HomeMy WebLinkAboutZ-18514FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-18514
Date OCTOBER 31~ 1989
THIS CERTIFIES that the building
Location of Property 890 MIDDLETON ROAD
House No.
County Tax Map No. 1000 Section 40
ONE FAMILY DWELLING
GREENPORT~ N.Y.
Street Hamlet
Block 5 Lot 9
Subdivision FLEETFIELD Filed Map No. 1351 Lot No. 8
conforms substantially to the requirements for a private one family
dwelling built prior to: APRIL 9~ 1957 pursuant to which
CERTIFICATE OF OCC. Z-18514 dated OCTOBER 31~ 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 DWELLING WITH ACCESSORY 1-1/2 CAR GARAGE*
The certificate is issued to LEONORA CAMPBELL
(owner)
of the aforesaid building.
SUFFOLK 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.
~~~u/il~Inspector
Rev. 1/81
Location
BUILDI~IG DEPARTI.~NT -.
T0%'~! OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
890 MIDDLETON ROAD GREENPORT, N.Y.
(numoer & s~ree~)
Subdivision M/O FLEETFIELU
Name of Owner(s)
Occupancy R-40
(type)
A~mitted by: LEONORA
Key available
Source of request
Map No. 1351
LEONORA CAMPBELL
(Piunicipa±i~y)
Lot(s)
CAMPBELL
owNER
(owner-~enan~)
Accompanied by: LEONORA CAMPBELL
Suffolk Co. Tax No. 40-5-9
EDWARD JOHN BOYD V' Date OCT. 25,
1989
D%'~LLIMG:
Type of construction
Foundation
Total rooms,
Bathroom(s)
Porch, type
Breezeway
Type Heat OIL
Fireplace(s)
Domestic hotwater
Other
wood FRAME #stories 2
CEMENT BLOCK Cellar FULL Crawl space
1st. F1 4 2nd. F1 3 5rd. F1
2 Toilet room(s)
Deck, type. Patio,
Garage Utility room
'Warm Air Hotwater x
OIL
~cits 2 Airconditioning
~ype heater
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
1-1/;1
Storage, type const.
Guest, type const.
VIOLATIONS:
--Location
.CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Description I-Art.' Sec.
Remarks: BP ~8887-CO Z7563 for addition, BP ~9737-CO Z9193 for 2nd fl. addition
Inspected by: ~zZz~ ~- /z~ ' Date of Insp. OCT. 2,, ,989
G~/. l{IS}{ ' 'Time start 2:30 end 2:50
TOWN OF SOUTUOLD
BUILDING DEPAET}{ENT
TOWN HALL
SOUTDOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING---~---VACANT LAND ........
Location of Property ...........
HOUSE NO. STREET HAMLET
Owner or Owners of Property .................................................
County Tax Map No. 1000 Section 04~(~'~0
...... Block ....... Lot. .......
....... Filed Map ........ Loc .........
Permit No ........... Date of Permit .......... Applicant ..........
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted:
rev. 10/14/88
C~NSENT
TO
INSPECTION
· the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southotd located at
~~o~ , which is shown and designated on the Suffolk
County tax map as District 1000, Section 04~.oO, Block O~O , Lot00°~,~ .
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 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 in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regnlat~ of the To~vn of Southold.
(signature)
_ (print name)..
(signature ~
(print name)
DdAP OF PEwP~I-2..~T y
SUr~VEYED
L.~ L..... L._