HomeMy WebLinkAboutZ-17571FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-17571 Date DECEMBER 7~ 1988
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1330 DEEP HOLE DRIVE MATTITUCKr NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 115 Block 12 Lot 18
Subdivision Filed Map No. Lot No.
conforms substantially to Requirements for a private one-family dwelling
built prior to: APRIL 9~ 1957 pursuant to which
CERTIFICATE OF OCC. Z-17571 dated DECEMBER 7~ 1988
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~IJ.ING WITH ACCYGARAGE & ACCY SHED
The certificate is issued to
MATHIAS & EVELYN J. BREWI
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
Building Inspector
BUILDi?~G o~P,~T..~ ~
TO','~%I OF oOU~:~OLD, N. Y.
Location
HOUSI[fG CODE Ii'ISFECTION REPORT
1330 DEEP HOLE DRIVE MATTITUCK, NEW YORK
[number ~ sLreev)
Subdivision
~Iap No.
Ns~me of Owner(s) MATHIAS & EVELYN BREWI
(~,iunicipa±i~y)
Lot(s)_
Occupancy
A~mitted by:
'A' RESIDENTIAL AGRICULTURAL
~ type ) ~ owner- ~ enan~
MATHIAS BREWI Accompanied by: SAME
Key available
Suffolk Co. Tax No. 115-12-18
Source of request
MATHIAS BREWI
Date
D~LLI~:
Type of construction
Foundation CEMENT BLOCK
Total rooms, 1st. FI
Bathroom(s) I
Porch,
WOOD FRAME #stories
Cellar ~ Crawl space
4 2nd. FI 3rd. FI
Toilet room(s)
Deck, type Patio, type
type 2 REAR & FRONT
Breezeway Garage 1 Utility room
Type Heat PROPANE Warm Air xx Hotwater
Fireplace(s) 1 No. ~cits 2 Aircondition~ng
Domestic hotwater PROPANE ~ype heater
Other
ACCESSORY STRUCTURES:
Garage, type const. WOOD FRAME
Swimming pool
Other
Storage, type const.
Guest, ~ype const.
S MAE~L SHED
VIOLATIONS:
_Lncation
Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention
& Buildin~ Code
Description I Art. I Sec.
Remarks:
Inspected by: ~z~L~
~GARY F~
Date of Insp. 1~/;5/1988
-Time start9:50 am end I0:20 am
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - I802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING EUILDING~X~VACANT LAND ........
HOUSE NO. STREET HAMLET
County Tax Map No. 1000 Section /[~'~.. Block .{.5~..... Lot . 2~ .....
Subdivision ....................... Filed Nap ........ Lot ..........
Permit No ........... Date of Permit .......... Applicant~ ,~t~.,~,~. .... : .....
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted:
rev. 10114188
CONSENT
TO
INSPECTION
Oxvner(s) Name(s)
do(es) hereby state:
· the undersigned,
That the undersigned (-i~) (are) the owner(s) of the premises in the Town
of Southold located at /.~.~o
/
County tax map as District 1000, Section {/~_K- , Block
· which is shown and designated on the Suffolk
Lot / ~ ·
That the undersigned (1~) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the folloxving:
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 ~vith the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for rio-
ordinances, rules or regulations of the Town of Southold.
lations of the laws,
Dated: A/~ w. / 4
(signature)
(print name)
(~ignature)
(print name)