HomeMy WebLinkAboutZ-18357FORM NO. 4
TOWN OF SOUTHOLD
BUILOING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE
CERTIFICATE OF OCCUPANCY
No Z-18357
Date SEPTEMBER 11r 1989
THIS CERTIFIES that the buildin~
Location of Property 75430 MAIN ROAD
House No.
County Tax Map No. 1000 Section 48
Subdivision
O~E FAMILY DI~3J.ING
GRF. F. NPORT ~ N.Y.
Street
Block 1 Lot 6
Filed Map No. Lot No.
conforms substantially to the requirement for a private one-family
dwelling built prior to: APRIL 9~ 1957
Hamlet
pursuant to which
CERTIFICATE OF 0CC. Z-18357 dated SEPTEIIBER llr 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~r~.INGWITHACCESSORYWOOD FRAME GARAGE*
The certificate is issued to ~ CORWIN
(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.
,~// Building Inspector
Rev. 1/81
Location
BUILDING DEPf~RTI,~]T
TO%'~ OF SOUTHOLD, N. Y.
HOUSING coDE INSPECTION REPORT
75430 MAIN ROAD
GREENPORT, N.Y.
[num0er & streeT)
Subdivision
N~me of Owner(s)
Occupancy
A~mitted by:
Key available
Source of request
EMMA CORWIN
Map No.
RES. R-40
(type)
SELF
(i4unicipaliLy)
Lot(s)
OWNER
(owner-~enan~)
Accompanied by: SELF
Suffolk Co. Tax No.
Date
EMMA CORWIN
48-1-6
8/29/1989
D%'~LLIMG:
Type of construction
Foundation CEMENT
Total rooms, 1st. F1 3
Bathroom(s) I (Ist FLOOR)
Porch, typ~
Breezeway..
Type Heat OIL
Fireplace(s)
Domestic hotwater
Other
WOOD FRAME
#stories
Ce!!arFULL Crawl space
2nd. F1 3 3rd. F1
Toilet room(s) ! (2,4 FLOOR)
Deck, type.
Garage
Warm Air
No. ~¢its
Patio, type_
Utility room
Hotwater STEAM
Airconditioning
OFF BOILER
~ype heat'er
2
ACCESSORY STRUCTURES:
ilar. and I/2
Garage, type const.~OOD FEA~
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIOMS:
--Location
.CHAPTER 45--N.Y. STATE ~NIFO~M FIRE PREVENTION & BUILDING CODE
Description ]-Art~. [ Sec.
Remarks: HOUSE IN FAIR CONDITION
FISH
Date of Insp. 9/I/89
-Time start 10:o0 a~end 10:15 a~
TOWN OF SOUTHOLD ~
BUILDING DEPARTMENT
TOWN BALL
SOUTHOLD, NEW YORK I]971 ' , ; ;
765 - ]802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE .................
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING.~...VACANT LAND.
~q~ ~+¢. ~ .......
LocaClon of Property , Greenport, NY 11944
HOUSE NO. STREET HAMLET
Owner or Owners of Property ..... ~.m~.~. L.. Corwin
County Tax Map No. I000 Section 0~ .... Block 01 Lot 006
Subdivisloa ....................... Filed Map ........ Lot ..........
Permit No ........... Date of Permit .......... Applicant ...................
Health Dept. Approval .. Underwriters Approval ..............
Planning Board Approval ...........
Request for Temporary Certificate .......
Fee S bmittea: 100.00 )j?9
Final Certificate
rev. 10/14/88
CONSENT
TO
INSPECTION
EMMA L. CORWIN , · 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 Southold located at ~7 F_um~, Greenport, New York
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 048 , Block 01 , Lot 006
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the follo%ving:
pre-existing certificate of occupancy
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 ~vith 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 To~vn of Southold.
Dated: Auqust~$~, 1989
EMMA. ~(.si~K~) by' .
a/i/f
(print name)
(signature)
(print name)
50.4)
_ G"JAI~ANJTEED TO L~-~. I-4OTJG/. DE
i'.lAP OF P~OPEI'?_TV
CUI2VEV£D FOF?
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Pki! Li-P A.
AT
G~EEt,,IPOI'2"r
TO'Wt-~ OF' ~OUTI-tOLC.______',
DUFFOLK CO, TAY I~iAP DATA.:
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