HomeMy WebLinkAboutZ-26522FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26522
Date: 06/24/99
THIS CERTIFIES that the building DWELLING
Location of Property 300 COTTAGE PL SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 062 Block 0003 Lot 015
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 CERTIFICATE OF
OCCUPANCY NUMBER Z- 26522 dated JUNE 24, 1999
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 DWELLIN~ WITH ENCLOSED PORCH AND CONCRETE FRONT AND REAR
PATIOS.
The certificate is issued to KATHRYN M PULVER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
*PLEASE SEE ATTACHED INSPECTION// /
- ' Bfiildin~/~pector
Rev. 1/81
LOCATION: 300 cOTTAGE PL
SUBDIVISION:
NAME OF OWNER (S): KATHRYN M PULVER
OCCUPANCY: SINGLE FAMILY DWELLING
ADMITTED BY:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
SOUTHOLD
MAP NO.: __ LOT (S) --
KATHRYN M PULVER
ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO.:
SOURCE OF REQUEST: JENNIFER GOULD. ATTORNEY DATE: 06/24/99
TYPE OF CONSTRUCTION: WOOD FRAME
FOUNDATION: BRICK
TOTA~ ROOMS: 1ST FLR.: __{ 2ND FLR.: __~
BATHROOM(S): 1.0 TOILET ROOM(S):
PORCH TYPE: ~QVERED. ENCLOSED. HEATED DECK TYPE:
BREEZEWAY: FIREPLACE: ~
DOMESTIC HOTWATER: GAS TYPE HEATER:
TYPE HEAT: GAS WARM AIR:
OTHER: *UNDER SUN-ROOM
# STORIES: 2.0 # EXITS: ~
CELLAR: ~ CRAWL SPACE: *
3RD FLR.: __~
O,0 UTILITY ROOM(S): --
PATIO TYPE: CONCRETE FRONT & REAR
GARAGE:
AIRCONDITIONING:
GAS
HOTWATER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIPING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ~ DESCRIPTION I ART. I SEC.
Pd~4ARKS: BP~24775-Z/~LTERATION & DECK C0#Z-26521.
//
INSPECTED BY: ~ ~/~ DATE ON INSPECTION: 06/15/~
BOUF~S - - ~ TIME START: 9:30 AM END: 10:00 AM
Owner(s) Name(s)
do(es) hereby state:
CONSENT
TO
INSPECTION
· the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at ~:~)O ('O'~,09(~ P (aCIL -~00~/h0[d, ~.J~
. which is shox~ and designated on the Suffolk
County tax map as District 1000. Section ~Z , Block 3 , Lot I~
That the undersigned (has) (haue) filed, 'or caused to be filed, an applica-
tion in the Southold To~ Building Inspector's Office for the follow.g: __
That the unders~ned do(es) hereby give consent to the Build~g 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, ~clud~g inspections
to determine that said premises comply with all of the laws· ordinances,~trules
and regulations of the Town of Southold.
The undersigned, in consenting to such ~sp~ctions, do(es) so ~th the
knowledge and understanding that any ~formation obtained In the conduct of
such inspections may be used as evidence in subsequent prosecutions for ~o-
lations of the laws, ordinances, rules or re~lations of the Town of Southold.
- ~ (signature) ~ ~ -~
(p~nt ~e)
R.Ft. UINTERS FISSOC
ID:
NRY 27'99 8:48 No.O02 P.O1
4/