HomeMy WebLinkAboutZ-19361FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-19361 Date SEPTEMBER 13~ 1990
THIS CERTIFIES that the building O~E FAMILY DWELLING
Location of Property IO10 JACKSON STREET NEW SUFFOLK~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 117 Block 10 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a Private One Family
dwelling built prior to: APRIL 9r 1957 pursuant to which
CERTIFICATE OF OCC. ~Z-19361 dated SEPTEMBER 13r 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~.INGWITH GARAGE *
The certificate is issued to JAMES H. & RUTH ANN CONNOR
(owners)
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 ATTAC~ED INSPECTION REPORT.
Building Inspector
Rev. 1/81
Location
Subdivision
N~me of Owner(s)
BUILDIi,:G DE P.~d~T,'.LENT
TO:'~I OF SOUTHOLD, N. Y.
HOUSI~.[G CODE IHSPECTION REPORT
JACKSON STREET
[numoer ~ s~ree~)
Map No.
NEW SUFFOLK, N.Y.
(i'lunicipa±i~y)
Lot(s)__
JAMES & RUTH ANN CONNOR
Occupancy
A~mitted by:
ONE FAMILY DWELLING
~type) ~owner-~enanr)
MR. CONNOR Accompanied by: MR. CONNOR
Key available
Suffolk Co. Tax No. ~?-~o-?
Source of request
RICHARD F. LAR~,-ATTY
.Date
917/90
~%'~LLI~IG:
Type of construction
Foundation PARTIAL
Total rooms, 1st. F1
Bar.broom(s) 1
Porch, type
Breezewa~
Type Heat
Fireplace(s)
Domestic hotwater
Other GARAGE
WOOD FRAME
6
Deck, type
Garage.
'Warm Air x
No. ~cits 2
X
IN FOUNDATION
#sTories I
Cellar Crawl space
2nd. F1 5rd. F1
Toilet room(s)
Patio, typ~..
Utility room
.Hotwmter X(HEATER)
Airconditioning
Type heater FORCED HOT AIR
~CCESSORY STRUCTURES:
Garage, type const._. Storage, type const.
Swimming pool Guest, type const.
Other BULKHEAD: STEPS & FLATFOHM TO BEACH
V_IOLATIOMS
_Location
_
.CHAPTER 45--N.Y. STATE UNIFORM FIKE PREVENTION & BUILDING CODE
Descriotion ]-A~t.'l Sec.
.I
Remarks: VEHY GOOD SHAPE. BP #2?9?
Inspected by.
victor Lessard
CO Z-2639 for addition, &
D~te of Insp...Sept. 13, 1990
· Time start 12:5SPend 1:22 PM-
CONSENT
TO
INSPECTION
~LDG. DEPT. _
~wli~soom0tn
JAMES H. CONNOR
· the undersigned·
Owner{m) Name(g)
do(es) hereby state:
one of
That the undersigned (is) ~)/the owner(s) of the premises in the Town
of Southold located at 1010 Jackson Street, New Suffolk, New York
· which is shoxwa and designated on the Suffolk
County tax map as District 1000, Section 117.00 , Block 10.00 , Lot 007.000
That the undersigned (has) (imx~) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following: .__
Certificate of Occupancy on pre-existing dwelling.
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 ail 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 regulations of the Town of Southold.
Dated: September 6, 1990
~ (signature) '
James H. Connor
(print name)
(signature)
(print name)
TOWN OF SOUTUOLD
BUILDING DEPARTNENT
TOWN HALL
SOUTUOLD, NEW YORK
765 - 1802
11971
BLDG. DEPT.
TOWN OF SOUTHOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
D,~, SeDtember 6,
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING.~...VACANT LAND ........
Loc,arian of Property 1010 · Jackson Street ~ Suffolk
HOUSE NO. STREET HAMLET
OJner or Owners of Property...~.~%.qqqqq~.~q~.~.~p~Op? ............
County Tax Map No. 1000 Section .%~7..QQ Block .~Q-~9.. Lot' .0p~:q0~...
Subdivision ....................... Filed Map ........ Lot ..........
Permit No ........... Date of Permit .......... Applicant ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate .......
Fee Submitted:
Final Certificate .... .X. ..........
$..199:0.0. .............
~Jame~s H. Connor ....
rev. 10/14/88~