HomeMy WebLinkAboutZ-17844FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17844 Date MARCH 14, 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 465 WIGGINS & 195 NINTH ST. GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 48 Block 1 Lot 23
M/o Ppty of S. Buel &
Subdivision Mary B. Corwin Filed Map No. 353 Lot No. 11 & 12
conforms substantially to the Requirements for a private one -family
dwelling built prior to: APRIL 9, 1957 pursuant to which
CERTIFICATE OF OCC. #Z17844 dated MARCH 14, 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 EDWARD & SHIRLEY PULTZ
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE- EXISTING
CERTIFICATE NO. NO RECORD PRE- EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD PRE - EXISTING
uilding Inspector
*PLEASE SEE ATTACHED INSPECTION REPORT
Rev. 1/81
BU.L Dl.',0 DVEP!.RT:•t;.iiT
TO.411\1 OF SOUT,;OLD, N. Y.
HOUSIA CODE INSPECTION RD?ORTG E
Location 465 WIGGINS ST. & 195 NINTH ST. GREENPORT, N.Y.
(numoer 6c street) �i,iunlcipallty)
M��/
Subdivisio°nPpty of S. Bue1 & M.B.CorwiRai) No. 353 Lot(s) 11 & 12
Name of Owner(s) •EDWARD & SHIRLEY PULTZ
Occupancy RESIDENCE OWNER
(type) owner -tenant)
Ad,mi.tted by: SHIRLEY PULTZ Accompanied by• SAME
Key available Suffolk Co. Tax No. 48-1-23
Source of request -EDWARD & SHIRLEY PULTZ Date 3/3/89
DWELLING:
Type of construction WOOD FRAME rstories 2 STORY
Foundation STONE Cellar z Crawl space T—
Total rooms, 1st. F1 3 2nd. F1 4 3rd. Fl
Bathroom(s) JZ 1 Toilet room(s) WITH UTILITIES, WASHER&DRYER
Porch, typeFRONT OPEN Deck, type Patio, type'
Breezeway Garage Utility room
Type Heat OIL alarm Air Hotwater
Fireplace(s) -No. E:cits 2 Airconditioning
Domestic hotwater OIL SEPARATE Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 45 N.Y. S
pp❑❑TLggniicppaFFti_on_ Description
SLEEYIPG AREA NO SMOKE DETECTORS
Remarks• HOUSE IN GOOD REPAIR
Fire Prevention
Art.I Sec.
Inspected by: ZDate of Insp. MARCH 7, 1989
GARY F H Time start 11:00 end 11:20
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Subdivision ....................... Filed Map ........Lot..........
Permit No. ..........Date of Permit ..........Applicant ...................
Health Dept. Approval .................. Underwriters Approval..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ...............
�O do
Fee Submitted: $ . ..............
APPLICANT...... �!........... ............
Q..ec.. 3 � 8 � o`Z-•
rev. 10/14/88
-31-31
DATE ......... !.. .
NEW CONSTRUCTION .......OLD
Location of Property q (0 '55. ...
OR PRE-EXISTING BUILDING.X
�gQ�l✓S.... .....
...VACANT LAND........
� ......
HOUSE NO.
`063
Y.S..........
Owner or Owners of Property.o)erd ..-1st
STREET
5+.
Avr1 ....�-
HAMLET
�=�- �
County Tax Map No. 1000 Section ......
Block ..I....
Lot ...ja. S
Subdivision ....................... Filed Map ........Lot..........
Permit No. ..........Date of Permit ..........Applicant ...................
Health Dept. Approval .................. Underwriters Approval..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ...............
�O do
Fee Submitted: $ . ..............
APPLICANT...... �!........... ............
Q..ec.. 3 � 8 � o`Z-•
rev. 10/14/88
CONSENT
TO
INSPECTION
��u/aif �S6i r/ryGl L Ti the undersigned,
Owner(s)
do(es) hereby state:
That the undersigned (is) (are) the ow
5 nh',er(s of the premises in the Town
14
of Southold located at //)/G�/A/.S $ rifx-�r7-' �r,P,PnpA rZ7-
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:
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: 3131F%
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