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Home My WebLink AboutZ-18507 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-18507 Date OCTOBER 27, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 14825 MAIN RD.&_2830 PIKE ST. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 8 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a private one family dwelling built prior to APRIL 7, 1957 pursuant to which CERTIFICATE OF OCC. #Z-18507 dated OCTOBER 27, 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 STORAGE STRUCTURE* The certificate is issued to PATRICIA JOHNSON (owner) 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. d~G ~ Building Inspector Rev. 1/81 i - • BUILDIi'IG DEP^,RTT•tEiiT - T0:'1i~1 OF SOUTHOLD, N. Y. HOUSIi7G CODE Ii~1SPECTION REPORT Location 14825 MAIN ROAD S 2830 PIKE STREET MATTITUCR, N.Y. ~numoer & street) f~Iunicipality) Subdivision i~1ap No. Lots ) Name of 0~•mer(s) PATRICIA JOHNSON Occupancy ONE FAMILY DWELLING OWNER ttyPe owner-tenant = Adaitted by: OWNER Accompanied by: SAME Key available Suffolk Co. Tax No. 114-8-4 Source of request OWNER - Date ocT. 25, .1989 D`rTELLING Type of construction FRAME STUCCO #stories 2 Foundation POURED CONCRETE CellarF~L Crawl space Total rooms, lst. Fl 4 2nd. F1 3 3rd. Fl ATTIC Bathroom(s) 1 Toilet room(s) 1 Porch, type tl) wooD Deck, type Patio, type_ Breezer~ay Garage Utility room - Type Heat OIL 'alarm Air Hotwater (STEAM) Fireplace(s) No. E:cits 3 Airconditioning' Domestic hotwater YES Type heater Gns Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const.F~•~~~) Sc•~imming pool Guest, type const. - Other VIOLATIONS: .CHAPTER 45--N.Y. STATE DNIFORM FIRE PREVENTION ~ BIIILDING CODE - Location Description ~Art.~ Sec. MAIN STAIRS NEED RAILINGS C T. F l 1242.7C CELLAR STAIR NEED RAILINGS " ATTIC STAIRS NEED RAILINGS E%T.PORCH NEED RAILINGS _ " .1242.6 CELLAR CHIMNEY CONNECTOR FROM GAS WATER HEATERI,dS~L.4T/O ' 1243.16 WATER HEATER E%TENSION ON RELIEF VALVE " 1243.7C LOOSE LIGHT FI%TQRE 6 E%POSED WIRES AT FURNACE 1243.8A Remar'.-cs Inspected Date of Insp. OCTOBER 27, .1989 _ THO>! S J ISHER - Time start9: 15 am end 9:55 am TOWN OF SOUTNOLD D ~'K„j~ 16~. BUILDING DEPARTMENT Ort 2 5 ~,',f ? TOLIN HALL ~ 1989 Ki SOUTUOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY October 1989 DATE NEW CONS'fKUCTION ......-OLD OR PRE-ERISTING BUILDING. X. ...VACANT LAND........ Main Road & Pike Street, Mattituck, Town of Southold Location nI Property HOUSE N0. STREET RAREFY Owner or Oo.ners of Property...Patricia-Johnson•-•-•-•-•-••.•.••.•••••-•. 114 8 4 County Tax Map No. 1000 Section Block Lot 1 n/a described parcel Subdivision Filed Hap ........Lot.......... Permit No. ..........Date of Permit ..........Applicant •M J Hcaltfi Dept. Approval Underwriters Approval.............. Planning; Board Approval Re~ucst f"nr Temporary Certificate Final Certificate Fcc Submitted: $.1~~:~~ i APPLICANT. PATRICIA JOHNSON rev. 10/I%/88 gu, co t ss o 7 i . ~ _ - i _ - o, ,,c~I ~ t t ~ h cy~, 1.1G - Q ~ ~.I 1 s, .:.11 y L.,.. t r, 7ti ~ i i.. 4 u O t? Cpl }~1 ~ U3 1 w1 ~ ~ Q.t ~ u:1 Gt .1 ~ 'L i ' ~ ~ i , , t ~ Z~ ! ~ ~ , _ ' 4a ~ ` ~ ~ ~ r ~ V Z$; ~nY x^ ~ _ a. ; r y //~y ~ _ < { V _h ? r V' i Vs . ~ ~ _ ~ ) D ~ YC S ~ 4 1.. W L~^ 4 ~ ~ . ,ski ay c-~ ~ ~V'~~F~~~k o y s ~ ~ / ~ r. d f ~c r W l1 , z ` 4 _ p ~5~ CONSENT To OCT 2 5 1989 INSPECTION _ ~LU,a ~ ~ jet ._._s PATRICIA JOHNSON the undersigned, Owner(s) Name(s) d„(~,~) hereby state: 'That the undersigned (is) (are) the owner(s) of the premises in the Town ~,f Southold located at Main Road and Pike Street, Mattituck, New York, which is sho«m and designated on the Suffolk C~,unly tax map as District 1000, Sec±ion 114 J31ocl: II Lot 4 'I'l~at the undersigned (has) (have) tiled, or caused to be filed, an applica- t.inn in the Southold To~~m Luilding Inspector's Office for the following: Pre-Existing Certificate of Occupancy '1'h~t the undersigned do(es) hereby give consent to the Building Inspectors thy, '1'o«m of Southold to enter upon the above described property,•including :,nti- and all buildings located thereon, to conduct such inspections as they may cl~~~m necessary with respect to the aforesaid application, including inspections i,~ determine that said premises comply with all of the laws, ordinances, rules ~nd reeulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the i•:nowledee and understanding that any information obtained in the conduct of s t,ch inspections may be used as evidence in subsequent prosecutions for vio- lrltians of the laws, ordinances, rules or regulations of the Town of Southold. T?ated: October a7` , 1989 - p.~„__ (signature) P~AT~CIA JOHNSON IJAT~ici/-1 ~o~ ~1~0 ~ (print name) (sicnaturel (print name)