HomeMy WebLinkAboutZ-18186FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-18186 Date JULY 12, 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1795 SHIPYARD LANE EAST MARION, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 38 Block 1 Lot 19
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-18186 dated JULY 12, 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 WITH ACCESSORY WOOD GARAGE & ACCESSORY
WOOD STORAGE SHED. *
The certificate is issued to HOWARD RELOCATION GROUP
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING
UNDERWRITERS CERTIFICATE NO. PENDING - 7/21/89
PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING
*PLEASE SEE ATTACHED INSPECTION REPORT.
Bui ding Inspector
Rev. 1/81
1) R
2) Co
q
BUILDIPiG DEPT T = T
TOWN OF SOUTH OLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 1795 SHIPYARD LANE EAST MARION, N.Y.
0_u:.,oer do szreez) (i-iunicipaiizy)
Subdivision i�iap No. Lot(s)
Name of 0:•rner(s) HOWARD RE -LOCATION GROUP
Occupancy RES. R-40
`'ype owner -wan z. )
n�'.�� SAME
.,�_�y . �ed by: PEGGY RILLIAN ACs�Ump2siled by
Key available` Suffolk Co. Tax No.38-I-19
Source of request EDWIN A. MOLLOY Date 6/16/89
MT 'L L r\7G :
Type of construction WOOD FRAME Tstories 2
Foundation cement block Cellar full Crawl space
Total rooms, lst. F1 4 2nd. Fl 2 3rd. F1
Bathroom(s) ONE FULL Toilet room(s) ONE ON 2nd FLOOR
Porch, type Deck, type Patio, type
Breezeaa
Y Garage Utility room
Type Heat OIL
'alarm Air Hotwater xx
Fireplaces) I �M No. Exits 2y --
AircondiLioning
Domestic hotwater PROPANE Type heater KENMORE
Other
ACCESSORY STRUCTURL'S:
Garage, type const. WOOD FRAME
SWimming pool
Other
Storage, type const.
Guest, type const.
WOOD FRAME
VIOLATIO?S: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE
T
Descriation
oof of garage) Roofs shall be maintained in a watertighCgudition-t
l Art 1 Sec
I.CHAP. F
rered BBQ are# fences, walls and other minor constructions
fey rear s a e iiiiii i n t ained in safe
con tion. , goo an su s an i
i
Remarks:
Inspected by:
c -4-941 Date of Insp. June 22, 1989
GAR4 fJ. FISH% Time start 9:45 end 10:15
Building Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK 21971
765 — 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE _ _ June16:
..pACA2LAND 1989
NEW CONSTRUCTION ._.....OLD OR PRE—EXISTING BUILDING..xx.. .......__.,
Location of Property 1795 SHIPYARD LANE EAST MARION, N.Y.
HOUSE NO. .. STREET... --- .------ .. ..._...
HAMLET
Owner or Owners of Property HOWARD RELOCATION GROUP
County Tax Map No. 1000 Section••. --.-..•...
..38 .. Block . _1.. Lot- ... 19 . • . -
Stibdivision...
Filed Map --------
Permit 220. .......... of Permit ..
-------- Applicant ..........
Ucalth Dept. Approval .................. .----...-
......-•-. Underwriters Aper .....,
oval ._.
Planning Board Approval _•••
Request for Temporary Certificate 1.
Final Certificate ......
FCC Suboitted: --- 100.00 •-••
APPLICANT..._ CELIC.RELATORS
...............................
2 ji S
CV. 10/14/88
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CHICAGO* TITLE !N'S� :7-Ar4CF.
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Owners
do(es) hereby state:
CONSENT
TO
INSPECTION
Qe.(o
Name(s)
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
Wil
L1q'1%_
which is shown and designated on the Suffolk
C I �w Block _—I--. Lot A�_.
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:
r
by give consent to the Building Inspectors
That the undersigned do(es) here
the above described property, including
of the Town of Southold to enter upon
an and all buildings located thereon, to conduct such inspections as they may
y
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
.led e and understanding that any information obtained in the conduct of
knov g
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:
(signature) ���
AA,, ��oy ;��
ELI G V
(print name)
(signature)
(print name)
n /14 -J9
/�n;� - T , - /--/9 TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
STREET
VILLAGE DIST.
SUB. LOT
FORMER OWNER
V
N r
E ACR. I
S W, TYPE OF BUILDING
/xV
RES. �� b SEAS. VL. FARM COMM. Cg. 4' MISC. Mkt. Value
i
LAND
IMP.
TOTAL
DATE
REMARKS
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
FRONTAGE ON WATER
Brushland
FRONTAGE ON ROAD
_
House Plot
DEPTH
BULKHEAD
Total
DOCK
0