HomeMy WebLinkAboutZ-27053FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27053
Date: 04/24/00
THIS CERTIFIES that the building DWELLING
Location of Property 3995 PRIVATE RD #1
(HOUSE NO.) (STREET) (HAMLET}
County Tax Map No. 473889 Section 022 Block 0003 Lot 002
Subdivision Filed Map No. __ Lot No.
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9~ 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 27053 dated APRIL 24~ 2000
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
EAST MARION
issued is ONE FAMILY DWELLING *
The certificate is issued to ROSE DENICOLA
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
N/A
N/A
N/A
A'ut horize~'Si~ature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 3995 PRIVATE RD ~1 EAST ~%RION
SUBDIVISION: MAP NO.: LOT (S)
SOURCE OF P~QUEET: pg?LIP D~NICOLA. JR. 4/14/00
DATE: 04/24/00
TYPE OF CONSTRUCTION:
FOUNDATION: CRM~NTBLOCK
TOTAL ROOMS: 1ST FLR.: --7-
BATHROOM(S): 2.0
PORCH TYPE:
BReEZeWAY:
DOMESTIC EOTWATER: XX
TYPE HEAT: ELECTRIC WARM AIR:
# STORIES: _..
CELLAR: __
2ND FLR.: O
TOILET ROOM{S):
DECK TYPE:
FIREPLACE: ONE
1,~ # EXITS: 2
CRAWL SPACE: XX
UTILITY ROOM(S): ONE
PATIO TYPE:
C. ARAGE, TYPE OF CONST.:
SWIPING POOL:
STORAGE, TYPE CONST.: WOOD (BAD SEAPE)
GUEST, TYPE CONST.:
VIOLATIONS~ CHAPTER 45 N.Y. STATE UNIFORM FIRE pREVENTION & BUILDING CODE
~CATION ~ DESCRIIm~ION ART.
SEC.
R~S ~
INSPECTED BY:
TObll Of
~0 'd
2. rtniX Approval £ro~ Xe&Lcb Dept. o~ wirer supply and sMreJe-dioposal($.9 ~ocu).
Less chin 2/LO or
For ex~oc~S ~d~o (prior co ~rfl 9, 1957) non-confo~ns uees, or build.ga and
t.Cerc~cace o~ Occupa~ -
~cecacA~i CO
~- O~ictd CerCtf~cl~l of ~Cu~y - ~50,~
~,, , ~:~. ~A~. ~P ......................
~ev C~eccuccl~ ........... O~ OF Pr~tscLng Butld/nS.. .~ ...........
Couu~ T~ hp Ho ~0~, Secc~ou 022.00 -~..~ 03 00 -- 002.000
/
Fee
PHILIP ~N~~
80~6E6 s3~v30n~v dS~: Z [ 00- ~ [ -adv
CONSm-NT
TO
iNSPeCTION
ESTATE OF ROSE DeNICOLA
Ovmer(e) Name{.)
do(es) hereby stale:
· the undersi~nedo
That the underll~fled (ts) (lire) tile owner(s) ,~f tile pram[lei in the Tovm
of Soulhold locsted st 3995 Private Road #1, East Marion, New York
· whie. h i.q .qhl,wn nnd clesil~natec! on tile. Suffnlk
Co,.Ly trix map aa Dietrict 1~00, S.ctl. n022'00. Block 03.00, Lot 002.000
That the undsrellined (has) {have} flied, or ceased to bi rued. a, applica-
tion in the Southoid Toys l~uiidlnK inspector's Office for tbs foliowb~t
Certificate of ~cu~ on .~e-~stin~ Building
That the underlined do(es} hereby five consent to the B,,lldtn~ Inspectors
of lite Town of .~outhold to e. LeF epo~ the above deeerlbed property, I,cludin~
nay ;itt(I mil ~tdln[, Iocnte(I thereon, tn conduct such inlpectlonl as they may
deem necessary with respect to the aforesaid n~llcntlon. Includ~ lnspeotlons
t~ determine that s~id premises comply with nil of the lawn. ordinances, rules
and reRulntio~, of th~ Town of S~thold.
The u,der,l~d. In eon~ntlnR to such halations, do(es} so with the
knowiedRe mad understnndi,R that nn~ tnformatl~ ~tRIned In the conduct of
such inspections nay IJe u~cl nn evidence In su~equent prosecnttonl for vlo-
lntlon~ of the laws. ordinances, rules or re~]itl~l of the Town of ~uUmld.
Dated: April 14, 2000
(hi,nature)
· (print name)
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