HomeMy WebLinkAboutZ-18393FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-18393 Date SEPTEMBER 20~ 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 38300 MAIN ROAD
House No. Street
County Tax Map No. 1000 Section 15 Block 8 Lot 31.4
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a one family dwelling
built prior to: APRIL 9~ 1957
ORIENT ~ N.Y.
Hamlet
pursuant to which
CERTIFICATE OF OCC. #Z-18393 dated SEPTEMBER 20r 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 DW~.INGWITHACCESSORY ONE CAR WOOD FRAME
GARAGE WITH ATTACHED STORAGE SHED *
The certificate is issued to
DAVID & JEANNE BRAWNER
(owners)
of the aforesaid building.
SU~'~'OLK 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.
~7/'Bui/ld~ngInspector
Rev. 1/81
BUILDING DEP.~RT MENT
T0','fN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 38300 MAIN ROAD
~numoer & streeT)
Subdivision
ORIENT,
Map No.
(Municipality
Lot(s)
N~me of Owner(s)
DAVID & JEANNE BRAWNER
Occupancy R-80 RESIDENTIAL
(type)
A~mitted by: DAVID BRAWNER
OWNER
(owner-venanz)
Accompanied by: SAME
Key available
Suffolk Co. Tax No. ~5-8-3].4
Source of request DAVID BRAWNER
Date 8/~6/]989
D¥~LLIMG:
Type of construction
Foundation CEMENT BLOCK
Total rooms, 1st. F1
Bat~hroom(s) 2
Porch, typq
Breezewa~
Type Heat OIL
Fireplace(s) 3
Domestic hotwater
WOOD FRAME
#stories 1-~
Cellar ~ Crawl space ~
6 2nd. F1 3 3rd. F1
Toilet room(s) !
Deck, typ~
Garage
Warm Air xx
~atio,
Utility room
Hotwater
Other
type. BRICK
No. Exits 4 Airconditioning
LILCO GAS ~ype heater
ACCESSORY STRUCTURES:
Garage, type const. I CAR WOOD FRAMEStorage, type const. ATTACHED TO GARAGE
Swimming pool Guest, type const.
Other
VIOLATIONS:
Lncation
.CMAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Oescriotion --]-A~r~.} Sec.
Remarks: HOUSE IN GOOD CONDITION
Inspected by:
Date of Insp.
· Time start ~:00
9/19/!989
end ] :20
TOWN OF SODTDOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTBOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR
Loeatlon of
DOUSE NO.
PRE-EXISTING EUILDING.~...VACANT LAND ........
Ma±n Road Orient
STREET HAMLET
Owner or Owners of Property Brawner. David M and Jeanne
County Tax Map No. 1000 Section ~ .... Block .8 ..... Lot ...31.4..
Snbdivisloo ....................... Filed Map ........ Lot ..........
Permit NO ~
........... Date of Permit .......... Applicant ...................
Dealth Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate .......
Fee Snbmitted: 00.00
Final Certificate
JEANNE BRAWNER
rev. 10/~4/88
CONSENT
TO
INSPECTION
DAVID M. BRAWNER and JEANNE, BRAWNER
Owner(s) Name(s)
do(es) hereby state:
· the undersigned,
Thai the undersignedRi~ (are) the owner(s) of the premises in the Town
of Southold located at Main Road, Orient, NY
· which is sho%~n and designated on the Suffolk
County tax map as District 1000, Section 15 , Block 8 , Lot 31.4
That the undersigned (has) ~) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Pre-existing certificate of occupancy
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.
DAVID(~gn~ER
(signature)
(print name)
FIXTURES
SERVICE
11957
i
al,,~
RECEIVED BY
BEC C9~983 ~
DATE