HomeMy WebLinkAboutZ-34900FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 34900
I~te: 04/12/11
75qIS CF~(TIFIES t~at the building DWELLING
Location of Property 1375 SMITH DR S
(HOUSE NO.)
County Tax[4ap No. 473889 Section 076
subdivision
SOUTHOLD
(STREET) (HAMLET)
Block 0002 Lot 035
Filed [4ap No. Lot No.
conforms s~bstantially to t~e Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 purser to which CERTIFICATE OF
~UU~ANC"f ~ Z- 34900 dated APRIL 12, 2011
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 CEMENT PATIO.*
Ge certificate is issued to TIMOTHY & MARGARET HOLLOWELL
(OWNER)
of the aforesaid building.
N/A
N/A
N/A
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
PORC~ T~PE:
TOILET ~O0~(S): 0.0
DECK TYPE:
1.0 ~ EXITS: 2
ACCESSORY STRUCTURES:
~E, TYPE OF C~T.: BP26340 COZ27196 ~TOP, AGE, T~PE C(~ST.:
(kl~ma(: OUTDOOR SHOWER
VIOLATIONS: CHAPTER 49 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
P~w~RK~: BP 1779 ADD COZ1460
ON II~SPF~(~: 04/11/1__1
GEORGE GILLEN TIME ~TA~T: ~:
TOWN OF $OWDIOLD
BUILDING D~PARTbI~IqT
TOWN
76~1802
BLDG. DEPT.
TOWN OF SOUTHOLD
APP/.JCATION FOR CR-qTJ[FICAT]B OF OCCT,,q~&N ~y
4, U~ C~tc of~u~noy.
~' T~P~ C~l~e o f O~upan=y - Refid~[i~ $t 5.00, C~l~ci~ $15.~
N~ C~t~n: .... Old or P~x~ting B~; ~ (~ck ~)
Underwriters Approval:
__ Fi~l C.,~ificate: ~/ (chwk one)
[0/~0 7~gVd M~0/,II~IN aH 9Ig~[SI~9 9P:~I II0g/90/~0
..~r. ?~ - .: -~'d" TOWN
OW, E, I S'rRE~T /37-~
FOPJ~ER OWNER ,-.) '
OF SOUTHOLD'PI~tOPERTY RECORD CARD
!'ViLU~G£
- N
~ND IMP. TOTAL DATE REMARKS
£I 0
N OI:~'AAL
BCIILDING CONDITION
BELOW
DISTRICT SUB.
^cR~ I./~t
TYPE OF BUILDING
AGE
NEW
Acre
Est, M~.t. Value
ABOVE FRONTAGE ON WATER
FRONTAGE ON ROAD
Value Per Acre
Tillabte 'J BULKHEAD
Tilloble 2 DOCK
Tillable 3
Woodtand
Swor~pland
BrushJand
House Plot
7~-2..3~ 11/01
Bldg.
.2xten~ion
~xtens[on
~tension
<).El.
· Foundation
Ext. Wails
Fire Place
Patio
Drivewoy
.-~ 4- j lnterior Finish
Porch J R¢oI: Type . ;-
Porch ~
Rooms 2nd Floor
(number & street)
(municipality)
SUBDMSION: - MAP NO.: --"-- A LOT(S/:
NA~E O~'OW~ER(S): '-F~ ~- ,,'V~ A/~
OCCUPANCY: ] ~~ ~ , ~ ~
(t~)~
(own~-ten~t)
ADMITTED BY: ~~ ~~ ACCOMPANIED BY:
~Y
AVA~LE:
SUFF.
CO. T~ MAP NO. 1000- ~/~
sov~c~ o~ ~s~: ~~~~ ~: ~ t t
DWELLING:
TYPE OF CONSTRUCTION:
FOUNDATION:
TOTAL ROOMS: 1ST FLR: ~o 2ND FLR:
BATHROOM(S): ] TOILET ROOM(S):
PORCH TYPE: ~ DECK, TYPE:
BREEZEWAY: ~ FIREPLACE:
DOMESTIC HOTWATER:, ~/~_~TYPE HEATER:
TYPE HEAT: 0 1 ~- WARM AIR:
OTHER:
~--~ # STOmES; t # EXITS:~
CELLAR: y.- CRAW~ SPACE:
3RD FLR: ~
UTILITY ROOM: -
PATIO, TYPE: ~
GARAGE:
AIRCONDITIONING:
HOTWATER: '--"-
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL: ~
OTHER: 0~,
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY: DATE OF INSPECTION:
,./,-//._//
TIME START: END: