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
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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
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S-focichDE ,00 0
5.790 05
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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
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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