HomeMy WebLinkAboutZ-20508FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE FC~ISTING
CERTIFICATE OF OCCUPANCY
No Z-20508
Date JANUARY 29, 1992
THIS CERTIFIES that the building
Location of Property 255 TUTHILL ROAD
House No.
County Tax Map No. 1000 Section 96
Subdivision
ONE FAMILY DW~3.LING
CUTCEOGIIE~ N.Y.
Street Hamlet
Block 1 Lot 3
Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9r 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-20508 dated JANUARY 29~ 1992
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 DWWJJ.ING WITH ACCESSORY WOOD FRAME STORAGE SHED *
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
ESTATE OF SAMUEL G. BROWN
N/~
/Building Inspector
Rev. 1/81
BUILDING DEPARTMENT
TO%~N OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
255 TOTfiILL ROAD
(number & street)
Location
Subdivision
Name of Owner(s)
Occupancy A-I ~ES.
(type)
Admitte~by: ~. C~AU
Key available
Source of request.
Cu'I'u~{O~JE, NEI4 YORK
(Municipality)
Map No. Lot(s)
ESTATE OF SAMUEL G. BROWN
O~NER
(ow~i~r-tenant)
Accompanied by: ~- G~AEn
Suffolk Co. Tax No. 96-1-2
DANIEL C. ROSS, ATTY
Date.. DEC. I0, 1991
DWELLING:
Type of construction
Foundation CEI~NTBLOCK
Total rooms,
Bathroom(s)
Porch, type
Breezeway
Type Heat OIL
Fireplace(s)
Domestic hotwater us
Other P~d~E~Y ROOM
let. F1
I FULL BAT~
FRONT OPEN
WOOD P~ #stories 2 STORY
Cellar I/2 Crawl space 1/2
2nd. F1 3 3rd. F1
Toilet room(s)
Deck, typ~ Patio, type
Garage Utility room
Warm Air Hotwater xx
No. F_xits 2 Airconditioning
Type heater PROPANE
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
ONE, ~OOD
TEAILER
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. t Sec.
Remarks: BUII~)INC PEI~IIT ~18190 E~I'IllEI) AI~ VOID. ~I~ PE~IT OBTAI~D
Inspected by: ~ ~' ~ Date of Insp.. J~. 3, 1992
~J: FISR Time startg:30 ~ end 1o:~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TORN BALL
SOUTHOLD, NEW YORK
765 - 1802
1197 I
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE. December 10,1991
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING..~...VACANT LAND ........
Location of Property...W~.~e.p~.~uSb$%~o~p~g~og~¢ .......................
HOUSE NO. STREET HAHLET
Owner or Owners of Property...~.P~.~u~.~-.~w~. .........................
County Tax Nap No. I000 Section ..~... Block .... ~1.. Lot ...~} ....
Subdivision ....................... Filed Nap ........ Lot ..........
Permit No ........... Date of Permit .......... Applicant ...................
Health Dept. Approval .................. Underwriters Approval ..............
Plannlng Board Approval ................
Request for Temporary Certificate ....... Final Certificate ......... X ......
Fee Submitted:
$. 100.09..
APPLICAN .....
Daniel C. Ross, attorney for the Estate of Samuel G. Brown
rev. I0/1&/88
CONSENT TO INSPECTION
Estate of Samuel G. Brown
Owner(s) Name(s)
state:
of
Which is
Section
tion
, the undersigned, do(es) hereby
That the undersigned (is) (~ the owner(s) of the premises in the Town
Southold located at west side of Tuthill Road, Cutcho~ue
shown and designated on the Suffolk County tax map as District 1000,
96 , Block 01 , Lot 03
That the undersigned (h~s) ~-~ filed, or caused to be filed, an applica-
in the Southold Town Building Inspector's Office for the following:
Certificate of pre-existing use
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 inspec-
tions to determine that said premises comply with all of the laws, ordinances,
rules and regulations of the Tcwn of Scuthcld.*
The undersigned, in consenting to such inspections; do(es) so with the
knowledge and understanding that any information obtained in %he conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or repons o~n of Southold.
Dated: December 1O~ 1991 / / /~ //~~/U~-
[ Daniel C. Ross, attorney for the Estate of
Samuel G. Brown
* We understand thst someone is occupying
the premises and request you seek permission
from that person at the time of the inspection.
Print name
Signature
Print name
Prepored in occord~nce with the ~
st~d~ds f~ lille surveys ~ esl~hed
by ~ L.LA.L.S. ~ ~oved ~d ~opfed
f~ s~h use b~ T~ ~w Y~k Stole L~d
Title A~sociot~.
A~ = I~ 1~ sq ft
N
R. 7~ 00'
L.106.63
SURVEY FOR
EUGENE A&T ALPHENIC MARTIN
CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000- 96- 01- 03
Scale: 1"= 30'
Nov. 22,1991
CERTFIED TO'
BRiDG~HAMPTON NATIONAL BANK
AMERICAN TITLE INSURANCE COMPANY
EUGENE MARTIN
ALPHENIC MART~V
P.O.
SOUTHOLD~
~S
N.Y. 11971
91-286
NO.
496/8