: $.. 1~..00
Final Certificate
XX
Agent for James R. Wheeler
rev. 10/14/88
CONSENT
TO
INSPECTION
.James R. Wheeler
· , the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located arno # Kenney's Road, Southold, New York
, . , which is shown and designated on the Suffolk
County tax map as District 1000, Section 059.0,0Block 03.00, Lot 01,,5.00.0
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
1-1/2 story frame house with attached deck and garage and
accessory, shed
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town cf Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained in the conduct
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the To%vn of Southold,
Dated:...February 12, 1991
- ,,(signat6~,e~~
WILLIAM H. PRICE, JR., Agent
(print name)
for James R. Wheeler
(signature)
(print name)
FEB 4 1991