HomeMy WebLinkAboutZ-18148FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-18148 Date JUNE 28~ 1989
THIS CERTIFIES that the building ONE FAMILY DW~.T~.ING
Location of Property 1030 WEST CREEK AVENu~
House No. Street
County Tax Map No. 1000 Section 103 Block 13 Lot 8
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
CUTCHOGUE~ N.Y.
Hamlet
CERTIFICATE OF OCC. #Z-18148 dated JUNE 28~ 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 DW~-TJ.ING WITH ACCESSORY WOOD ~GE *
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*SEE ATTACHED INSPECTION REPORT
Rev. 1/81
CHRISTOPHER M. & GLORIA G. GROOCOCK
//ui~ding Inspector
Location
Subdivision
Name of Owner(s)
BUILDIL~G DEPART['~NT
T0~'~I OF SOUTHOLD, N. Y.
HOU~Ii.~G CODE IHSPECTIOM REPORT
1030 WEST CREEK AVE.
(numoer ~ szreev)
CUTCHOGUE, ~.Y.
(i'iunicipatl~y)
MaD No. Lot(s)
CHRISTOPHER & GLORIA GROOCOCK
Occupancy R-40 RESIDENTIAL OWNER
~type) (owner-venanv)
~.~ ,~ed b~: GR. ETTA LAMMAN.~ ~ ~Ac~Ompanied b~: SAME
Key available
Suffolk Co. Tax No. 103-13-8
Source of request BRUER & LARK,'~TTYS
Date
JUNE |, 1989
DI'gLLI~!G:
Type of construction
Foundation
Total rooms, 1st. F1
Bathroom(s) 2
Porch, type
Breezewa~
Type Heat ELEC.
Garag%
Warm Air
Firep!ace(s)ONE-MAIN FLNO' ~(itS 2
Domestic hotwater ELEC. Type heater
Other
WOOD FRAME
Cellar ~
2nd. F1 4
Toilet room(s)
Deck, type REAR DECK Patio, type
Utility room
Hotwater
Airconditioning
STATE
~storles
Crawl space
3rd. FI
ACCESSORY STRUCTURES:
Garage, type const. WOOD FRAME
Swimming pool ---
Other GARAGE IN NEED OF REPAIR.
Storage, type const.
Guest, type const.----
VTOL~T0blS- CHAIR 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Location [ ~ ~
_ ~ ....... De~c~'i~tion ~ Art. I Sec.~
ORY -- ~
~ORY I ROOF SHALL BE MAINTAINED IN A WATERT~GHT-sU~----~pT~ ~ .
ON.
.o
Remarks:B.P. #1381z/c0 Zl168, for ~dd. BP #5083 CO/Z-4250 for'add.
Inspected by: ~.//FI~H z
BUILD~(; INSPECTOR
Date of Insp. 6/13/89
'Time start I | :O0amend I I :25 am
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTUOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE. May 22, 1989
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDiNG..X....VACANT LAND ........
Location of Property 1030 West-Creek Avenue , Cutcho~e
HOUSE NO. STREET HAMLET
Owner or Owners of Property Christopher M. and Gloria G. Groocock
County Tax Map No. 1000 Section .1.0.3:0.0. Block .1.3..p0... Lot' ....0.08,Q0.0
Subdivision ....................... Filed Map ........ Lot.
Pre-C. 0 //Z7433 .........
Permit No 5083Z,1381Z 11/30/70, 4/.61 Henry and Mary E. Tabor
........... Date of Permit .......... applicant ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
" up-dated
Request for Temporary Certificate .~.. .... Final/Certificate X
Fee Submitted: $. i00.00
rev. 10/14/88
coml lq -
CONSENT
TO
INSPECTION
Christopher M. Groocock and Cloria G. Groocock , the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersignedi~j~ (are) the owner(s) of the premises in the Tovm
of Southold located at 1030 West Creek Avenue, Cutchogue, New York 11935
· which is shoxvn and designated on the Suffolk
County tax map as District 1000, Section 103.00, Block 13.00, Lot 008.00.0
That the undersigned~ (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Updated pre-existing Certificate of Occupancy covering all improvements.
That the undersigned do(es hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, iucluding
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 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.
Dated: June 1, 1989
(signature)
Diane Lessard as A~ent for Christopher M.
(print name)
and Gloria G. Groocock
(signature)
(print name)
0