HomeMy WebLinkAboutZ-18140FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE
Certificate Of Occupancy
Date JUNE 23,1989
THIS CERTIFIES that the building .... .O~I.E..F..A.M.I.I?(. p.W.E.L.L..I.N.G. .....................
Location of Property ORIENTAL AVE. FISHERS ISLAND
~t~tJs'e '~01 Street ................... Hamlet
County Tax Map No. 1000 Section . Q ? ......... Block . .Q(* ........... Lot 1 9
Subdivision ............................... Filed Map No ......... Lot No ..............
REQUIREMENTS FOR A PRIVATE ONE FAMILY DWELLLING BUILT PRIOR
conforms substantially to the l~ll~Xi~Kl(~:~X~Xlt~Xlffi~l~eXffi~l~[lllfilToXt~
TO
APRIL 9, 1957 CERTIFICATE OF OCCUPANCY
..................... pnrsuant to which lll~l{~[l{~rllil[iX'No....Z. 1.8. ! .4 ~) ............
dated JUNE 23; 1989
was issued, and conforms to all of the requirements
of tile applicable provisions of tile law. The occupancy for which this certificate is issued is .........
ONE FAMIL'Y DWELLING.
The certificate is issued to LILLIE M. & RICHARD G. AHMAN
..................... /&;,,b;,~'&~ k k ...................
of tile aforesaid building.
Suffolk County Department of Health Approval ..... N./..A ............................
UNDERWRITERS CERTIFICATE NO .............. N [.6 .................................
PLUMBERS CERTIFICATION DATED:
**4 SEE INSPECTION REPORT
N/A
Building Inspector
Rev, 1/81
Location
BUILDNiG DEPf~Ti.~NT
T0~'S,[ OF ~OU~n0LD, N. Y.
HOUSING CODE INSPECTIOH REPORT
ORIENTAL AVE. FISHERS ISLAND
[nu~oer e s~reev)
Subdivision
Nm~e of Owner{s) LILLIE M. &
Map No.
RICHARD G.
(Nunlclpa±ity)
not(s)
AHHAN
Occupancy OWNER
~ype)
A~mitted by: L. AHMAN
(owner-zenanz)
Accompanied by: L. AHMAN
Key available L.
Source of request
AHMAN
L. AHMAN
Suffolk Co. Tax No. 09-04-19
Date 6/5/89
D¥~LL!~:
Type of construction
Foundation STONE
Total rooms, 1st. F1
Bathroom(s)
Porch, t)~e OPEN
Breezewa~ NONE
Type Heat steam
Fireplace(s)
Domestic hotwater YES
Other
WOOD
4
Deck, type.
Garage.
Warm Air
~o.
#stories 2
Cellar YES Crawl space NO
2nd. F1 4 3rd. F1
Toilet room(s) NONE
NONE Patio, t]rp~ NONE
Utility room 1
none Hotwater none
~cits 2 Airconditioning. NO
~ype heater OIL
ACCmoSOR_ STRUCTURES:
Garage, type const. NONE
Swimming pool NONE
Other
Storage, type const.
Guest, type const.
NONE
NONE
VIOLATIONS: Housing Code, Chapter 45 N.Y.
Location
Description
State Uniform Fire Prevention
& Build&~q Code
I Art. I Sec.
Remarks: ,~
CURTIS W. HORTON
Date of Insp. 6/5/89
-Time start 2:21 end 2:33
CONSENT
TO
INSPECTION
Ov,'n er (s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at (~F'-I' ~,,~T,~/
· which is shown and designated on the Suffolk
County tax map as District 1000, Section ~ , Block ~ , Lot
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Totem Buildin~ Inspector's Office for the followinF:
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, i~cluding
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 c,f Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understandin~ that any information obtained in the conduct of
~uch 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:
(signature)
(print name)
(print name)
TOWN OF SOUTUOLD
BUILDING DEPARTHENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING.~....VACANT LAND ........
Location of Property....... ..... .. ~....1~_-(~../ .~.c~.~.,. ........ ~_2.~i.~/.~.,l.¢:.~.~. ....
HOUSE NO. STREET HAHLET
Owner or Owners of
County Tax Map No.
I000 Section ...~.. Block .... ~.. Lot ... ~...
Subdivision ....................... Filed Map ........ Lot ..........
Permit
Health
No ........... Date of Permit .......... Applicant ...................
Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Pee S.bmitted: $. ..........
APPLICANT. ~ . z ............
rev. 10/14/88