HomeMy WebLinkAboutZ-18425 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCOPANCY
No Z-18425 Date SEPTF'MRau 27, 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 485 HUMMEL AVENUE SOUTHOLD, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 63 Block 2 Lot 17
Subdivision 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-18425 dated SEPTEMBER 27, 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 DWELLING WITH ACCESSORY WOOD FRAME STORAGE SHED'
The certificate is issued to AT•FrtFn C. FALKOWSRI
(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.
uil ing Inspector
Rev. 1/81
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BUILDIiIG DEPP,RTI•IEiiT ~
T0:•lAI OF SOUTHOLD, N: Y.
HOUSIivG CODE- II~ISPECTION REPORT
LOCatiori 485 HUHHEL AVENUE SOUTAOLD, N.Y.
number a~ street i~iunicipality)
Subdivision blap No. Lot(s)
Name of Owner(s) ALFRED FALKOWSRI
Occupancy R-40 RES. OWNER
type owner-tenant
Adaitted by: ALFRED FALKOWSKI Accompanied by: SANE
Key available Suffolk Co. Tax No. 63-2-~7
SOUZ'Ce Of request ALFRED FALKOWSRI ~ Date 9/22/89
D?~fELLI~IG
Type of construction WooD FRAME #stories ~
Foundation CLAY BLOCK ~ cErB~T Cellar ~ Crawl space 3/4
Total rooms, 1st. F1 6 2nd. F1 3rd. Fl
Bathroom(s) ~ Toilet room(s) - -
Porch, t~rpe NONE Deck, type Patio, type_
Breeze~:ray Garage Utility room
Type Heat OIL Warm Air Hotwater ~
Fireplace(s) ONES o. E:cits z Airconditioning - -
Domestic hotwateroFF THS BOILER Type heater
Other ~ LILCO GAS NOT WATER HEATER
ACCESSORY STRUCTURES:
Garage, type const. _ _ Storage, type const. WOOD~FRAME
S~•~imming pool Guest, type const.
Other
VIOLATIODIS: ,CHAPTER 45--N.Y. STATE DNIFORM FIRE PREVENTION ~ BIIILDING CODS
Location Description
Arta Sec.
ReiIlarks' HOUSE IN FAIR CONDITION
Inspected by: Date of Insp. 9/25/1989
GARY .FISH Time start 2:05 end 2:25
• L` TONN OP SOUTUOLD
r BUILDING DEPART:tENT
T017N DALL StP
SOUTDOLD, NEN YOttK I (?7l
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPAttCY
DATE./a~~......
NEH COt:STRUCTION ._.._..OLD OR PRE-ESISTItiG BUILD/Z~N'/G~.._VACANT LAND........
Location of Property...!,T~~_:.~.(JM~~~~-(`r-(((((~---~~~~~0~~-•••
llOUSE NO. STRL•'ET UAHLET
L/
Ovncr or Ovncrs of Propcrcy...~~~//~~~~. 4'_..{~=1 ~~~ff's///~~,~•--•---•-•.--
,.County Tas Hap No. 1000 Section .t~~. BLock Lot' .!.L.....
Subdivision Filed Hap ....-._.Lot........_.
Pcrait :to. ..........Date of Permit .._.......Applicant
Ucalth Dc pt. Approval Undcruri[crs Approval..............
PlanninC Board Approval
Request for Temporary Certificate Final Certificate
p . d Z>
Fcc Sub~aicted:
n ~
APPLICAL7T....
~.3~3Sy
_~v. lo~lc~ss
e o ~ IfS4a.S
S% P 2 2 1989 O
C9A'SENT
TO
INS/P~ECTION OEIf.
~~~~D~s/1 / /7~~~~ lam. the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
m of Sout~h/ol/d~loc~at/e~d at ~8S ~~a7/~q~~
~y~77O~7, ~ //~7/ which is shown and designated on the Suffolk
County tax map as District 1000, Section Block Lot
That the undersigned (has) Ehave) filed, or caused to be filed, an applica-
tion in the Southold Town 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 lak~s, 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 Town of Southold.
Cy r _
Dated: / ~~Qh
signa ure)
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(print nam )
signat re)
(print name)
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AREA = 15, 000 SQ.FT.
SURVEY OF PROPERTY
,~T SOUTHOLD
- TC~iVN OF SOUTHOL D
SI.~'~OLK COUNTY, N.Y
~0 LANOSG IOOQ - 063 - 02 - I7
f oS~eNA.INC~9~~< SCALE I"= 30' -
~ ' za ~ SEPT. 14 , 1989
•
N . UC. NO. 49668
498 0 CERTIFIED TO '
PECONI 100 , P.C .
( 316) 788 - p BETH PAGE FEDERAL CREDIT UNION
ALFRED FALKOWSKI , SR.
' P. O. SOX 909
` MAIN ROAD -
SOUTHOLD ,N.Y. 11971
89 - 383