HomeMy WebLinkAboutZ-18760FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-18760 Date FEBRUARY 5~ 1990
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 400 RICHMOND ROAD EAST
House No. Street
County Tax Map No. 1000 Section 135 Block 3 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
SOUTHOLD~ N.Y.
Hamlet
CERTIFICATE OF OCC. #Z-18760 dated FEBRUARY 5{ 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 DWELLING WITH WOOD FRAME ACCESSORY STORAGE SHED*
The certificate is issued to WILLIAM & MARGARET HAZEN
(owners)
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.
/ Building Inspector
Rev. 1/81
Location
Subdivision
Name of Owner(s)
BUILDIEG DEP?dqT:.~NT
T0%'~ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
400 RICltMOND ROAD EAST
[number & streez)
SOuTaOLD~ NEW YORK
(l,lunlcipa±i~y)
Map No. Lot(s)
WILLIAM & MARGARET HAZEN
0C cupancy R-40
(,type)
Ad,mitred by: MARGARET HAZEN
Key available
OWNER
(owner-:enanz)
Accompanied by: SAME
Suffolk Co. Tax No. 135-3-8
Source of ~equest
WILLIAM HAZEN
Date OCT. 23, 1989
D%'UELLING:
Type of construction
Foundation CEMENT BLOCK
Total rooms, 1st. F1
Bathroom(s) I full
Porch, type enclosed
Breezeway
Type Heat GAS LILCO
Fir eplac e ( s )
Domestic hotwater CAS LILCO
Other
WOOD FRAME
Cellar i/4
#stories ! STORY
Crawl space 3/4
5 2nd. F1 3rd. F1
Toilet room(s)
wood front
Deck, typ~ of house. Patio,
Garage. Utility room
'Warm Air Hotwater
No. M'<its ONE Airconditioning
~ype heater
type.
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
J
Storage, type const.wooD
Guest, type const.
VIOLATIONS:
Lncation
.CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Descriution i Art. I Sec.
Remarks: -
Inspected by: ~~ ~
,/ Gar/~. Fish
Date of Insp. oct. 25, 1989
'Time start 1:45 end 2:10
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BLDG. DEPT.
TOWN OF SO~UTH__._OL_D_.~
DATE .................
Location of Properts...Vr~ .... ~.Cc~.,e,.~. 0~...d~e:C. ....... ~ae44,~U .........
HOUSE NO. STREET HAMLET
O~ner or Owners of
County Tax Map No. 1000 Section ~... Block ~ ..... Lot' ~ .......
Subdivision ....................... Filed Map ........ Lot ..........
Permit No ........... Date of Permit .......... Applicant
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate
Fee Submitted:
APPLICANT. oo .~ff~o.o~
rev. 10/14/88
CONSENT
TO
INSPECTION
OWner(s) Nan4e(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
· which is shoxvn and designated on the Suffolk
County tax map as District 1000, Section
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 ~vith 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 Toxvn of Southold.
Dated: / ~ ][-). X / F ~ _
(signature)
(print name)
(P~ini name)
' t4,41°lz'3o'E, _~ 99.54
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