HomeMy WebLinkAboutZ-18613FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z18613 Date DECEMBER 5~ 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Propert~ 245 FIRST ST. & 530 STILLWATER AVE. CUTCHOGUE
House No. Street Hamlet
County Tax Map No. 1000 Section 103 Block 07 Lot 04
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a private one-family
dwelling built prior to APRIL 9, 1957 pursuant to which
Certificate of Occupancy Z18613 dated December 5~ 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~I3.INGr POOL WITH DECK & WOOD STORAGE BUILDING.
The certificate is issued to
PETER & THERESA BROPHY-MARY LOZINSKI
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
***SEE INSPECTION REPORT
Building Inspector
Rev. 1/81
BUILDIi'IG DEP:LRTi. LENT
TO:'ZM OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location ~5F]R~r~.& 52 ~iLLHa~A~E.
~numoer & street}
Subdivision
Map No.
(£4unicipalizy)
Lot(s)
Name of Owner( s ) MA~Y LOZINSKI, PETER & THERESA BROPHY
Occupancy
Ad.mitt ed by:
Key available
Source of request
R-I
(type)
PETER BROPHx
PETER BROPHY
(owner-tenant)
Accompanied by: SAME
Suffolk Co. Tax No. 103-07-o4
Date 10/18/89
D¥~LLi~:
Type of construction
Foundation CEME~rBLOCX
Total rooms, 1st. F1 8
Bathroom(s) l
Porch, type
Breezewa~
Type Heat~ ~i~
Fireplace(s)
Domestic hotwater
Other
~OOD FRAMED
#stories ONE
Cellar PARTIAL Crawl space REST
2nd. F1 --
3rd. F1
Toilet room(s)
Deck, type TE~mACE ROOD Patio,
Garage Utility room
'Warm Air Hotwater ~ ZONE
No. Fz¢it s Airconditioning
YEs .Type heater O~L FIRED
WOOD
~CCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool W~T~DECK Guest, type const.
Other ~iRI-LING~%.ST~OSMOREDETECTORS.
type. WOODDEcK
~IOLATIONS:
_Location
Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention
& Buildin~ ~od~
Description t Art. I Sec.
NO VIOLATIONS NEREFOUN9
THIS PRE C.O. INCLUBES
a.P. 1867Z 8/28/62 C.0.#Zl997
iB.p. 2818Z 7/21/65
B.P.13241Z 6/20/84
B.P.13350Z 8/14/84
tB.P.18679Z 12/&/Rq
C.O.Z 18611 ADDITION
C.O.ZI5790A POOL AND
c_o_~m&~9 ACCESSORY
Remarks:
Inspected by: ..... . e of Insp. OCT. 19, 1989
CURTIS W. RORTOR · Time start 10:00 end 10:45 a.m.
CONSENT
TO
INSPECTION
Owner(s) Name(s) ~( ~
do(es) hereby state:
undersigned (is) O the owner(s) of the premises in the Town
That
the
· which is shown and designated on the Suffolk
County tax map as District I000, Section ]0~ , Block 07 , Lot ~ .
That the undersigned (has) Q 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 re__the/Town of Southold.
Dated:
,0~.~ (~'~ ' (signature) '~'
(print
(signature)
(print name)
TO~N OF SOUTHOLD
BUILDING DEPAgTMENT
TO~N HALL
SOUT~OLD~ NE~ YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING..~...VACANT LAND ........
,.o~,o~ o~ ~o~,...~.~ .... ~ ....... ~,~.~, .~~...
HOUSE NO. STREET
Coun,-~, Tax ~ap No. ZO00 See,-ion .~.~'.. Bloek ..O.?... Lot' .C~.'~....
Subdivision ............ ~ .......... Filed Map ........ Lot ..........
Permit No ........... Date of Permit .......... Applicant ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval .........
Request for Temporary Certificate .~.. ....
Fee Submitted: $ ....
Final Certificate ...~. ..........
~/~'/~
CO z/ ~ ~3
rev. 10/14/88