HomeMy WebLinkAboutZ-18496FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-18496
THIS CERTIFIES that the building
Location of Property 360 TUCKERS LANE
House No.
County Tax Map No. 1000 Section 63
Subdivision
Date OCTOBER 25~ 1989
ONE FAMILY DWELLING
SOUTHOLt)r NEW YORK
Street Hamlet
Block 5 Lot 5
Filed Map No. Lot No.
conforms substantially to the requirements for a private one family
dwelling built prior to: APRIL 9r 1957 pursuant to which
CERTIFICATE OF OCC. #Z-18496 dated OCTOBER 25r 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 WITH ACCESSORY 3 CAR WOOD FRAME GARAGE*
The certificate is issued to CHART--S & LAURA RAND
(owners)
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
*PLEASE SEE ATTACHED INSPECTION REPORT.
f /// ! Building Inspector
Rev. 1/81
Location
BUILD I!','G DEPARTMF, NT
T0V~r OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
360 Tuckers Lane Southold, New York
(numoer ~ s~ree~)
Subdivision
Map No.
(Municipality)
Lot(s)
N~me of Owner(s)
Occupancy R-40
(~ype)
A~mitted by: WALTER MENGEWEIT
Key ~vailable
Source of request
CHARLES & LAURA RAND
LAURA RAND
OWNER
(owner-~enan~)
Accompanied by: SAME
Suffolk Co. Tax No. 63-5-5
Date 9/]1/89
D¥~LLIMG:
Type of construction
Foundation BRICK
Total rooms, let. F1
WOOD FRAME
Cellar
4 2nd. F1
2/3
#stories 2
Crawl space 1/3
3rd. Fi
Bathroom(s )
Porch, type. OPEN FRONT Deck, type.
s E
Breezeway. ENCLOSED FRONT ~a~ge~
Type Heat OIL 'Warm Air
Fireplace(s ONE IN NO. F~its
)'-LivlNu Ruu~
Domestic hotwater OIL
Other PANTRY
Toilet room(s)
Type heather
Patio, type
Utility room
Hotwater STEAM
Airconditioning
BOCK
ACCESSORY STRUCTURES:
Garage, type const. 3 CAR WOOD FRAME Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS:
Location
.CHAPTER 45--N.¥. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Description [Art. t Sec.
Remarks:
Inspected by:~~' /~
GA R~/~/ FI~SH
Date of Insp. ~0/2/]989
· Time start. 9:30 end
9:50
TOWN OF SOUTHOLD
BUILDING DEPARTHENT
TOWN HALL
SOUTHOLD, NEW YORK
765 -- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING..~...VACANT LAND ........
¢
Location of Property. 360 Tuckers Lane Southold
HOUSE NO. STREET HAMLET
Owner or Owners of Property. Charles & Laura Rand
County Tax Map No. I000 Section 63 Block 5 Lot' 5
Subdivision ....................... Filed Map ........ Lot ..........
Permit No ........... Date of Permit .......... AppLicant Laura Rand
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
100.00
Fee Submitted: $ ....................
rev. 10/14/88
ge. o I
CONSENT
TO
INSPECTION
Charles & laura Rand · , the undersigned,
O%vner (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 360 Tuckers Lane Southold, N.Y. 11971
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 63 , Block 5 , Lot 5
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: 9./11./~q X ~.,~., J ~.~_-_
(s~i~natur e)
(print ~ame)
(siffnature)
(print name)