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)