HomeMy WebLinkAboutZ-12410 FORM N0.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
N O N- H A B I T A B L E
Certificate Of Occupancy
No..Z12410......... Date Apri1..4 19 84
THIS CERTIFIES that the building .
Location of Property ,2575 Old Orchard Road East Marion
House No. ~ Street ~ Hamlet
County Tax Map No. 1000 Section ...037......Block ....~6.........Lot . , , .007
Subdivision Gardiner' s. ,Bay. Est . ' s . , ,Filed Map No. 2.~ 5 ....Lot No. . .
Building built prior to
t:rnsf'ornss=subttat~atly-R~=tt~ -=l~pp~~'sat~ ~ Frr~~'ennr~ ~e~e ~de3=m~Tiis~#'€~eo- ~a~ed
• Certificate Of Occupancy
April 23 , 19 5.~ pursuant to which-BaAidi~g~r~tatNo. ..Z1241D, , , , , , , , , .
dated Aril 4 . 19 84 ,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 .
,..a.~re-existing dwelling in non-habitable condition.
The certificate is issued to THEODORE & ADELE KAMP & WOLFGANG & EVELYN R. STUPEL
...........(ownerl83eeaertensrrtf
of the aforesaid building.
Suffolk County Department of Health Approval , no .record
UNDERWRITERS CERTIFICATE NO no ,record.. , .
SEE ATTACHED HOUSING CODE INSPECTION REPORT.
Building Insp ctor
Rev. 1/81
13UILDIT~`G DEP~RTI•TETv'i
TGl•,11 OIA SOUTHOLD, N. Y'.
?OUSING CODE IPdSPEGTION F.EPORT
Locotion 2575 Old Orchard Road East Marion
number & street Ivlunicipality~
Subdivision Gardiner's Bay Est. 'sNtap ^1n. 275 .Lot{s) 7
i`Ta:ne cf Otmer(s) Theo & Adel Kamp & Wolfgang & Evelyn Stupel
Occuuanc',r R-1 unoccupied
tYp°- ownc,r-tEnan~;)
Ad;nitted by: _self Accompanied by: X
Kev available Lewis & Nickles+ 5~zffolk Co. Tax No. 37-6-7
"ounce of requ~°^t Rudolph H. Bruer Date, 3/6/84~~~
L~°~'ELLIIIG
Type of construeion! wood frame ~storieU one
Fo~~ldation wood posts & cement Cellar partia~ratvl space rest
Total rcori:; mot, floox
Fl 4 crd. F 3rd. 1 _
}?~~thrcom(,~) Toilet roori(s) one
Parch, t'y;:~~~ wood-roof ove~ecl:, type ~Pata.o, type-~
Bx eeze~:;ay~ Garage Utility noon X
T,,re IIcat none _ '~1•arm Air Hot~.vatFr
ireplacc•(_•)~_~No. E:ciia 2 Aircon~i~tionir_:"~_
Domestic hot'.~ater yes Typf,~ hea.tcr gas fired ~4~
Other outside shower
/~.C:ESSG~.y ST??UCTURFS: NONE
G:_xrage, type const. Storage, type const.~
Str,•_r;:~nin~~ pool Guest, type const.
Other
VIQL.4TIO;dS: Hor.xsinl Code, Chaptor ~2
L~~ratiOn Descrint;ion _ (Ari:. ~ _S~~c M
kitchen gas stove has no shut off V 52-52-B-6
bedroom ~lar e hole in bedroom wall III 52-32-C
throu hou dwl floor ver s rin needs more
su orts III P52-30-A
front ste front ste s ver bad need re lacin 11II 5230-A
outside wood shin les off side walls of bld III 52-31-B
inside no_tub or shower facilities V 52-51-D`2
_.w_ M
I -
Re:r:arks, THIS DWELLING IS NON-HA~iTABLE.
Inspected by:~ ,~~e~~
~_p~L~ate cf Insp. 3/30/84
Curtis W. HortonTime start 11:20 end_ 11:35
CONSENT
TO
INSPECTION
Theo & Adel Kamp & Wolfgang &,Evelyn Stupel the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 2575 Old Orchard Road, East Marion, NY
which is shown and designated on the Suffolk
County tax map as District 1000, Section 037 Block 06 Lot 007
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:
Final Cert. of Occupancy
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 Towr_ of Southold.
Wo a Adel Kampn& to el
g P
Dated: March 6, 1984 gy: ~ ° ~
g ature)
R dolph H. Bruer, Attorney
(print name)
(signature)
(print name)
JOHN J. NICKLES REAL ESTATE HAS THE KEY TO PREMISES