HomeMy WebLinkAboutZ-17879FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE-EXISTING
CERTIFICATE OF OCCUPANCY
No Z-17879
Date MARCH 23r 1989
THIS CERTIFIES that the buildin~
Location of Property 815 STERLING ROAD
House No.
County Tax Map No. 1000 Section 104
Subdivision
ONE FAMILY DW~?.T.ING
CUTCEOGUE r NEW YORK
Street Hamlet
Block 1 Lot 28
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
CERT. OF OCCUPANCY. #Z-17879 dated MARCH 23~ 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~-LLING WITH ACCESSORY WOOD FRAME GARAge.
The certificate is issued to JOHN W. DAVIS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL PRE-EXISTING-NO RECORD
UNDERWRITERS CERTIFICATE NO. PRE-EXISTING-NO RECORD
PLUMBERS CERTIFICATION DATED PRE-EXISTING-NO RECORD
Rev. 1/81
Building Inspector
T0',',?[ OF SOUTHOLD, ~'[. Y.
Location
Subdivision
~ nOUo~.,,u CCDE IUSFECTIOi'i REEORT
815 STERLING ROAD CUTCHOGUE, NEW YORK
~[ap Mo. Lot(s)
N~e Q(c0wner(s )
JOHN W. DAVIS
Occupan~
A~mitted_by:
RESIDENTIAL
.(..~.ype)
DILLAYE KRUSE
OWNER
~ owner- E enan~ )
Accompanied by: SAME
Key available
Source of request
· Suffolk Co. Tax No.
DILLAYE KRUSE
Date
104-01-28
2/27/89
D%~LLI~[G:
Type of .construction
Foundation CEMENT BLOCK
Total rooms, lsd. F1 Y
Bathroom(s ) 3
Porch, t-ypeET$ of House Deck~ type
Breezeway,., Garage
Type Heat OIL 'Warm Air
Fireplace(s) I No. Fzcit s 3
Domestic hotwater OIL BURNER
Other
ACCESSORY STRUC~UR=S ·
Garage, type const. WOOD FRAME
Swir~ming pool
Other BRICK BAR-B-QUE
WOOD FRAME #stories
Cellar ~ Crawl space
2nd. F1BALCONY 5rd. F1
Toilet room(s) ....
Patio,
Utility room
Hotwater xx
Airconditioning.
Ts~pe heater
type.22'x22'
Storage, t~-pe const. WOOD:FRAME
Guest, type const.
V__IOLATIONS:
--Location
Ho~sing Code,
Chaoter 45 N.Y. State Uniform Fire Prevention - & Buildinc Code
I I
t
I
I
Remarks:
Inspected by:
HOUSE IN GOOD CONDITION. - BP [/1652Z/C0 Z
Insp.
· Time start9:30
1358 - BP #3876/C0 Z3183
3/2/1989
end ~0:o0
TOWN OF SOUTNOLD
BUILDING DEPARTHENT
TOWN HALL
SOUTBOLD, NEW YORK
765 1802
11971
APPLICATION FOE
CERTIFICATE
OF OCCUPANCY
DATE.
NEW CONSTRUCTION ....... OLD OR PRE-EXISTI_Hff. BUILDIN~.....~...VACANT LAND ........
p y ...... , ................ :Cz.; ~-ff.....'"~'..k. ........ './.~ ~ 2 L.. ~/t '
HOUSE NO. . STREET~ HAHLET ~ //
Owner or Owners of Property ............. ' .........................
County Tax Map No. 1000 Section . . . Block ..... Lot .........
Subdivision ....................... Filed Map ........ Lot ..........
Permit No ........... Date of Permit .......... Applicant ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted: $ .... .~-~..............~ ~O~f
APPLICANT...
rev. 10114/88
CONSENT
TO
INSPECTION
vnet(s)/Name(s)
do(es) hereby state:
· the undersigned·
That the undersigned Lis) ~a~e) the owner('~) of the premises in the Town
of Southold located at
· which is shown and designated on the Suffolk
County tax map as District 1000, Section /Ocr . Block / , Lot ~'~r~-
That the undersigned (has) (ha-~e-) filed, or caused to be filed, an applica-
tion in the Southold Tox~-n 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 cf 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 Toxvn of Southold.
(print name)
(signature)
(print name)
~ .: 24,217 SO. FT.
l~O~D
s~O~ co~rr~ ~. Y.