HomeMy WebLinkAboutZ-18340FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE
Certificate Of Occupancy
No.. ,? 18340 ........ Date .. SEPT ................
THIS CERTIFIES that the building .. ONE FAMILY_ DWELLING
........................
Location of Property.. , 3225 YOUNGS AVE. SOUTHOLD
.........Hamle[
House No. Street ........
County Tax Map No. 1000 Section ... SS....... Block ...... 95 ....... Lot .....03, , _ , _ _ ... ,
Subdivision ...............................Filed Map No. ........Lot No. .............
REQUIREMENTS FOR A PRIVATE ONE—FAMILY DWELLING BUILT PRIR TO
conforms substantially to the AcpVMKM2K2WXM][ %18dFgt>�gc g$ i[tg gi i g�if 1
CERTIFICATE OF OCCUPANCY #Z
APRIL 9 , ........ pursuant to which MX11I1&J§M X
.........18340............
dated .SEPT.., ,5,. 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. ***
................................................................................
The certificate is issued to ... RUSSELL A. MALLGREN JR.
(owner, $R. Him$! ......................
of the aforesaid building.
Suffolk County Department of Health Approval . , N/A
....................................
UNDERWRITERS CERTIFICATE NO.......... N/A
.....................................
PLUMBERS CERTIFICATION DATED: N/A
***SEE INSPECTION REPORT
.. -4
1. .'—"�...................
Building Inspector
Rev. 1/81
BUILDI,,.G DEPART:IENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 3225 YOUNGS AVE. SOUTHOLD
(number do street) (iiunicipaiity)
Subdivision Map No. Lot(s)
Name of Owner(s) RUSELLL MALLGREN JR.
Occupancy R-80 RESIDENTIAL OWNER
(type) owner -tenant
Admitted by: RUSSELL MALLGREN Accompanied by: RUSSELL MALLGREN
Key available Suffolk Co. Tax No. 55-5-3
Source of request RUDOLPH H. BRUER' Date 8/29/89
DWELLING:
Type of construction WOOD FRAME stories 2
Foundation CONCRETE BLOCK Cellar FULL Crawl space
Total rooms, lst. F1 3 2nd. F1_ 4 3rd. Fl -
Bathroom(s) ONE 2ND FLOOR Toilet room(s) --
Porch, type FRONT ENCLOSEDDeck, type -- Patio, type --
Breezeway -- Garage -- Utility room --
Type Heat LILCO GAS 'alarm Air Hotwater STEAM
Fireplace(s)ONE 1st FL.No. Exits 3 Airconditioning
Domestic hotwater LILCO GAS Type heater RHEEM
Other MUDROOOM REAR OF HOUSE.
ACCESSORY STRUCTURES:
Garage, type const. NONE Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention
Lncation
iu
Description
vuC
�Art.
� Sec.
EXTERIOR
EXTERIOR SURFACES SHALL BE MAINTAINED INI
1242/5
GOOD CONDITION. SURFACES NOT INHERENTLY
RESISTANT TO DETERIORATION SHALL BE TREA
ED
WITH PROTECTIVE COATING OF PAINT OR OTHERI
SUITABLE PRESERVATIVE.
s
Remarks: HOUSE Ig FAIR CONDITION.
E)
Inspected by:=rz� 2W.Date of Insp. 8/3189
GAW FISH Time start11:00 end 11.20 a.m.
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE ...VD7 /.... .
NEW CONSTRUCTION .OLD OR PRE—EXISTING BUILDING.�...VACANT LAND........
XLocation of Property ............. ............ .........
HOUSE NO- J STREET HAMLET
Owner or Owners of Property.... .1 ---•-'---•
County Tax Map No. 1000 Section .:1.-5- Block .... 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 .... K..........
Fee Submitted: $.0 w0.0..........
rev. 10/14/88
CAPPLICANT. .. .....t — ..
9Is"ley Z�?3gLl
CONSENT
TO
INSPECTION
do(es) hereby state:
, the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
%vhich is shown and designated on the Suffolk
County tax ma as District 1000, Section ij 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:
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 Town of Southold.
Dated:
7
(signature)
(print ame)
signature)
(print name
BUl.,Dl:•.rG DEP_'-P,1: —1'!T --
T01.111 OF SOUTHLOLD, N. Y.
HOUSIIM CODE INSPECTIOiv REPORT
Location 3.12s
�rumoer ff& seez
Subdivision Malo
Name of Owner(s)
Occupancy K -
;b
&4
o�
i-iun�cipality)
No. Lots)
C EYP e
by: -Acccimpani ed
owner-zenan z)
by:
Key available Suffolk Co. Tax No.
ss -s-3
Source of request_ � /a� .
Date_ L=
D'WE'LLING: _
Type of construction
Foundationrstories
�Cellar_4' _'p Crawl space
Total rooms, 1st. F1 3 2nd. F1
Bathroom3rd. F1
Bathrooms)--Z—.3rd. � �,�A Toilet room(s)
Porch, type sof _e Deck, type
Patio, type
Breezeway
Type HeatGarage — _ -----
Utility room
warm Air
Fireplace(s) Hotwater
No. E:ti is 3 Aircondi tioni ng
Domestic hotwater4?1� Type of
--
Other . ,
ACCESSORY STRUCTURES • NoNE (/
Garage, type const. .
Storage,
Swimming pool
type const.
0 1her Guest, type const.
c
IVLx1' i U1�I5: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDINr cnnv
Remarks: �►...� , ` ,/., _ � / i9_
Inspected by:
Date of Insp.
Time start #-'00
/J
s- 5"- ; ' TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
STREET
VILLAGE
DIST.
SUB. LOT
FORMER OWNER
N
•>.. /'�
E
,�'1. \..t_, r C,� :.-t.:i'�.:._.
ACR-
, ems'
S
W r-
TYPE OF BUILDING
RES. /0
I SEAS.
VL.
FARM
COMM. CB. MICS. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
Tillable
FRONTAGE ON WATER
Woodland !
FRONTAGE ON ROAD
L 3
Meadowland
DEPTH
House Plot
Z,
BULKHEAD
Total
DOCK