HomeMy WebLinkAboutZ-18438FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-18438
Date OCTOBER 3r 1989
THIS CERTIFIES that the building.
Location of Property 1570 VILLAGE LANE
House No.
County Tax Map No. 1000 Section 24
Subdivision
ONE FAMILY DW~3.T.ING
ORIENT ~ N.Y.
Street
Block 2 Lot
Filed Map No. Lot No.
Hamlet
15
conforms substantially to the requirements for a private one family
dwelling built prior to: APRIL 9r 1957 pursuant to which
CERTIFICATE OF OCC. #Z-18438 dated OCTOBER 3~ 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~T~.ING WITH TWO ACCESSORY WOOD FRAME SHEDS*
The certificate is issued to PATRICK J. & KATHY M. CA~m'E/~Y
(owners)
of the aforesaid building.
Su~'~'OLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
Building Inspector
.1
BUILDI..G DEPARTI.tE~T
TOV~! OF SOUTHOLD, N, Y.
HOUSING coD~ INSPECTION REPORT
Location 157o VILLAGE LANE
[numaer & streeT)
Subdivision
Map No.
ORIENT. N.Y.
(Diunicipality)
Lot(s)
Ne~me of Owner(s) PATRICK & KATEY CAFFERY
Occupancy
A~mitted by:
R-40 RESIDENTIAL
(type)
~ATEICK CAFFERY
OWNER
(owner-~enan~)
Accompanied by: SAME
Key available
Suffolk Co. Tax No. 24-2-15
Source of request PATRICK CAFFER~
Date 9/15/1989
DI'~LLIMG:
Type of constructionWOOD FRAME
Foundation STORE && BRICK Cellar
Total rooms, 1st. F1 5 2nd. F1
1/8
4
#sTories 3 STORY
7/8
Crawl space
3rd. F1 ORE
Bathroom(s) 2 FULL BATH
Porch, typeFRONTWRAPAROI~eck,
Breezewa~
Type Heat OIL
Fireplace(s)
Domestic hotwater
Other
Toilet room(s)
typ~SMALLREARDEcK Patio, type__
Garage Utility room
'Warm Air Hotwater xx
No. ~cits 4 Airconditionin~ --
OIL Type heater
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
£
Storage, type const.~ S~EDS WOOD
Guest, type const.
UIOLATIONS:
Location
.C~APTER 45--N.Y. STATE UNIPO~ FIRE PREVENTION & BUILDING CODE
Descriotion [ Art. I Sec.
Remarks. HOUSE IN, AIR CONDITION.
Date of Insp. 9/29/1989
· Time start 9:35 end IO: IO
APPLICATION
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - ]802
11971
FOR CERTIFICATE OF OCCUPANCY
O~Yo~ Owners of
County Tax Map No.
Subdivision .......................
Permit No ........... Date of Permit
Health
Planning Board Approval
, 1
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING EUILDING...~..VACANT LAND ........
Loent io~ o~ P~o~rt, ...... ~2/~_~. ~
. ./~..?~ . . ..............
HOUSE NO. STREET HAMLET
Property PATRICK J. & KATHY ~. CAFFERY
1000 Section 24. Block 2 Lot .~ ......
Filed Map Lot
.......... Applicant ...................
Dept. Approval .................. Underwriters Approval ..............
Request
Fee Submitted:
for Temporary Certificate .......
~ z00.00 ~5'~
Final Certificate
rev. I0/14/88
C_ONSENT
TO
INSPECTION
sEp !
/A/~rA2/C~' ~ '¢ /f~7-tYt/ lA/. ~4F~E~ . the undersigned,
O~er(s) Name(s) '
/
do(es) hereby state:
That the undersigned~ (are) the owner(s) of the premises ~ the To~
of Southold located at /~ ~/'//a~ ~ ~/~ ~ ¢
~ ~ /
~ which is shox~ and designated on the Suffolk
County tax map as Dist=iat 1000, Section ~, , Block ~ , Lot ./~ .
That the undersigned (h~s) (h~ve) flied, o~ caused [o be filed, au applica-
tion in the Southold To~ Building Inspector's O[fice ~or the follow~D:
/
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 tn the conduct of
such inspections may be used as evidence in subsequent prosecutions for rio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated:
/,Cs'e/
Term [xpir~s June 30.
( sig~natd'r ~ /
(p~ini name) /
/,4.
(~rint name) /
!
SURVEY OF
PROPER T Y.. .,,,
A T ORIENT _'~~
TOWN OF SOUTHOLD --.
SUFFOLK COUNTY, N.~Y'.
1000 - 24 - 02 -
Scale 1" = 20'
Aug. 3, 1989
NATIONAL BANK
CArre~Y
89- 340.~