HomeMy WebLinkAboutZ-17566FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-17566 Date DECEMBER 5, 1988
THIS CERTIFIES that the building ONE FAMILY DWELLING & ACCESSORIES
Location of Property 29895 MAIN ROAD ORIENT, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 18 Block 2 Lot 36
Subdivision
Filed Map No.
Lot No.
conforms substantially to the requirements for a one family dwelling
built prior to: APRIL 9, 1957 pursuant to which
Cert. of Office No. Z-17566 dated DECEMBER 5, 1988
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. GARAGE & GUEST HOUSE *
The certificate is issued to DAVID & JANET MOORE
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
A
* NO BUILDING PERMIT OR CERTIFICATE OF OCCUPANCY FOR SWIMMING POOL.
Building Inspector
Rev. 1/81
BU_L_D_L
TM111"N OF SCUT'.--1CLD, 11. Y.
HOUSIIIG CCDE INSPECTION R;i?ORT
Locaticn 29895 MAIN ROAD
�numDer cc s zreez
Subdivision
ORIENT, NEW YORK
(Viunicipality)
MLap No. Lot(s)
Name of Owner(S) DAVID & JANET MOORE
Occupancy 'A' Residential OWNER
(type) owner-zenanti)
Admitted by: JANET MOORE Accompanied by: SAME
Key available
Source of request
Suffolk Co. Tax No. 18-2-36
Date
DWELLING:
Type of construction WOOD FRAME stories 2
Foundation CEMENT Cellar 759 Crawl space 257
Total rooms, 1st. F1 3 2nd. F1 3 3rd. Fl ---
Bathroom(s) 2 Toilet room(s) --
Porch, type FRONT & SIDE Deck, type -- Patio, type_ --
Breezeway Garage Utility room
Type Heat LILCO GAS Warm Air xx Hotwater
Fireplace(s) No. E:cits 2 Airconditioning -'
Domestic hotwater LILCO GAS Type heater
Other REAR MUDROOM
ACCESSORY STRUCTURES:
Garage, type const. 2 car
Swimming pool INGROUND POOL
Other
Storage, type const.
Guest, type const. 3 room 1 bath
guest house
i
VIOLATIONS: Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention
& B , i ldina Code
Lncation I Description
Art.1
Sec.
NO BUILDING PERMIT OR CERTIFICATE OF
OCCUPANCY FOR INGROUND SWIMMING POOL.
TEEE:l
Remarks•House and Guest house in good repair. Garage needs work.
Inspected b
Y: Y Date of Insp. 12/5/88
GARY F S
Time start 2:50 end 3:10
�3 - _3 7�0
TOWN OF SOUTHOLD 4f77
BUILDING DEPARTMENT.. (�--
TOWN HALL��
SOUTHOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPAN
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: $.1019. .......
APPLICANT. ..•.. ••••••...••••-•••••-
Com'
rev. 10/14/88
DATE .`11ZfZIW ..... .
NEW CONSTRUCTION .......OLD OR PRE-EXISTING
BUILDING.
..VACANT LAND........
Location of PropertydJ..�S..........
Location
t-4
/ .....................................
HOUSE NO.
STREET
HAMLET
Owner or Owners of Property.
u.�.' .. (.`. _
:J-rINC��. . .. C).LJ _ _ _ _ • .
County Tax Map No. 1000 Section
.ll ._.. Block
.5�....
Lot 43l?......
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: $.1019. .......
APPLICANT. ..•.. ••••••...••••-•••••-
Com'
rev. 10/14/88
�,�ki 700
Owner(s) Name(s)
do(es) hereby state:
That the undersign
of Southold located at
CONSENT
TO
INSPECTION
the undersigned,
(is) (are) the owner(s) of the premises in the Town
. which is shown and designated on the Suffolk
County tax map as District 1000, Section, Block 2,, Lot 36 .
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in the Southold Townuilding 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 re
of the Town of Southold.
(signature)
(print name)
(signature)
print name)
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T0.•Td OF SOUT1-TOLD, N. Y.
HOUSI.:G CODE I TSPECTION REPORT
Location '
(n=1 Der & s;,ree�c) (Viunic paiity)
Subdivision i,Iar No. Lot(s)
Name of O:vner(s)
Occupancy
qty e (owner-ze ani)
Ad :�i1tad by : umpanied by:
Key available Suffolk Co. Tax No.
Source of request Date
D? EELLI-`�?G :
Type of construction �(/Gp-e rstories
C',7Foundation Cellar S % Crawl space v1
Total rooms, lst. Fl 2nd. F1 ,3 3rd. F1
Bathroom(s)- Toilet room(s)
Porch, type �,,�- ,a;�� Deck, type Patio, type
Breezeway Garage Utility room
Type Hea Warm Air Hotwater
Fireplaces) No. E:tits
AircondiLioning --
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Si« ;ging pool ��E
Guest, type const. J',,,,
Other
VIOLATIONS: Housing Code, Chapter 52
Remarl .
Inspected by:
Date of Insp.
Time start --.,?.'JO end J,'/D
7- TOWN OF SOUTHOLD PROPERTY RECORD CARD
DWNER
STREET
VILLAGE
DIST.
SUB. LOT
a Y e
FORMER OWNER4 7- j�—
1
N
J�
E
ACR.
07 3,7
TYPE OF BUILDING
SEAS.
VL.
FARM
COMM'CB. MlSQ,- Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS LL 1 65 Z i� n
ej
0
7 7 2,
2 nil,
65 no
V/
AGE
BUILDING CONDITION
SIE
NORMAL
BELOW ABOVE
Value Per Value
Acre
Acre
;1lable I
Ilable 2
llable 3
oodland
,ampland
FRONTAGE ON WATER
ushland
FRONTAGE ON ROAD
3 7
)use Plot
DEPTH
BULKHEAD
tal
DOCK
S-77 �
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rm
MEMO
11WINESNINEEM
oil
MEMEIVE
■Big■NUMNSIMEMOMMEMIMEMI
MEN
No
MEMEMMUM
MEMEMEMIN
i
Dinette
- - -
ter:.
_
..
Rooms I st Floor
Porch
Rooms 2nd Floor
Porch
Dormer
Driveway
Garage
0. B.
S-77 �