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Home My WebLink AboutZ-19208FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19208 Date JULY 11~ 1990 THIS CERTIFIES that the building Location of Property 32145 MAIN ROAD House No. County Tax Map No. 1000 Section 97 Subdivision ONE FAMILY DW73J,ING CUTCHOGUE~ NEW YORK Street Hamlet Block 5 Lot 7 Filed Map No. Lot No. conforms substantially to the requirements for a private one family dwelling built prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCC. #Z-19208 dated JULY 11~ 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~IJ.INGWITH ACCESSORY 2 CAR WOOD GARAGE * The certificate is issued to NW3J.IE L. DOROSKI (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. ~uifding Inspector Rev. 1/81 BUILDI.:':G DEPJd~Tr.tENT T0;'~I OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location Subdivision 32145 MAIN ROAD (numoer ~ s~ree~) Map No. CUTCNOGUE, NEW YORK (Municipality) Lot(s) Ne~me of Owner(s) NELLIE L. DOROSKI Occupancy A~mitted by: SINGLE FAMILY DWELLING ~ typ e) (owne~- ~enan~) Accompanied by: Key available RICe, J) LARK's OffiCE Suffolk Co. Tax No. 97-5-? Source of request. RICltARD F. LARK, Date 7/6/1990 D%'PELL!NG: Type of construction WOOD FRAME #stories 1-1/2 Foundation CEmEnt BLOC~ Cellar ~u~L Crawl space Total rooms, 1st. F1 3 2nd. F1 3 3rd. F1 -- Bathroom(s) I (2nd floor) Toilet room(s).. -- Porch, type ENCLOSED Deck, type. ~OOD Patio, type.__ Breezeway Garage, Utility room -- Type Heat... OIL ' '~arm AirG~ATE 1st FLR..Hotwater XX Fireplace(s) __ No. F~cits 2 Aircondition~ng -- Domestic hotwater SEPARATE ~EATEN .Type heater Other ACCESSORY STRUCTURES: Garage, type const. WOOD 2 CA~ Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: _Location .CHAPTER 45--N.Y. STATE UNIFONM FIFE PREVENTION & BUILDING CODE Description I-A~t~. ] Sec. NEEDS ~AIL ON FRONT STOOP & STAIN. Remarks: ~) Inspected by: Date of Insp. ~Y I1, ]990 VICTOR LESSARD ' Time start 10:05 a~nd 10:38 am TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Nsw CONSTRUCTION ....... onn OR PRS-EX~ST~NC BUInHINC..S...VACANT LA~U ........ 32145 Location o£ ProperLy ...... Main Road Cutchoque HOUSE NO. STREET HAMLET Owner or Owners of Property..~.~:.pg~9~~ .............................. County Ta~ M~p No. ~000 Seetio. 0~L0~.. Bloe~ .~P:q~. Lot' .q~?:Qqq.. Subdivisiou ....................... Filed Hap ........ Lot .......... Permit Health Dept. Approval .................. Planning Board Approval ................ Request for Temporary Certificate ....... Fee SaUmitted: s.~pp:pp ............. No ........... Date of Permit .......... Applicant ................... Underwriters Approval .............. Final Certificate X APPLICANT ....... . ............ · Ne~lz~ L~ Doroski ................ rev. 10/14/88 Nellie L. Doroski CONSENT TO INSPECTION · the undersigned· Owner(~) Name(~) do(es) hereby state: That the undersigned (is) (~K~) the owner(s) of the premises in the Town of Southold located at 32145 Main Road, Cutchogue, New York · which is shown and designated on the Suffolk County tax map as District 1000, Section 097.00 , Block 05.00 , Lot 007.000 . That the undersigned (has) (~) 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 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 vio- lations of the laws, ordinances· rules or regulations of the Town of Southold. N (,s.ignature) , e±±ze L. DorosKi (print name) (signature) (print name) P~O BOX 377