HomeMy WebLinkAboutZ-18212 ~ FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFZCATE OF OCCUPANCY
No Z-18212 Date JULY 26, 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 715 SOUTHERN CROSS ROAD CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 110 Block 5 Lot 43
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-18212 dated JULY 26, 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
The certificate is issued to KATF~ FRALEIGH
(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.
Bui ding Inspector
Rev. 1/81
• „
BUILDIi:G DEP:u4TLiiT
TO'.li~i OF SOUTHOLD, N. Y.
HOUSIiG CODE IiIS?ECTIOPJ REPORT
Location 715 SOUTHERN CROSS ROAD CUTCHOGUE, N.Y.
~numoer ac street) i~iunicipality)
Subdivision Alap No. Lot(s)
Name of Oemer(s) KATHLEEN FRALEIGH
OCCUpariCy R-40 RESIDENTIAL OHNER
(type opener-tenant)
Admitted by: KEN BAILEY Accompanied by: SAME
Key available Suffolk Co. Tax No.llo-s-43
Source of request KATHLEEN FRALEICa Date 2/x7/89
Type of construction wood frame stories ONE
Foundation CEMENT BLOCK Cellar FULL Crawl space - -
Total rooms, 1st. F1 4 2nd. Fl - - 3rd. Fl - -
Bathroom(s) ONE Toilet room(s)
Porch, t~rpe Deck, type Patio, typeRAISED CONCRETE
Breezeway Garage Utility room A'1TACHED SHED TYPE
Type Heat ~Jarm Air Hotwater
Fireplace(s) No. E:cits Toro Airconditioning
Domestic hotwater ELECTRIC Type heater
Other
ACCESSORY STF.UCTURES• NONE
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE
Location Description ~Art.~ Sec.
Remarks. BUILDING PERMIT 517669-Z FOR SECOND STORY ADDITION STILL OPEN AS OF THIS DATE
Inspected by: Date of Insp. June 2s, 1989
GARY J FISH -Time start 11 a01end 1 1:20 am
. TOWN OF SOUTHOLD ~ ~
i ~ -
- BUILDING DEPARTMENT
TOWN HALL
SOIITflOLD, NEW YORK 11971 D D
765 - 1802 ~ f'~
APPLICATION FOR CERTIFICATE OF OCCIIPANC BLDG. DEFT. t
OFSOUTHDLD
y
DATE _ February 17, 1989 .
NEW CONSTRIICTION .......OLD OR PRE-E%ISTING BUILDING..X...VACANT LAND........
Location of Property..715_Southern.Cross. Road: .at :'Fleet's.Neck.'~.in Cutchopue,.NY.._.
HOIISE NO. STREET HAMLET
Owner or Owners of Property_,Kathleen Fraleigh
County Taa Map No. 1000 Section ,110.00 Block ..05:00. Lot ._043:000_
Subdivision Filed Map ........Lot._........
Permit No. ..........Date of Permit ...._.....Applicant
Health Dept. Approval IIndervriters Approval..........._..
Planning Board Approval
Request for Temporary Certificate Final Certificate ..X
Fee Submitted: $,50.00
i'V~ ~iN.R~ OI~ APPLICANT.. ):'~'C~C~`J
Kat6ieen Vial"eigh ~ ~r~~ / .
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