Loading...
HomeMy WebLinkAboutZ-18416FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18416 Date SE~rF~BER 26~ 1989 THIS CERTIFIES that the building Location of Property 10725 SOUND AVENUE House No. County Tax Map No. 1000 Section 122 Subdivision (kNE FAMILY DW~3.LING MATTITUCKr N.Y. Street Hamlet Block 01, Lot Filed Map No. Lot No. 5.003 conforms substantially to the requirements for a private one-family dwelling built prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCC. Z-18416 dated SEPTEMBER 26~ 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 DWF3J.?NG * The certificate is issued to NANCY C. BURT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO REOORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING *PLEASE SEE ATTAC~I0 INSPECTION REPORT. guilding Inspector Rev. 1/81 BUILD I:,.~G DEP.~d~Tr. LE~jT T0;'~r OF SOUTHOLD, N. Y. HOUSING coD~. INSPECTION REPORT Location Subdivision 10725 SOUND AVENUE [number & s~reev) Map No. MATTITUCK, N.Y. (I,iunlcipali~y) Lot(s) N~,me of Owner(s) NANCY C. BUNT Occupancy R-40 RES. [type) A~mitted by: NANCY BUNT OWNER (owner-:enan:) Accompanied by: SAME Key available Suffolk Co. Tax No. 122-01-5.003 Source of request___ NANCY BURT Date 9/19/89 Type of constructionWOOD F~%~/BNICK VANEER #stories Foundation CE~T BLOC~ Cellar 1/4 Crawl space Total rooms, 1st. F1 Y 2nd. F1 -- 3rd. F1 - Barroom(s) ! Toilet room(s) ~ Porch, ~eFRO~ ~SEB Deck, ~e -- Patio, ~e Breezeway Garage Utili~ room ~e Heat LILCO GAS, E~C' Wa~ Air ~ Hotwater - - Firep!ace(s)9~ IN LIV~No' ~cits 3 Airconditioning Domestic hotwater LILCO ~s T~e heater Other ~CCESSORY STRUCTURES: Garage, type const. Swim,ming pool Other NONE Storage, type const. Guest, type const. VIOLATIOMS: Lncation FRONT PORCH .CHAPTER 45--N.Y. STATE DNIFORM FINE PREVENTION & BUILDING CODE Descriotion BUILDINGS & STRUCTURES SHALL BE MAINTAINED FNEE OF INSECT VERMIN AND RODENT HARBORAGE & INFESTATIO -Art .'J Sec. CH~. F I 124219 Remarks: BP ~11417/CO Z-18382 Inspected by: G~mY~ FF~SN addition Date of Insp. 9/21/1989 · Time start 9:50 'end I0:I0 TOWN OF SOUTHOLD BUILDING DEPART}lENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 ~ APPLICATION FOR CERTIFICATE OF OCCOPANC¥ - nea ion ......... ~AMLET wrier or whets o operty.. /22, o o ~/ ~ Cooot7 Tax Sap No. ~000 Section ...... Slo~k~V~.. ~o~'Q~~ Subdivision ......... ~ ............ Filed Map .............. ~ Lot ~ Permit Ho -- ........... Date of Permit .-~ -- ......... Applicant ................... Health Dept Approval ' ' ................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Fee Submitted: $ ..... .~..~.. .. Certificate rev. 10/14/88 CONSENT TO INSPECTION uwner(s~ Name(s) · the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town ofSoutholdlocatedat ~O'-I~..~-~l~q~.. , ~'~-'[-,TC~C~-.,'~ which is shown and designated on the Suffolk County tax map as District 1000, Section ~l.0pBlock ~)l,O(~ Lot OO~. That the undersigned (has) (have) 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 inspeetions as they may deem necessary with respeet to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances0 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. ' \ (signature) (print name) Dated: (signature) (print name)