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HomeMy WebLinkAboutZ-18173FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-18173 Date JULY 7. 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 585 PACIFIC STREET MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 141 Block 04 Lot 13 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-18173 dated JULY 7, 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 2 CAR GARAGE & ACCESSORY METAL SHED* The certificate is issued to FRIEDA ROLFES (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 *PLEASE SEE ATTACHED INSPECTION REPORT. ca.c Building Inspector Rev. 1/81 -- _ - BUILDIING DEP.,�P T iE T TO,•l,\1 OF SOUTH OLD, N. Y. HOUSIM CODE Ii•iSPECTION REPORT Locution 585 PACIFIC STREET MA TITUCK, N.Y. �numoer & street) Piunicipaiity) Subdivision Malo No. Lot(s) Name of Owner(s) FRIEDA ROLFES Occupancy R-40 RES. OWNER (type) (owner -wan u ) c�c. n 'u.i�; .:- BOB CELIC - _+��z by: ..__.,� ..,. --Acccimp :Hied by: SANE Key available I ' Suffolk Co. Tax No. 141-04-13 Source of request SUSAN POST ROGERS' Date June 29, 1989 DjT-LLING: Type of construction WOOD FRAME a tories 2 Foundatibn POURED CONCRETE Cellar �'L Crawl space Total rooms, lst. F1 3 2nd. F1 4 3rd. Fl -- Bathroom(s) 1 Toilet room(s) 2 Porch, type Deck, type Patio, type Breezeway Garage 2 car Utility room Type Heat LILCO GAS Warm Air xx Hotwater STEAM Fireplace (s) ONE No. Fxits 3 Aircondi tioning_ Domestic hotwater LILCO GAS Type heater Other ACCESSORY STRUCTURE'S: Garage, type const. Storage, type const. METAL &Iimming pool Guest, type const. Other VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remarks: HOUSE IN*GOOD CONDITION. Inspected by: f Y6� July 6, 1989 Date of Insp. y GA@Y J. FISH Time start 9:50 end 10:15 Building InslZector SOUTHOLD, NEW YORK 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE.. .� .� .. NEW CONSTRUCTION .......OLD OR PRE—E ISTING BUILDING.J... VACANT LAND........ Location of Property.... J.......f L _ 4(A .......... .. HOUSE NO. pTREE HAMLET Owner or Owners of Property...... r�?^� .................... L11 ILI County Tax Map No. 1000 Section /.[./. Block ... Lot ..L.._. Subdivision ....................... Filed Map � ........ Lot ...........�/�� J Permit No. ..........Date of Permit ..........Applicant' ..�.�!:::.'--/•... Health Dept. Approval .................. Underwriters Approval.............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ..2 :............ Fee Submitted: $.../.. V. APPLICANTi C ....... ��� / i rev. 10/14/88 �� ;� �j — 7Z�A- � CONSENT TO INSPECTION CI Owner(s) Name( do(es) hereby state: the u ersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at which is shown and designated on the Suffolk County tax map as District 1000, Section / q( Block Lot (-3 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: (signature) sus, fy PCs --F lZ06&'A y (print name) i N / o / F GRtFFIN'S CORNER REAtJy N.830 52' ooll E. isTv.VACTOlty SL06 -- ---- T —comc- IL mow 0 0044C 0014. w"coft. 10's. \jii4g N.Y. S. LIC. NO. 49668 1PECatkC SURVVORS I P.0 ( 516 ) 765 - 5020 P.O. BOX 909 MAIN ROAD SOUTHOLD N.Y. 11971 N /o/ F ,jLjSTI(NA G. SL -AGA a GRIFFIN MARTIN L. 284-00 -4 I ON PROW'" CONC. CHAIN LINE LINK FENCEON 50 2 F' -OOP t 6 BALCONY ADS 70 1 METAL 2 STY' 06 SOEO STE.PS 46' FR.HSE W/G'AR C cotic 6 LOA o.6, O 6 di OCIF. S-focichDE ,00 0 5.790 05 WILcESSK1 EDyjAR0 AREA z 35 9 525 SQ.FT 0 2 -n 0 Ix I til ctiplill -%141L 0. G.S. 262-66 0 fell t /0/ F FRTVAA WjL_cEN SKI a a _ LEGION .0 �A co##C - M014 ROAD 0 CERTIFIED TO; PECONIC ABSTRACT INC. SOUTHOLD SAVINGS BANK JOSEPH C. CIAMARICONE JANET F. C(AMARICONE in circordcnce wifll is r f or surv,S-,,, Q-16 approved culd as pteJ `car scc:h York State Lanj use y The Now Tilia Association. SURVEYOF PROPERTY AT MATTI TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY N.Y. 1000 141 - 04 13 SCALE I It z 40' JUNE 20, 1989 89 - 288 NO I 0 7 0 0-. c - U*) O -4 % 0 0 0 %p 0 0044C 0014. w"coft. 10's. \jii4g N.Y. S. LIC. NO. 49668 1PECatkC SURVVORS I P.0 ( 516 ) 765 - 5020 P.O. BOX 909 MAIN ROAD SOUTHOLD N.Y. 11971 N /o/ F ,jLjSTI(NA G. SL -AGA a GRIFFIN MARTIN L. 284-00 -4 I ON PROW'" CONC. CHAIN LINE LINK FENCEON 50 2 F' -OOP t 6 BALCONY ADS 70 1 METAL 2 STY' 06 SOEO STE.PS 46' FR.HSE W/G'AR C cotic 6 LOA o.6, O 6 di OCIF. S-focichDE ,00 0 5.790 05 WILcESSK1 EDyjAR0 AREA z 35 9 525 SQ.FT 0 2 -n 0 Ix I til ctiplill -%141L 0. G.S. 262-66 0 fell t /0/ F FRTVAA WjL_cEN SKI a a _ LEGION .0 �A co##C - M014 ROAD 0 CERTIFIED TO; PECONIC ABSTRACT INC. SOUTHOLD SAVINGS BANK JOSEPH C. CIAMARICONE JANET F. C(AMARICONE in circordcnce wifll is r f or surv,S-,,, Q-16 approved culd as pteJ `car scc:h York State Lanj use y The Now Tilia Association. SURVEYOF PROPERTY AT MATTI TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY N.Y. 1000 141 - 04 13 SCALE I It z 40' JUNE 20, 1989 89 - 288