HomeMy WebLinkAboutZ-17808FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE-EXISTING
CERTIFICATE OF OCCUPANCY
No Z-17808 Date MARCH ir 1989
THIS CERTIFIES that the buildingsONE FAMILY DW~JJ.ING & ACCESSORY
Location of Property 1320 NEW SUFFOLK ROAD
House No. Street
County Tax Map No. 1000 Section 109 Block 6 Lot 11
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a private one-family
dwelling built prior to: APRIL 9, 1957
CUTCHOGUE~ N.Y.
Hamlet
pursuant to which
CERT.OF OCCUPANCY #Z-17808 dated MARCH ir 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~TJ.ING WITH ACCESSORYGARAGE
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
ALFRED & BERTHA M. C~_IN
Rev. 1/81
Fu~ild~ngInspect°r
BUILDIi'iG
TOb%! OF SOUTHOLD, N. Y.
HOUoL,G CODE IHSPECTION REPORT
Location
Subdivision
1320 NEW SUFFOLK ROAD
[numoer ~ szree~)
CUTCHOGUE, N.Y.
(Municipa±z~y)
Map No. Lot(s)
N~me of Owner(s)
ALFRED & BERTHA M. CAIN
Occupancy
A~mitted by:
RESIDENTIAL
(~ype)
ALFRED CAIN
(owner-~enan~)
Accompanied by: SAME
Key available
Suffolk Co. Tax No. 109-6-~]
Source of request,LUNDSTEDT
& FOY,'-ATTYS Date 2/22/89
?~LLIMG:
Type of construction WOOD FRAME
Foundation CEMENT BLOCK
Total rooms, 1st. F1 5
Bathroom(s) !
Porch, typeOPEN FRONT PORCH Deck,
BreezewaM Garage
Type Heat OIL STEA~ 'Warm Air
Fireplace(s)ONE ON 1st FL~o' ~¢its
Domestic hotwater
Other
#stories 2
Cellar FULL Crawl space
2nd. F1 2 3rd. F1
Toilet room(s)
typ~
Patio, type.
Utility room
Hotwater
2 Airconditioning.
NATURAL GAS .Type heater
PANTRY & REAR MUD ROOM
A_CCESSORY STRUCTURES: 1-]/2 Car
Garage, type const. WOOD FR~E
Swimming pool
Other
Storage, type const.
Guest, type const.
V_IOLATIONS:
--Location
Housing Code, Chapter 45 N.Y.
Descriotion
Stat~.Uniform.Fire Prevention
& BullGinc CoGe
I Art. I Sec.
Remarks: HOUSE IN GOOD CONDITION
GARY ~S~
Date of Insp.
· Time start2:30
2/28/89
end 2:50
TOWN OF SOUTUOLO
BUILDING DE PARTHENT
TO~N IIALL
SOIITIIOI. I), NEW YORK
765 - 1802
II
APPLICATION POR CERTIFICATE OF OCCUPANCY
DATE. ~/~/~ .........
NEW CONSTHUCTXON ....... OLD OR pRE-ExISTING BUXLDING.~...VACANT LAND ........
LocaClon o£ Property ................. ~'~'~ ....... ~~ ........
DOUSE NO. STREET IIAHLET
county T~ ~aP No. t000 soecto~ ~,~sto~*k ~,~0.. Lot ~½~..
Subdtv[slon ....................... F~led Hap ........ Lot ..........
Permit No ........... Date o~ Permit .......... Appl[ca~C ........... ! ........
Heelth Dept. Approve! .................. Underwriters AppFovaX ..............
PXanntfl$ Boa~d Approval ................
Request for Temporary Certificate ....... F~nal CertlfLcaCe ................
Fee Subm~ctodz
APPLICANT. · ·
ALFRED ~. CAIN
rev. 10/1~/88
r
15'0,0
s
ALFRED .F. CAIN a~d BERTHA M.
Owner(s) Name(s)
do(es) hereby state:
cONSENT
INSPECTION?'.:'.
C~AIN
· ,> ~ :,_: .:.. . i.
.... '.: the, undersigned,
Thai the unders~ned (is) (are) the owner(s) of the premises in the Town
of Southold located at. ..' New Suffolk Rq,a.d, 'Cutchoque
· which is sho~vn and dcslggated on the Suffolk
Count7 tax map as Dlstrtot I000o Section 109.0(~ Blooko6.60., Lot 011.
That the undersigned (has) (haM) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the fol~owing~ ·
Cortif±ca,te ~f.,,o6¢upan,,cY o,n pre-exist±ng dwelling": , .,,.
That ihe undersigned do{es) hereby give consent to the B~llding Inspectors
of the Tdwn of Southold to enter upon the above descrlbe~ property, lncl.udtng '
any and all buildings located thereon, to condt{ct sUcl~ inspections as they may '
deem n'eceoeary~mvith,re'Spect to the-aforesaid'apPlication,,.. L-I~luding inspections
to determine that said premises comply with all of the laws, Ordinances, rules
and regulatio'ns of the Town of Southold. :
The und~..r, signed, .in Consenting to such lnsp~.~tions, 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 fop vie-
lation$ of the laws, ordinances, rules or regulations of the Tomvn of Southold.
ALFRED'[~. dAIN
' (aigna(uEe}
(print name)
Dated: February 22 ~
AFFIDAVIT
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
ss.:
sworn,
New Suffolk Road, Cutchogue, New York,
ALFRED F. CAIN and BERTHA M. CAIN, each being duly
deposes and says:
1. That we are the owners of premises located at No 9
SCTM No. 1000-109-06-011.
2. That we have resided at the above premises since
taking title on January 14, 1971.
3. That the buildings on the premises consist of a
single family, two-story frame house and a detached garage, as
shown on the attached survey, and both buildings are in good
condition.
4. That the house and garage were built in or a~ound
1933, upon our information and belief.
5. That no additions or alterations have been made to
the existing buildings on the premises.
Sworn to before me this
17th day of Februa~, 1989.
BERTHA M. C~I-N ' ' ~-
Notary Public