HomeMy WebLinkAboutZ-19786FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z19786 Date MARCH 12, 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 415 ANGLERS RD/170 MEADOW LANE GREENPORT
House No. Street Hamlet
County Tax Map No. 1000 Section 36 Block 02 Lot 12
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
CERT. OF Occupancy # Z19786 dated MARCH 12, 1991
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, ACCESSORY FRAME GARAGE. ***
The certificate is issued to KONSTANTINOS GEORGULAS & WF.
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
***SEE INSPECTION REPORT
Building Inspector
pUI:DI_:': D-,.-" :.L.:'
TO"4TT OF SGUTHOLD, N. Y.
r.OU I::G CCL._ INSPECTIO R _ ORT
415 ANGLERS ROAD
Lo c a t i c n 170 MEADOW LANE GREENPORT
lr•LZoer oc szreez)
Subdivision iMan No. Lot(s)
Name of Owner(s) KONSTANTINOS GEORGULAS & WF
Occupancy, ONE FAMILY RESIDENCE OWNER
hype) �orrner-Sena ,)
'- ° yy y' •Ac,�ora; ni ed b
.,c�.,y . ad b OWNER
y : OWNER
Key available Suffolk Co. Tax No. 36-2-12
Source of request OWNER Date 4/19/89
D'ELLI`?G :
Type of construction
FRAME
stories 1
Foundation CEMENT BLOCK
Cellar
-- Crawl space YES
Total rooms, 1st. F1
5 2nd. Fl
__ 3rd. F1
Bathroom(s)
1 Toilet
room(s) --
Porch, type
Deck, type
Patio, type
Breezeway
Garage
Utility room
Type Heat OIL
?[arm Air YES
Eotwater
Fireplace(s)
NO. axits 2
AirconditiOning
Domestic ho twater
YES Type heater
GAS
Other
ACC==SO?Y STMT('*L7RES.
- Garage, type const. FRAME —Storage,
type const.
Swimming poolGuest,
type const.
Other
VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE
Lncation Descr 7)ticn IArt. se
NEED SMOKE DETECTOR,( HIMNEY CONNECTOR IS TOO I
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Remarks : B.P.# 17350Z ADDITION -C. Z19785 MARCH 1 1 , 1991
InSPected 41§i Date of insp. 1/4/89 6 5/1/89
T. FISHER Time start 10:00 end] 1:00 a.m.
TOWN OF
SOUTHOLD
(�
BUILDING
DEPARTMENT
TOWN
HALL
SOUTHOLD,
NEW YORK
11971
765 -
1802
BLDG
W"A'..„'..,..
.DEPI IJ
_.._._
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE... April_ 19: _1989
.........
NEW CONSTRUCTION .......OLD OR PRE-EXISTING BUILDING. (A — VACANT LAND........
415
Location of Property... M Anglers .Road, .Greenport _New _York ....................
HOUSE NO. STREET HAMLET
Owner or Owners of Property ..... KONSTANTINOS GEORGULAS....................
County Tax Map No. 1000 Section ..36.. Block .... L L. Lot ..1?.....
Subdivision ....................... Filed Map ........Lot..........
Permit No. ..17350.... Date of Permit .8./25[$8 ...Applicant KQNSTANTLNQ$.QUQR.GULAS
Health Dept. Approval .................. Underwriters Approval..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate
$ 2s. 0 d ....... d s 1 Zu�rc e
Fee Submitted:
�s,00LA-
APPLICANT.U.�f
KONSTANTINOS ORGULAS
rev. 10/14/88
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CONSENT
TO
INSPECTION
OPR24M
KONSTANTINOS GEORGULAS the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at - ;anglers Road, Greenport, New York
which is shown and designated on the Suffolk
County tax map as District 1000, Section 36 , Block 2 , Lot 12
That the undersigned (has) (have) 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 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.
Dated:Abril 19.19. 1989
(sgnatur )
KONSTANTINOS GEORGULAS
(print name)
BUI LDI::G DEP.,!- .T:•I:_,iiT
TO: