HomeMy WebLinkAboutZ-17880FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-17880
Date MARCH 24~ 1989
THIS CERTIFIES that the buildin~
Location of Property 1095 SHORE DRIVE
House No.
County Tax Map No. 1000 Section 47
SEC.#1
Subdivision M/oGPT.SHORES
ONE FAMILY DW~L?.ING
Street
Block 2
C~RRNPORTr N.Y.
Hamlet
Lot 25
Filed Map No. 1759 Lot No. I5
conforms substantially to the requirements for a private one-family
dwelling puilt prior to: APRIL 9, 1957 pursuant to which
CERT. OF OCCUPANCY. #Z-17880 dated MARCH 24~ 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 D~J.INGWITHA'I'I'AC~EDONE CAR GARA/~E*
The certificate is issued to CHARLOTT~ S. BERTINI
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPRO%rAL NO RECORD PRE-EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE-EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD PRE-EXISTING
*PLEASE SEE ATTACHED INSPECTION REPORT
Rev. 1/81
Building Inspector
BUILD i!,;G DEPART:LENT
TOW%~ OF SOUTHOLD, N. Y.
HOUSING CODE IHSPECTION REPORT
Location 1095 SNORE DRIVE
.... ki: ' [~umoer ~ szree~)
Subdivis ion
GREENPORT
Map No.
(£'iunzc ipa±i 5y )
~Name Q~gO%.~ne~(.s_) 'CHARLOTTE BERTINI
Occupancy RESIDENTIAL
Admitted__.by:. CHARLOTTE BERTINI
OWNER
(owner-~enan~)
Accompanied by: SAME
Key ~vailable
Suffolk Co. Tax No. 47-2-25
Source ~ request · CHARLOTTE BERTIN~'" '
Type of ~onstruQtion
Foundation CEMENT BLOCK
Total ropms, lsd. F1
Bathroom (s) ONE
Dar e
WOOD FRAME #stories
Cellar % Crawl space
5 2nd. F1 5rd. F1
Toilet room(s)..
Po~ch, type .... Deck, type
Breezeway, Garage ]car attached
Type Heat · ~- 'Warm Air
Fireplace(s) '~ YES No. ~¢its 2
Patio,
Utility room
Hotwater
Domestic hotwatsrEnEC.~WA~m~a~Type heater
Other
3/8/89
I
West side
Airconditioning
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
2
ONE IN SIDE YARD
V~IOLATIONS:
Ho.~sing Code, Chapter 45' N.Y.
--Location
., t
Descriotion
Stat$.~niform. Fire Prevention
& BullGin~ CoGe
Art. I Sec.
Remarks: House in very good condition
~ GAI~ FISH
BUJ~D ING INSPECTOR
Date of Insp. March 2], 1989
-Time start 10:45 end Il:00
TOWN OF SOUTHOLD
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.....~.~.C'..~.f.~.~--. ''''''~''''-''')/~/~/~'""----~~~----------~X--~
HOUSE NO. STREE~ HAMLET
=o=, ~. ,~ ,o. ,000 ~e=~,o~ .~Z. ~o=, ..2.. =o= ..2.~.
Permit No ......... ;.Date of Pe~mi~ .......... Applicant ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate .......
Fee Subaltced: $ ...........
Final Certificate
APPLICANT ...........................
£o~17~
rev. 10/14/88
CONSENT
TO
INSPECTION
CHARLOTTE BERTINI
· the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) ~ the owner(~ of the premises in the Town
of Southold located at 1095 Shore Drive, Greenport, New York 11944
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 47 , Block 2 , Lot 25
That the undersigned (has) ([%'4~ filed, or caused to be filed· an applica-
tion in the Southold Town Building Inspector's Office for the following:
(Pre-existinq) ~ertifica~ of
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, ~ules
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: March 8~ 1989
~ignature)
Charlotte Bertini
(printname)
c/o Frederick J. Tedeschi
Attorney at Law
218 Front Street, Box 562
Greenport, New York 11944