HomeMy WebLinkAboutZ-21182FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No
Z-21182 Date NOVEMBER 25~ 1992
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1355 BAY HONE ROAD
House No. Street
County Tax Map No. 1000 Section 56 Block 5
Filed Map No.
Subdivision
SOUTHOLD~ N.Y.
Hamlet
Lot 36
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-21182 dated NOVEMBER 25~ 1992
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 DW~LLING *
The certificate is issued to BARBARA SELZ
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-254891 - OCT. 27~ 1992
PLUMBERS CERTIFICATION DATED N/A
*PLV. ASE SEE ATTACHED INSPECTION REPORT.
NOTE: THIS UPDATES PRE CO Z-21101 DATED OCTOBER 22, 1992
' / ~ ~lding InspeCtor
Rev. 1/81
Location
BUILDIi.:G
TO','~,I OF SOUTHOLD, N. ¥.
HOUSI~G CODE IUSPECTION REPORT
1355 BAY HOME ROAD SoUTHOLD, NEWYORK
~numoor m snree~)
Subdivision
~4ap Mo.
~i,iunzclpailny;
Lot(s)
Nmme of Owner(a)
BARBARA A. SELZ
ONE FAMILY
Occupancy
(hype)
A~mitted by:
Accompanied by:
56-5-36
Key available
Source of request
Suffolk Co.
SAMUELS & STEELMAN '
Tax No.
Date
NOV. 24, ! 99
D',',nELL ING:
Type of construction
Foundation POURED CONCRETE
Total rooms, 1st. F1
Bathroom( s ) 2
Porch, t~pe. OPEN ~0oo
Breezeway.
Ty~_e Heat L&P ELECTRIC
Fireplace(s) I
Domestic hotwater
Other
WOOD FRAME
#stories
Cellar PARTIAL Crawl space
2nd. F1 3 5rd. F1
Toilet room(s) I
Deck, ~y-pe
Garage
'~arm Air SPACE
No. ~cits 2
Patio, type__
Utility room
.Hotwater
Airconditioning
Type heater L. PROPANE
2
10%
ACCESSORY STRUCTU~ES: wOOu FRAME
Garage, type const. Storage, type const.
Swim. ming pool Guest, type const.
Other ACCESSORY WOOD DECK (DETACMED) BP #4341Z-COZ3656, BP ~7574Z CO Z6474
VIOLATIOMS:
.CItAPTER 45--N.Y. STATE UNIFORM FIRE PILEVENTION & BUILDING CODE
Lncation Descriotion I-~r~-'.'l Sec.
DWELLING
INTERIOR 2 SMOKE DETECTORS INSTALLED i' [
RELIEF VALVE EXTENSION INSTALLED I
ELECTRIC DEFECTS CORRECTED t
N.Y. BOARD OF FIRE UNDERWRITERS CERT. ~N-25489] -t
EXTERIOR SOME REPAIRS MADE TO PORCH I
PORCRES REQUIRED TO BE MAINTAINED IN SAFE ~ i
SOUI~ CONBITION
GARAGE
t1242..5 (c)
ZBA. FIRE RATED SEPARATION REQUIRED BETWEEN 12 0. !
GARAGE & SLEEPING AREA.
Remarks: OPEN BUILDING PERMIT #21038Z dated 10/22/92 FOR ALTERATIONS & REPAIRS,
Inapected by. ate of 5nsp._ ocr. 1, & NOV. 26, 1992
T~O~. FISHER Time start , .end
TOMN OF SOUTIIOLD
BUILDING DEPART}lENT
TOWN HALL
SOUTIIOLD· NE~/ YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
House NO. STREET HAMLET
O~ner or Owners of Property
co.nt~ Ta. ,ap No. 1000 Seetlo. ?.5.~. ~,Oe~ ...~-... Lot' .~ ....
Subdivision ....................... Filed Map ........ Lot ..........
Permit No ........... Date of Permit .......... Applicant ...................
Health Dept:-Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted:
er. 10/14/88
Co ~ 21}f;~
CONSENT TO INSPECTION
Mateo Lettunich , the undersigned, do(es) hereby
Owne~(s) Name(s)
state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 1355 Bay Home Road, $outhold, New York
Which is shown and designated on the Suffolk County tax map as District 1000,
Section 056.00 , Block 05.00 , Lot 036.000
That the undersigned (~s) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
(~~x~x~~xx letter of pre-existing use
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 inspec-
tions 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 ~_he 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: Setptember 30, 1992 ~////'///
William Wickham, attorney for Mateo Lettunich
Print name
Signature
Print name
PLEASE CONTACT ELLEN CROPPER AT MARION KING KEALTYFOR ACCESS
?34-565?
C),
/