HomeMy WebLinkAboutZ-18915FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-18915 Date MARCH 23~ 1990
THIS CERTIFIES that the building. ONE FAMILY DWELLING
Location of Property 53830 ROUTE 48 (NORTH ROAD)
House No. Street
County Tax Map No. 1000 Section 52 Block 2 Lot 18
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements of a private one family
dwelling built prior to: APRIL 9~ 1957 pursuant to which
SOUTHOLDr N.Y.
Hamlet
CERTIFICATE OF OCC. ~Z-189t5 dated ~5~RCH 23r 1990
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 DW~J~,ING *
The certificate is issued to MEREDITH TRUN~ f/k/a MEREDITH BRADY
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING
*PLEASE SEE ATTACHED INSPECTION REPORT.
Bulldin~ ~nspeetor
Rev. 1/81
Location
Subdivision
Name of Owner(s)
BUILDI~ DEP~d~TS~ -.
T0%'$! OF SOUTHOLD, N. Y.
HOUSIi~ CODE IHSPECTION REPORT
53830 ROUTE 48 NORTH ROAD
[numoer ~ street)
Map No.
MEREDITH TRUNK f/k/a MEREDITH
SOUTHOLD, NEW YORK
(i',lun~cipali~y;
not(s).,
BRADY
Occupancy
Admitted by:
(type)
MIRIAM BATSOH
Key available
(owner-~enan~)
Accompanied by: SAME
Suffolk Co. Tax No. 52-2-18
Source of request FRED M.
SCHWARTZ
Date
3/2o/~99o
Type of construction
Foundation CEHENTBLOCK
Total rooms, 1st. Fi
Bathroom(s) ONE FULL
Porch, ~fpe -
Breezeway -
Type ,Heat LILCO GAS
Fireplace(s)
Domestic hotwater
Other
wood fr~
#sTories one
Cellar - - Crawl space x
4 2nd. F1 - - 5rd. F1 - -
Toilet room(s) -
Deck, type - Patio, type.
Garage - Utility room -
'Warm Air CENTI~iLHEAT Hotwater
No. ~¢its 2 Airconditioning
LILCOGA$ ~ype heater
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
NONE
Storage, type const.
Guest, type const.
~IOLATIONS:
_Lncation
.CHAPTER 45--N.Y. STATE UNIFORN FIP~g PREVEIfflON & BUILDING (:ODE
Descriotion I Art. I Sec.
Remarks:
Date of Insp. 3/23/90
· Time start..9:30 end 9:45
TOWN OF SODTBOLD
BUILDING DEPAETHENT
TOWN HALL
SOUTUOLD, NEW YORK
765 1802
11971
APPLICATION FOR CEETIFICATE OF OCCDPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EX~STINO 8UZLDINO..~...VACANT LAND
Location of Property ..... .. ............... .. .......................
LOUSE NO. STREET ~AMLET
0wuer or Owners of
County Tax Hap NO, I000 Section .~2... Block
Subdivision ....................... Filed Map
PermlC
Bealch
Plannin8 Board Approval
No ........... Date of PnrmiC .......... Appllcant
Dnpt. Approval .................. Underwri£era Approval ..............
Request for Temporary Certlfieatn ....... Final Certificate ..~ .............
Fee Submitted:
$. JP~)..PP .............
APPLICANT'''~/ED M. SC/HWART/Z/', as a't't'o'r'n'e'y"i :
~;ct for/MERED~H TRUNK, f/k/a
EREDITH BRADY
CONSI~NT
TO
INSPECTION
'MEREDITH TRUNK, f/k/a MEREDIT~ BRADY,
Orator(s) Name(s)
do(es) hereby state:
the undersigned,
That the undersigned (is) (nra) the owner(s) of the premises in the Town
Of Southo{d located at Boot Cid_,._Np_rth Road,, Southold, New York,
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 52 ~ _, Block.
That the undersigned (has) ~ filed, or caused to be filed, an applies-
tion in the Southold Town Building Inspector's O£fiee for the following:
Certificate of Occupancy or Certificate .o.f Existing Use
That the undersigned do(es) hereby give consent to the Building lnspectorl
of the Town of -qouthold to enter upon the above described property, ineludln{~
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesnid application, including inspection
to determine that said premises comply with all of the laws, ordinances, rule
and regulations of the ToWn of Southold.
The undersigned, in consenting to such inspections, do(es) so with tho
knowledge and understanding that any information obtained In the conduct of
such inspections may be used as evidence in subsequent prosecutions for vie-
lations or the !.u~Vs,
Dated:
March 16, 1990
ordinances, rules or regulations of the To~vn of Southold,
DITH T,,R. UNK/./bv..~RED M.
// (p~int name")
~il'~6ature)
(print name)
T:-T~E %G, ~-fO; -757~_.