HomeMy WebLinkAboutZ-18476FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE
CERTIFICATE OF OCCUPANCY
No Z18476 Date OCTOBEiR 18r 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Propert~ 1480 FACTORY AVENUE MATTITUCK
House No. Street
County Tax Map No. 1000 Section 142 Block 01 Lot 04
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a PRIVATE ONE FAMILY
DWELLING built prior to APRIL 9r 1989
Hamlet
pursuant to which
CERTIFICATE OF OCC. Z18476 dated OCTOBER 18~ 1989
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. ***
The certificate is issued to
LETITIA YARRUSSO
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*** SEE INSPECTION REPORT
Rev. 1/81
~~/~B l~di ~ g~I ~ spector
BUILDI_.G DEPART,'~LENT
T0:'$[ OF SOUTHOLD, N' Y.
HOUSING COD~ IMSPECTION REPORT
Location 1480 Factory Avenue HATTITUCK
[numDer & s~ree~)
Subdivision
Map No.
Nmme of Owner(s) LETITIA YARRUSSO
(i,iun~cipal i~y )
Lo ~(~)...
Occupancy R-40
(~ype)
A~mitted by: LETITIA YARRUSSO
(owne~- ~enan~
Accompanied by: SAME
Key ~vai!able_ Suffolk Co. Tax No. 142-1-4
Source of request. LETITIA YARRUSSO' '
Date OCT. 5, 1989
DYfELLiMG:
Type of construction wood FRAME #stories ONE
Foundation CEDAR POSTS Cellar % Crawl space ~
Total rooms, 1st. F1 FIVE 2nd. F1 -- 3rd. F1 --
Bat.broom(s) ONE Toilet room(s) --
Porch, type Deck, ~;pe Patio, type.
Breezeway Garage Utility room
Type Heat OIL 'Warm Air xx ~r~t.rHotwater
Fireplace(s) -- No. ~cits 2 Airconditioning
Domestic hotwater LILCO GAS Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
ylOLATIOMS:
_Location
.C~/EPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Description
Art.
Sec.
Remarks: B.P.#9070--C.O. #z7847
FOR COTTAGE.
Date of Insp. 10/~2/89
'Time start 2:00 end 2:20
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD. NEW YORK
765 - 1802
11971
BLDG. DC-PT.
APPLICATION FOR CERTIFICATE OF OCCUFANC ,' TOWN OF $OUTHOLD ~
DATE. ....... . . ~ . .
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING..~.'..VACANT LAND ........
HOUSE NO. STREET HAMLET
O~ner or O~ners of Property.. .b. ..................
County Tax Map No. 1000 See~iom ...... Block ....... Lot' . ......
Subdivision ....................... Filed Map ........ Lot ..........
Permit No ........... Date of Permit .......... Applicaot ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final
Certificate
APPLICANT ......
/
rev. 10/14/88
CONSENT
TO
INSPECTION
Owner(s) Name(s)
do(es) hereby state:
BLDG. DEPT,
TOWN OF SOUTHOI D ~
· the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
County tax map as District 1000, Section
· which is shoxwn and designated on the Suffolk
79S, Block J , Lot ~/
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:
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 of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: De'b b~
- j (signa~/'/e)
t ~'-/-,'H o... ya_rrms~ o
(print name)
(signature)
(print name)