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HomeMy WebLinkAboutZ-18909FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-18909 Date MARCH 21~ 1990 THIS CERTIFIES that the building Location of Property 63745 MA~N ROAD House No. County Tax Map No. 1000 Section 56 Subdivision ONE FAMILY DW~T3.ING SOU~HOLD ~ NEW YORE Street Hamlet Block 4 Lot 17 Filed Map No. Lot No. conforms substantially to the requirments for a private one family dwelling buildt prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCC. #Z-18909 dated MARCH 21~ 1990 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 WITEATTACHED 2 CAR GARAGE* The certificate is issued to RALPH CONKLIN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NORECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING *PLEASE SEE ATTACHED INSPECTION REPORT. u~tding Inspector Rev. 1/81 BUILDIHG DEP.~d{T:-LENT TO';~r OF SOUTHOLD, N. Y. HOUSIEG CODE IHSPECTION REPORT Location 63745 MAIN ROAD ~numoer ~ s~ree~) Subdivision N~me of Owner(s) SOUTHOLO, NEW YORK (i'iunicipalicy) Map No. .Lot(s)_ RALPH CONKLIN Occupancy A~mitted by: R-80 (type) SUZANNE HAHN OWNER (owner-~enan~) Accompanied by: SAME Key available Source of request HICHAEL HALL Suffolk Co. Tax No. 56-4-17 Date 3/9/90 p%'~ELLIMG: Type of construction WOOD Foundation CE~E~TBLOCK Total rooms, 1st. F1 7 Bat.hroom(s)~ 2 Porch, ~ype Breezeway Type Heat Fireplace(s) ONE Domestic hotwater Other #sTories ONE Cellar 1/4 Crawl space 3/4 2nd. F1 -- 5rd. F1 -- Toilet room(s) Deck, typ~ ~atio, Garage 2CA~ATTAc~ZD Utility room 'Warm Air xx Hotwater No. ~¢its 4 Airconditioning. OIL Type heater DELCO ~CCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. ~IOLATIOMS: _L~cation I .C~bPTER 45--N.Y. STATE UNIFOrm4 FIRE PREVENTION & BUILDING CODE Description I-A~t.I Sec. B.P. ~ 76-Z CO ~Z-2111 Inspected by: . Car~. F~sh ' Date of.Insp. 3/~4/90 Time start 9:30 end ~0:~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CBRTIFICATE OF OCCUPANCY New Construction.' ..... Old or p~e-existlng buildlng~N~ .Vacant land ...... Location of Property ..~? ...... ?..~ .................. House No. Street Hamlet Owner or Owners of Property... C~..~.~./~/. County Tax Hap No. 100 Section .~.. Block ........ LoC ......... Subdivision .................. Filed Map .............. Lot ............. / I,q62-. ~ ",- · Health Dept. Approval .................. Underwriters Approval ......... Plannin8 Board Approval ................ Request for Temporary Certificate ....... Final Certificate Fee Submitted: $ ............ Vacant Land Certificate .$ ....... APPLICANT:..:.W./ ............... rev. 10/14/88 co-.z i ~'Cl o~ CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at /~[~ f~/~t~J ~o~C)h. ~C~-T~O which is shoxma and designated on the Suffolk County tax map as District 1000, Section f~o Block Ol/, Lot /V 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 rio- lations of the laws, ordinances, rules or regulations of the Town of Southold. / // gnature) (print nam.e) (signature) (print name) KA~;:, OF' ~ALPH CONKLI N TOWN OF .~:3LIT~OLD, N-Y, STATE OF NEW YORK) )SS.: COUNTY OF SUFFOLK) RE: Premises: Main Road - Arshmomoque, Suffolk County Tax Map, District 1000, Section 56, Block 4, Lot 17 GAIL FOX, being duly sworn deposes and states the following: 1. That I am the daughter of the late Ralph D. Conklin and Doreen M. Conklin, who died residents of the Town of Southold, Suffolk County, New York on November 21, 1985, and April 18, 1986, respectively. 2. That on February 28, 1962, my parents purchased a building from Jack Levin, which building is part of the above referenced premises. The building had been used by former owners as an antique shop known as "Seven Seas Antiques." 3. That shortly after purchasing the property, my father requested under appeal No. 443 and obtained by action from the Southold Zoning Board of Appeals, on April 5, 1962, a variance to permit an addition to the original building. During my father's lifetime and until my mother's untimely death, they resided in the subject premises and conducted their antique business under the name "Whaling Days." 4. That I believe the original structure was erected long before April 1957, and it, together with the addition, had been used continuously since that time as an antique shop business and residence. Sworn to before me this /~C~ day of f~-~ , 1990. ? Notary Public ANNA-MARIA PORCO Notan/Public, Stete of New Yo~k Nc, 52-4809402 Qualified in Suffolk County Commission Expires September 30,