HomeMy WebLinkAboutZ-17759FORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certi[icate O[ Occupancy
Date .F.g.B.R.~.A..R.~.. [6. ,..1.9. 8..9 ...........
THIS CERTIFIES that the building . 0)I.!~. FA)~I;I,¥..H.W..g..L.L.I.I~.G ........................
Location of Property .. I..8.5..~.$ .C.~.~.~.! .C..S.~.....~.. .............. S..O.U.~?.O..L.D ................
House No. Street Hamlet
County Tax Map No. 1000 Section . .6. .1 ........ Block .... 0..4 ......... Lot ...2..9 ............
Subdivision ............................... Filed Map No ......... Lot No ..............
REOUIREHENTS FOR A PRIVATE ONE-FAHILY DWELLING BUILT PRIOR
conforms substantially to the P~p~a,~:mxR~l~l~llt~'~lr~l~P/~x~tre~xi~i~~
APRIL 9, 1957 CERTIFICATE OF OCCUPANCY
..................... pursuant to which tk~l~li~gxuz~:~it~xx . . .~.Z.I. ? ? .5,9. .........
dated .F..~.B.R.~.~..R.~. :!.6. :..1.9.8..9 ....... 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 .........
· .o...~...f.~?.~.~.~...~. x..~.~.,.~.. ???.. ~, .~.?.,. ~..o.~. ~..,y.,.~.~.: ..............................
The certificate is issued to MIRIAM LYNNE RICHARDS
..................... ?o';,,,'o'r,'/~iri, a'li,~ .....................
of the aforesaid building.
Suffolk County Department of Health Approval ...1~. {.~ ....................................
UNDERWRITERS CERTIFICATE NO ........... 1~. [.A ....................................
PLUMBERS CERTIFICATION DATED:
SEE INSPECTION REPORT
ALSO B.P~ 17840z AND C.O. ~z17760
DECK ADDITION
TO
Rev. 1/81
Location
BUILDI:,,G DEPART[.LENT
T0?fbl OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
]85 MECHANIC ST. E.
SOUTHOLD
[numoer & streez)
Subdivision xx
Map No.
Name of Owner(s) MIRIAM RICHARDS
(MunicipaliSy)
XX Lot(s) XX
Occupancy R-40
(type)
A~mitted by: SAME
Key ~vailable XX
Source of request
(owner-zenanZ)
Accompanied by: SAME
Suffolk Co. Tax No.
MIRIAM RICHARDS Date
61-4-29
D¥~LLIMG:
Type of construction WOOD FRAME
Foundation CEMENT BLOCK Cellar 3/4
Total rooms, 1st. F1 4 2nd. FI 2
Bathroom(s) ~ Toilet room(s).
Porch, type FRONT 7'x]8' Deck, typq REAR 8'x]4'
#stories 2
Crawl space I/4
3rd. F1
Breezeway --
Type Heat OIL
Fireplace(s) ONE
Domestic hotwater
Other
Patio, type
Garage. -- Utility room REAR
Warm Air Hotwater xx
No. ~cits Airconditionin~
~ype heater PROPANE
ACCESSORY STRUCTURES:
2 CAR
Garage, type const,cEMENT BLOCK
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS:
Location
Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention
& Building Code
Descriotion I Art. I Sec.
Remarks: HOUSE IN GOOD CONDITION
Date of Insp. 2/]0/89
'Time start3:40 end4:00 p.m.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
TOWN OF ~OIJTNOLD
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
/
/
DATE. ~-. /
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
Loeatio. o, Frop~rty. . .J.~ :. . ~f:.~(~¢.,~. ~!:'. .... ~ .... .q~ . .~. , ...
HOUSE NO. STREET HAMLET
Owner or Owners of Property. !
Subdivision ....................... Filed Map ........ Lot ..........
Permit No ........... Date of Permit .......... Applicant ...................
Health Dept. Approval .................. Underwriters Approval ..............
Plannlng Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted: $ . ~0.%.~. J~...~.?~.
rev. 10/14/88
N/O/F THERESA
FROHNHOEFER
10' 00" E
50;00' ~
25' 30"
MECHANIC
SURVEY OF
PROPER TY
A T SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000 61 - 04 - 29
Scale 1" = 30'
Jan. 27, 1989
N/O/F THERESA FROHNHOEFER
N/O/F
PHYLLIS B. MALLGRAF
ADRIENNE 8. OLIVER
ROBERT H. BAKER
STREET
CERTIFIED TO;
CENTERSANK MORTGAGE CORPORATION
MIRIAM L YNNE RICHARDS
- CD. 49668
*'PECONIC SURVEYORS, P.C.
/ (~el 7es - so~o
~' P.O. BOX 909
MAIN ROAD
SOUTHOLD, N.Y. 11.971
89- 111
CONSENT
TO
INSPECTION
/~ [~/.~ ...~-'/M/V f , 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 [~ ~ [[b~~'c ~ ~~
~ ~~ ~0 ~,~, /l ~ 7/ ,,,hich is shox~ and designated on the Suffolk
c o=~ ~ ~ ~ ~ist~t ~000, S~on ~ / , ~o~ dC , ~o~ ~
That the undersigned (has) (have) filed, o~ caused to be filed, an applica-
tion in the Southold Tox~ 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 ail 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
lations of the laws, ordinances, rules or regulations of the Town of Southold,
- ' (sign~fur e)
(print name)
(signature)
(print name)