HomeMy WebLinkAboutZ-18550No Z-18550
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date NOVEMBER 9, 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 195 TOWN CREEK LANE SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 64 Block 01 Lot 11.1 **
Subdivision 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. #Z-18550 dated NOVEMBER 9, 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 CARL V. NISSEN
(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
*SEE ATTACHED INSPECTION REPORT.
** WITH RIGHT-OF-WAY OVER PROPERTY.
(�7L
.(.QALi
uilding Inspector
Rev. 1/81
J
BUILDING DEPART'NEINT
TOt911\1 OF SOUTHOLD, N. Y.
HOUSIidG CODE INSPECTION REPORT
Location 195 Town Creek Lane Southold N.Y.
knumoer & street) 1,iunicipaiity)
Subdivision Map No. Lots)
Name of Owner(s) CARL V. NISSEN
Occupancy R-40 OWNER
(type) owrn er- z enanz )
Admitted by: CHARLES NISSEN Accompanied by: CHARLES NISSEN
Key available Suffolk Co. Tax No.64-01-11.1
WITN_R.O.W. OVER PROPERTY.
Source Of request JOSEPH GIBBONS - Date OCT. 30, 1989
DWELLING:
Type of construction WOOD FRAME nstories 2
Foundation CEMENT BLOCK Cellar FULL Crawl space
Total rooms, 1st. F1 4 2nd. F1 3 3rd. F1
Bathrooms) 2 Toilet room(s) 1/2
Porch, type SCREEN PORCH Deck, type Patio, type_
Breezeway Garage 2 CAR Utility room
Type Heat OIL Warm Air Hotwater XX
Fireplace(s)ONE IN LIVINGNo. E:cits 2 Airconditioning
ROOM
Domestic hotwater OFF THE BOILER Type heater
Other
ACCESSORY STRUCTURES: NONE
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Lncation Description IArt.j Sec.
EXTERIOR Exterior surfaces shall be maintained in good ICHAPt.1 F
condition. Surfaces not inherently resistant to 11242
deterioration shall be treated with a protective
coating of paint or other suitable preservative.
NTERIOR IBuildings and structures shall be maintainea rree k1nNrr.1 r
(of insect vermin and rodent harborage and 11242.1
linfestation.
Remarks:
Inspected by: Date of Insp. NOV. 3, 1989
GA J. FISH _T ime start 10:30 end 1 1:00
TOWN OF SOUTHOLD
BUILDING DEPARTMENT I BLDG.
TOWN nF ::
TOWN HALL
SOUTHOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE .... October _30 : AM
New Construction ...... Old or pre-existing building..$... Vacant land......
Location of Property ..�1 5 .......... TOWN.CREEK .LANE
___________________„
House No. Street Hamlet
Owner or Owners of Property.,CHARLES.L. & .ROBERT .W. NISSEN.. _ .. _....
County Tax Map No. 100 Section 06400_., Block „ 0100. Lot 011001 ..
& 011002
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: $..10.0..00..... Vacant Land Certificate .$. . . . . . .
APPLICANT: .e
B
JO H
FOR CHA LES & ROISSEN
3 9.57
C0� 18'550
rev. 10/14/88
CONSENT
TO
INSPECTION
CHARLES & ROBERT NISSEN 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 Town Creek Lane, Southold
which is shown and designated on the Suffolk
County tax map as District 1000, Section 06400, Block 0100 Lot 011001 &
011002 .
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:
Pre-existing Certificate 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 Town of Southold.
Dated:10/30/89elzzzl
(signature)
JOSEPH H. GIBBONS FOR
(print name)
CHARLES & ROBERT NISSEN
signature
(print name)
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SURVEY FOR
CHARLES L. NISSEN 9 ROBERT W. NISSEN
AT SOUTHOLD DATE JULY 28,1989
TOWN OF SOUTHOLD SCALE 1"- 30
NOTES: SUFFOLK COUNTY, NEW YORK No 89-0772
I. M=MONUMENTNVWUTHOIZED ALTERATION OR ADD I TION TO MIS +
2. SUFFOLK CO. TAX MAP sullen M A era AnoN OF sccnoN Tzos OF THE OF N
MEM YORK STATE EDUCATION LAM (E Ek.
DIST 1000 SECT. 64 BL 1 LOTS 11.1 611.2 R COPIES Or TNI "VEY NOT EEARNO THE LAND ;k P. AO
SUA VE YON INKED SEAL OR EMBOSSED SELL SMALL
NOT BE CON so DE RED TO SE A VALID TRUE COPY , PPO SY 9
ROVARANTCES INDICATED HEREON SMALL RUN ONLY TO O rO
TME PERSON FOR WHOM THE SURVEY I PREPARED j G
ANOON HIS BEHALF TO THE TITLE COMPANY, GOVMN- 2000
MENTAL ADE NCY AMC) LENDING INSTITUTION LISTED
HEREON, AND TO TIME ASSIGNEES OF THE LENDING
INSTITUTION. OVARANTEES ARE NOT TRANSFERABLE
TO ADDITIONAL INSTITUTIONS OR SUBSEOUFMY r Q�
OWNERS
*DISTANCES SHOWN HEREON FROM PROPERTY LINES e. h0 45693
TOESISTINS STRUCTURES ME FOR A SPECIFIC `f
AN 0
NOT
Eusto TO T I
ROPERTYLINES ORFOR THEERECTION OFFENCES 4JEo (AAD sulky �
RHAN YOUNG a YOUNG E,, AVENUE
ALDEN W. YOUNG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S. LICENSE N0, 12845
HOWARD W YOUNG, LAND SURVEYOR
N.Y S. LICENSE NO 45893
BRANDIS B SONS INC. Z. a.
Location
BU17 DTT
T0. -RN OF SOUTIEOLD, N. Y.
HOUSING COD -E IINSPFCTION REPORT
0rlumoer a s tree u
Subdivision
Name of Owner(s)
Occupancy -L(
( CYp e
ti�•1�
ndm•t ,tzd by.:
�i-iun�cipali �}r)
Map No. Lot,(s)
s
-Ac.cbmp, ;ni ed
owner,-zenar. E)
by
Key available Suffolk Co. Tax No.
Source of request n - di d
MTELLING :
Type of construe tion_ �tJ�
Foundation
rstories oZ
Cellar_ �,w(f� Crawl space
Total rooms, 1st. Fl
2nd. Fl 3 3rd. Fl
Bathrooms) 01
Toilet room(s)
Porch, type Deck,
y
type
Breezeway GaraCe
b
Patio type
of ca,`, Utility room
Type Heat_Q Warm Air
Fireplace (s) E;ti
Hotwater
i
,No .
Domestic hotwater
s i
Ai rcondiLoning
---
Other
Type heater
ACCESSORY STRUCTURES:�
Garage, type const.
Storax
b e, type const.
SWimumi ng pool
Guest, type const.
Other
VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Remarks:
Inspected by: Date of Insp. // ,3
Time start /0:30 Ind