HomeMy WebLinkAboutZ-18686FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE-EXISTING
CERTIFICATE OF OCCUPANCY
No Z-18686 Date JANUARY 3, 1990
THIS CERTIFIES that the building
Location of Property 250 ANGLERS ROAD House No.
County Tax Map No. 1000 Section 36 Block 2
Subdivision Filed Map No.
ONE FAMILY DWELLING
GREENPORT~ N.Y.
Street Hamlet
Lot
Lot No.
20.1
conforms substantially to the requirements for a private one family
dwelling built prior to: APRIL 9, 1957 pursuant to which
Certificate of Occ. #Z-18686 dated JANUARY 3, 1990
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 SHED & SHOWER*
The certificate is issued to HERBERT & LOUISE MACOMBER
(owners)
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
*SEE ATTACHED INSPECTION REPORT
/Building Inspector
Rev. 1/81
Location
Subdivision
Name of Owner(s)
BUILDING DEP?~TI.~NT ..
OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
250 ANGLERS RD.
(numoer & s%reer)
GREENPORT, N.Y.
(Municipality)
Map No. Lot(s)
HERBERT & LOUISE MACOMBER
Occupancy.
A~mitted by:
R-40 RES.
(type)
HERBERT MACOMBER
OWNER
(owner-zenanz)
Accompanied by: SAME
Key available
Suffolk Co. Tax No.36-2-20.1
Source of request
LOUISE
Date
JULY 6, 1989
D%'~LLING:
Type of construction
Foundation CEMENT BLOCK
Total rooms, 1st. F1 6
Bathroom(s) ONE FULL
Porch, type
Breezewa~
Type Heat OIL
ENCLOSED REAR Deck,
WOOD FRAME ONE
Cellar FULL
2nd. F1
Toilet room(s)_
type SIDE & ~ Patio, type_
Garag~ I CAR ATTACHED Utility room
' Warm Air Hotwater .... xx
#stories
Crawl space.
5rd. F1
Fireplace(s) No. F~cits 2 Aircondition~ ng
Domestic hotwater OFF 'f~ BOILER Type heater
Other SMALL SHED ATTACHED TO RKAR OF HOUSE AND SHOWER.
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.WooD & FIBERGLASS
Guest, type const.
VIOLATIONS:
Location
EXTERIOR & TRIM
Descriotion
Exterior surfaces shall be maintained in good
condition. To be treated with a protective
coating of paint or other suitable
_C~PTER 45--N.Y. STATE ~NIFO~ FIRE PREVENTION & BUILDING CODE
I Ar%-.'t Sec.
E
Remarks: Permit ~922-Z CO z-885(alteratloos) Permit #3636z CO Z-18688
Permit # 18707.Z CO~Z- 18~7~eck addition)
Inspected by. ~/' zz~/ ' Date of Insp. July lO, 1989
'~ ¢~/. /~ISH ' Time start 10:45 end 11:10
(addition)
TOWN OF $OUTHOLD
BUILDING DEPARTHENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
1{97l
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ..~-..~-....VACANT LAND
Location of Property. ~.?7.q ..... : .... ~~..~.0~_~. ......
HOUSE NO. STREET HAMLET '''
Owner or Owners of Property~~..qo.~.O~..Z~....F_~.~.~O~.~.~
County Tax Hap No. 1000 Section .~... Block ..~.o.. Lot'
Subdivision.
...................... Filed Map ........ Lot ..........
Permit No ........... Date of Permit .......... Applicant
Health Dept. Approval
.................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate .~.. .... Final Certificate
Fee Submitted:
rev. 10/14/88
CONSENT
TO
INSPECTION
· 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 ~f~: ~/U~/;~-,4~D ~
~/?~-~/~/~-/~ , which is shown and designated on the Suffolk
County tax map as District 1000, Section ,~ __, Block ~ , Lot c~. /
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Buildln~ Inspector's Office for the following:
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 To~vn cf 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 Town of Southold.
(signature)
(print name)
(signature)
(print name)
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