HomeMy WebLinkAboutZ-17605FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-17605
Date DECEMBER 15~ 1988
THIS CERTIFIES that the building. ONE FAMILY DWELLING
Location of Property 2055 CALVES NECK ROAD SOUTHOLDr NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 70 Block 4 Lot 44 & 45
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. #Z-17605 dated DECEMBER 15~ 1988
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 ATTACHED GARAGE & ACCESSORY SHED
The certificate is issued to
ESTATE OF MYRTLE K. HENDRICKSON
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Buildin~ ~ns~ector v
Rev. 1/81
Location
BUILDiL~G DEP:~Z~Ti.~NT
T0','~%I OF SOUTHOLD, N. Y.
HOUSING CODE IHS?ECTION REPORT
2055 CALVES NECK ROAD
[numoer ~ szree~)
Subdivision
Nmme of Owner(s)
Map No.
MYRTLE K. HENDRICKSON
SOUTHOLD, NEW YORK
([4unlcipa±izy)
Lot(s)
Occupancy
A~mitted by:
R-1
~.~ype)
MR. HENDRICKSON
(owner-~enanv)
Accompanied by: SAME
Key available
Suffolk Co. Ta~ No.70-4-44 & 45
Source of request
· FRANK C. HENDRICK-SON, JR.
Date
DEC. ]3, 1988
D~,'~LLING:
Type of construction WOOD FRAMED
Foundation CEMENT BLOCK
Total rooms, 1st. F1 9
Bathroom(s) 3
Porch, type
Breezeway
Ty~e Heat ELECTRIC
Fireplace(s) 2
Domestic hotwater
Other
#stories
Cellar FULL Crawl space
2nd. Fi 3rd. FI
Toilet room(s)
Deck, type
Garage 2 CAR
'Warm Air
No. ~cits
Patio, type_
Utility room BASEMENT
Hotwater
Airconditioning.
YES ~ype heat'er ELECTRIC
LARGE FOYER: LARGE FINISHED RECREATION ROOM IN THE BASEMENT
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const. SMAL~ WOOD
Swimming pool Guest, type const.
Other NICE SIZE DOCK, PERMIT #2055
VIOLATIONS:
Location
Housing Code, Chapter 45N.Y. State Uniform Fire Prevention
& Buildin~ Code
Description I Art. I Sec.
NO VIOLATIONS OF CH 45 WERE FOUND.
Remarks:
bY:J~'~. ~~. ' Date of Insp. DEC. 14, 1988
Inspected
CURTIS W. HORTON 'Time start ~0:O0a~end 11:00 am
TOWN OF SOUTHOLD
BUILDING DEPARTHENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATEt.a':/ . . .
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING..X...VACANT LAND ........
Location of Property 2055 Calves Neck Road Southolfl
UOUSE NO. STREET HAMLET
Owner or Owners of Property.. Estate of Myrtle K. Hendrickson
County Tax Map No. 1000 Section 070 Block 04 Lot 44 & 45 as merged
Subdivision ....................... Filed Map ........ Lot ..........
Permit No ........... Date of Permit .......... Applicant ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Fee Submitted:
Request for Temporary Certificate ....... Final Certificate ..X. .............
$. 100.00
APPLICANT~rank C. Hendrickson, Jr. as' ~~''
the Estate of Myrtle K. Hendrickson
rev. 10!14~88
CONSENT
TO
INSPECTION
Frank C. Hendrickson, Jr.
as Executor of the Estate of Myrtle K~ Hendrickson
· the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (,~) the owner(s) of the premises in the Town
of Southold located at 2055 Calves Neck Road, Southold, NY
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 070 , Block 04 , Lot 44 & 45 .
as merged
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:
pre-existing Certificate of Occupancy (dwelling)
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 Tow~..0f Southold.
Frank C. Hendrickson, Jr.
Executor of the Estate of
Myrtle K. Hendrickson