HomeMy WebLinkAboutZ-19041No Z-19041
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date MAY 11, 1990
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 380 OLD SHIPYARD ROAD SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 64 Block 2 Lot 48
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-19041 dated MAY 11, 1990
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 ATTACHED GARAGE *
The certificate is issued to LEWIS M. SHANKS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING
CERTIFICATE NO. NO RECORD PRE EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
Bu #aing
Inspector
Rev. 1/81
BUILDIPIG DEP!-RTI•IENT
TOWN OF SOUTHOLD, N. Y.
HOUSIk,G CODE INSPECTION REPORT
Location 380 OLD SHIPYARD RD. SOUTHOLD, N.Y.
�numoer & street Municipaiity)
Subdivision Mao No. Lots)
Name of Owner(s) LEWIS M. SHANKS
Occupancy
(type) owner -tenant
Admitted by: CARL AUSTIN Accompanied by: SAME
Key available Suffolk Co. Tax No. 1000-64-2-48
Source of request WILLIAM H. PRICE, JR. Date MAY 2, 1990
DWELLING
Type of construction WOOD FRAME #stories ONE
Foundation CANT BLOCK Cellar FULL Crawl space
Total rooms, 1st. F1 6 2nd. F1 3rd. F1
Bathroom(s) 2 Toilet room(s)
FRONT ENcwsMorch, type REAR ENCLOSED Deck, type Patio, type REAR CEMENT
Breezeway Garage ONE CAR Utility room
Type Heat OIL •alarm Air Hotwater %4
Fireplace(s) ONE No. Exits ;2, Airconditioning
Domestic hotwater OFF BOILER Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const._
Swimming pool
Other
VIOLATIONS:
Storage, type const.
Guest, type const._
CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Remarks • B.P. #19007-Z CO Z-19040 for ACCESSORY STORAGE SHED.
Inspected by: Date of Insp. May 4, 1990
GARY J. FISH Time start end
U
M
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
WY...
1197 TO`'
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATEMay.9,.1999......
NEW CONSTRUCTION .......OLD OR PRE-EXISTING BUILDING."...VACANT LAND........
no Old Shipyard Road Southold
Location of Property.... .............................
HOUSE NO. STREET HAMLET
Owner or Owners of Property.. Lewis M.. Shanks_
48
County Tax Map No. 1000 Section ..64.. Block . ? .... Lot .........
Subdivision ....................... Filed Map ........Lot..........
o
Permit No. ..........Date of Permit ..........Applicant ...................
Health Dept. Approval .................. Underwriters Approval.....,........
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate................
Fee Submitted: 199:90 ...........
APPLICANT............ �
.. .............
William H. Price, Jr.
rev. 10/14/88
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/5000
LOT 76
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FOU/VOERS
ESTATES
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CONSENT
t MAY - 2
TO
INSPECTION
Lewis: M. Shanks
, the undersigned,
Wtx Names)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at Old Shipyard Road
Southold, NY , which is shown and designated on the Suffolk
County tax map as District 1000, Section 64 , Block 2 , Lot 48
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:
Pre Existing Certificate of Occupancy
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: May 2, 1990
(sign k`urej
William H. Price, Jr., Esq.
(print name) Agent
._ (signature)
(print name)
BUILDIi,;G DEPARTL.IENT
T0.•lN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
number & street) (Municipality)
Subdivision clap No. Lot(s)
Name of Owner(s)
Occupancy
Admitted by:
Key available
Suffolk Co. Tax No.
Source of request Date
DT;IELLING
Type of co struction #stories
Foundatio Cellar Crawl space
Total rooms, 17st. F1 2nd. Fl 3rd. Fl
Bathroom(s) oZ Toilet room(s)
k�rch, type Deck, type Patio, type a�,_,�
treezewayGarage 'ILA. — Utility room
Type Heat _ 'alarm Air Hotwater Q�
Fireplace(s) No. E;{-ts Airconditioning
Domestic hotwater - Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const..
Swimming pool Guest, type const.
Other
VIOLATIONS:- CHAPTER. 45—N.Y. STATE- UNIFORM FIRE PREVENTION & BUILDING CODE -
Remarks:
Inspected byDate of Insp.
Time start end