HomeMy WebLinkAboutZ-17796FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z17796
................. Date . .F.e.b.r.u..a.ry..2..4.,.. [?.8.9 ...........
THIS CERTIFIES that the building..QNI~. FAMILY DWELLING
Location of Property 1260 FACTORY AVE. MATTITUCK
/~&; hid ....................... 's't/e~i ............................
Ham/et
County Tax Map No. 1000 Section .... 1.4.2. ..... Block 0 I .Lot 0 8
Subdivision ............................... Filed Map No ......... Lot No ..............
~ 'REQ~JI.RKNENTS FOR A PRIVATE ONE-FAMILY DWELLING BUILT PRIOR TO
conforms substantially to the ~ga~tli~XflblOBgtli~/tgi~lhlt~tbX~l~glt~grt~~
APRIL 9, 1957 CERTIFICATE OF OCCUPANCY
..................... pursuant to whichlt3~l[itli~[l~thl~[l{No...Z.] .7.7. 9. .6 .............
dated FEBRUARY 24, 1989
............................ was issued, and conforms to all of the requirements
of the applicable provisions of the law. Tile occupancy for which this certificate is issued is .........
One family dwelling and accessory ara e ..... '
Tile certificate is issued to JOHN J. BERDINKA
..................... /o~,.'~;,~;4 g-~k~'~b ......................
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED: N/A
ALSO B.P. ~16840z and C.O. ZI7797
for alterations.
''' ~t;ilc~i;g Insl~dc'tg; .............
Rev. 1/81
Location
BUILDil,;G
T0',',$I OF SOUTHOLD, N. Y.
HOUSING CODE IUSPECTION REPORT
Map No.
]260 FACTORY AVE.
Subdivision
Name of Owner(s) JOHN J. BERDINKA
MATTITUCK
(i.iunzcipa±£~y)
Lot(s)_
Occupancy R~
(%ype)
A~mitted by: JOSEPH EDGAR
(owner-~enan~)
Accompanied by:.,, SAME
Key available
Suffolk Co. Tax No. 142-1-8
Source of request .JOHN J. BERDINK~ '
Date
FEB. ]0, 1989
DI'~LLIMG:
Type of construction WOOD FRAME
PARTIAL WOOD
Foundation BRICK/CONCRETE
Total rooms, 1st. FI 3
Bathroom(s) ONE
Porch, typ~ FRONT
Breezewa~ ---
Type Heat NATURAL GAS
Deck,
Garag~
Warm Air
#stories 2
Cellar ~/3 Crawl space..2/3
2nd. F1 2 3rd. F1 ---
Toilet room(s). ---
typq --- ~atio, typ~ ---
--- Utility room REAR MUD RO'OM
Hotwater xx
Fireplace(s) --- No. ~cits 2
Domestic hotwater NATURAL GAS ~ype heater
Other
~CCESSORY STRUCTURES:
Garage, type const. WOOD FRAME
Swimming pool --
Other --
Aircondition~ng --
Storage, type const.
Guest, type const.
~IOLATIONS: Housing Code, Chapter 45 N.Y.
--Location
OUTSIDE TN~
SLEEP£N~ a~a
1ST .FLOOR
Descriotion
NO S~QKE DETECTQR
State Uniform Fire Prevention
& Building Code
I rt.t Sec.
Remarks: HOUSE IN GOOD REPAIR.
~VGARY"~SH
Date of Insp.
-Time start 2:3o
2/]5/89
end 2:50
CONSENT
TO
INSPECTION
Owner(s) Name(s)
do(es) hereby state:
· the undersigned,
of Southold located at
County tax map as District 1000, Section
That the undersigned (is) (are) the owner(s) of the premises in the Town
h/~/l]i~ which is shown and designated on ~he Suffolk
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.
(signa[ure)
(print name)
(signature)
(print name)
TOWN OF SOUTHOLD
BUILDING DEPAKTHENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING----~--VACANT LAND ........
HOUSE NO. STREET HAHLBT
Owner or Owners of Property ........... ' ..... ~
County Tax Map No. lO00 Section ...../~ Block .............. / Lot f
Permit
Health
Planning Board Approval
Subdivision ....................... Filed Map ........ Lot ..........
....... Appli .....
Dept. Approval .................. Underwriters Approval ..............
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted: $ ....................
APPLICANT .........................
rev. 10/I/+/88