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,