HomeMy WebLinkAboutZ-18039FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-18039
Date MAY 18~ 1989
THIS CERTIFIES that the buildin~
Location of Property 395 TRACK AVE.
House No.
County Tax Map No. 1000 Section 137
Subdivision
FAMILY DW~T.T.ING
C~TCHOGUE ~ NEW YORK
Street Hamlet
Block 1 Lot 19
Filed Map No. Lot No.
conforms substantially to the requirements for a private one-family
dwelling built prior to: APRIL 23~ 1957 pursuant to which
CERT. OF OCCUPANCY. #Z-18039 dated MAY 18r 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 ALBERT W. & CAROL ALBERTSON
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE-EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE-EXISTING
PLUMBERS CERTIFICATION DATEDNO RECORD PRE-EXISTING
*PLEASE SEE ATTACHED INSPECTION REPORT
~uilding Inspector
Rev. 1/81
BU~DI?,G DEP.qRT~iENT
TO';~ OF SOUT.OLD, N. ¥.
HOU~I.G CODE INSPECTIO['[ REPORT
Location 395 TRACK AVE.
(nuumoer ~ s~ree~)
Subdivision
Name of Owner(s) ALBERT W. &
CUTCHOGUE, NEW YORK
(iqunic±pali~y)
Man No. Lot(s)_
Carol Albertson
Occupancy
~4~ .~ed by:
Residential R-40
[gype)
Albert Albertson
Key available
(owner-venan~)
'AcnOmp~nied by: S~ME
Suffolk Co. Tax N0.137-1-19
Source of request.
Rudolph H. Bruer,'~tty
Date
3/24/89
D¥~LLI~!G:
Type of construction
Foundation.CEMENT BLOCK
Total rooms, tst. F1 5
Bathroom(s) 2 FULL
Porch, type ENCLOSED REAR Deck, type
Breezeway Garage 1
TMpe Heat OIL Warm Air xx
Fireplace(s)_ 2 No. F~its
Domestic hotwat er OIL
Other
WOOD FRAME
Cellar 3/4
2nd. F1
Toilet room(s).,
I Patio, type_.
Utility room
Hotwater
Airconditioning
.Type heater BOCH
#stories
Crawl space~1/4
3rd. FI
~CCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
SHED IN REAR YARD
V~IOLAT!OMS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Location I Description I Art. I Sec.
Remarks- HOUSE IN GOOD REPAIR
for shed, ~P # 15301~ - C% Zi~.O3g --
BP #~'199-C0 Z-2566 for add. BP #8162Z-C0 Z-
Da. re of Insp. May 18, 1989
'Time start10:30 end 10:50
1838
TOWN OF SOUTHOLD
BHILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE .................
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING HUILDING..~...VACANT LAND ........
Location of Property.. [.j~.
HOUSE NO. STREET HAMLET
Owner or Owners of Property .........
Subdivision ....................... Filed Map ........ Lot ..........
Permit No ........... Date of Permit .......... Applicant .........
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ..... .~. ........
Fee Submitted: $../~ .~.~. ...........
APPLICANT. ~ .
rev. 10/14/88
CONSENT
TO
INSPECTION
Albert W. Albertson, Jr. and Carol Albertson, ux
· 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 at 395 Track Avenue, Cutchogue, New York
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 137.00, Block 01.00 , Lot 019.00.0
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: ~
to ' ' , q__' -- ~ main dw~l 1 ing for pre-existing use
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: ~rch 24, 1989 '
(signature) U
Albert W. Albertson, Jr.
(signature)
Carol Albertson
(print name)
MAP OF.'LANO
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