Loading...
HomeMy WebLinkAboutZ-18141 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18141 Date JUNE 23, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 54775 NORTH ROAD SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 44 Block 1 Lot 2 SubdivisioA 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. #18141 dated JUNE 23, 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 Z CAR BRICK GARAGE' The certificate is issued to ESTATE OF MADELINE KLEIN (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. Building Inspector Rev. 1/81 , BUILDIiG DE?:^-.i~Ti=.iT T0~'1id Or SOUT'.-SOLD, N. Y. i~:OUSIP7G CODE IPiSPECTIGi•I R RORT Location 54775 NORTH ROAD SOUTHOLD, NEW YORK ~numDer ~ s~reet) ~i•iunicipality) Subdivision Map No. Lot(s) Name of 0°:lner(s) ESTATE OF MADELINE KLEIN Occupancy R-40 RESIDENTIAL ESTATE OF MADELINE KLEIN type o~:~ner-tenant) ltad by SELF -Acs~cimp~ied by SELF Key available ~ ° Suffolk Co. Tax No, 44-1-2 • Source of request JOHN NICKLES ~ Date b/19I89 D',•~'LLI~?G: Type of construction BRICK rstories oNE Foundation CEMENT BLOCK Cellar FULL Crawl space Total rooms, 1st,. Fl 5 2nd. Fl 3rd. F1 Bathroom(s) 1 full Toilet room(s) Porch, t•ylpe rear enclosed Deck, type Patio, type FLAGSTONE Breeze:•ray Garage Utility room Type Heat oIL farm Air ~ Hotwater Fireplace(s)oNE IN LIVING No. E:~its 2 Airconditioning Domestic hotwater Type heater BRADFPRD Other ACCESSORY STRUCTURES: Garage, type const. 2 car, brick Storage, type const. Se~imming pool Guest, type const. Other VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Location Description {Art.{ Sec. { { { Remar'.•cs • ^ Inspected by• Date of Insp. 6/22/89 J. FISH ~ Time starts ~:oD end ~ ~ ' ~ TONN OF SOUTIIOLD BUILDING DEPART:IENT TOT7N HALL SOUTIIOLD, NEN YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE. NEG7 CONSTRUCTION .......OLD OR PRE-EXISTING BUILDING.1`...VACANT LAND_._.h.... LocaCion of Propertp.5. ~?.?.-~..:.....~b:~T'i~F..~'ri:a~-fS....-.~jae-eT'/~dc~.~-U HOUSE NO_ STREET llAMLET Owner or Owners of Property.. © ~ .l~~Y~.~~N~.:.".... County Taa Map No. 1000 Section . y Block Lot'..?:..... 5ubdivi:ion Filed Map ........Lot.......... Permit t{o. ..........Date of Permit ..........Applicant Health Dep[. Approval Underwriters Approval..........._.. Planning; Board Approval Request for Temporary Certificate Final Certificate 1)Z/ Fce Submitted: $.~~0.~ ~ r APPLICANTp.C. , - . /7 / ~ /G " ~CC~~~`~i ~ r<`~?. 10/14/8 C~.~e.~. 3 ~.sg8$ eo~i~tyf COA'SENT TO INSPECTION CS~y-ice D G ~'li'J/),FL~.y~ /~L~~~ 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 r-~. ,coq ~ S~c, c_e~"1d0~ which is shown and designated on the Suffolk County tax map as District 1000, Section Block ~ Lot ~ 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: Cerr~ ar~1c ^T b~~~~ ~ ~ -~e~~--yr' 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 cf Southold. The undersigned, in consenting to such inspections, do(es) so tivith 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 Town of Southold. Dated : ~ l ~ ~ G,~~c;.~""' (sig ure) ~d~~ ~lC'~L~J I~~~`~vT (print nam7-e) (signature) G` (print name) ~~J a,~w ~ ~ l ~~G ~^~a~ ~t,V P' b~,.y fd~~ O Q aG o° . ~ U o ~ ~ a... a.?~- 0 ~ *~eN - \R ~ y 1 V QJ Y y S ,b S ''°e~` ~ ~ r ~ 3 .Q . ~ V , n 0 Z a " `s ~ to ~ of ttra naW ' ~ 1 11 ~ ~ ~~~n~ $ ~ ,tea eyw , ~~su,~ °.r~r°. ~ ~o~- p~ .+tlb'9Y ' ~ pF NEW ya e.o'~ ....,.----~1S Q' QkG ~.,,t,p+uwq ~ ; paada\~e, wrap ? ~ , SEA LAts~~ Y 1~111:~'~ ~ 1~ ~ ..--~-'S'c - a WH'CC~~Y +~„HO