HomeMy WebLinkAboutZ-19856FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19856
Date APRIL 16r 1991
THIS CERTIFIES that the building.
Location of Property 410 FOUNDERS PATH
House No.
County Tax Map No. 1000 Section 64
ONE FAMILY DWELLING
SOUTHOLD ~ N.Y.
Street
Block 2
Lot 22
Hamlet
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-19856 dated APRIL 16r 1991
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 ACCESSORY GARAGE *
The certificate is issued to DORIS SKREZEC~ UNDER LW&T OF CELINA SMITH
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*pLRASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
' ~/~uil~g Inspector
Location
BUTt n r-,,~_
.... i.~ DEPJ~RT:-LE?iT
T0'.'~! OF SOUTHOLD, N. Y.
HOUSIJG CODE IHSPECTION REPORT
410 FOUNDERS PATH
SOUTHOLD, N.Y.
(numoer ~ streeT)
Subdivision M/O FOUNDERS ESTATES
~/ap No. 834 Lot(s) 21-23
Nmme of Owner(s) DORIS SKREZEC, OWNER UNDER THE LW&T OF CELINA SMITH
OWNER
Occupancy ONE FAMILY DWELLING
(type)
Ad~,~itted by: DAWN DOROSKI
Key ~vailabl e
Source of request DORIS SKREZEC,
( own er- c enan~ )
Accompanied by: DA~ DOROSK~
Suffolk Co. Ta~< No. 64-2-22
Date 4/4/91
Type of construction
Foundation NASONERY
Total rooms, 1st. F1
Bathroom(s) 2
Porch, ~MPe
BreezewaL
Type Heat OIL
Fireplace(s) !
Domestic hotwater
Other
#stories
Cellar xx Crawl space
2nd. F1 3rd. F1
Toilet room(s)
Deck, type
Garage
Warm Air
No. ~its
i-i/2
Patio, type__
Utility room
.Hotwater xx
Airconditioning
Type heater
ACCESSORY STRUCTURES:
Garage, type const. F~ME Storage, type const.
Swim~ing pool Guest, type const.
Other Garage has an attached roof over a patio.
VIOLATIOMS:
Location
.CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Description I Art. I Sec.
Remarks
Date-of Insp. April 15, 1991
· Time start 9:30 end 10:00
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING..x....VACANT LAND ........
Location of Property ......... F.o.u.n.de.r.s..P.a.~h.: .Sp.ut.h.o.l.dl New York
HOUSE NO. STREET HAMLET
Doris Skregic, as owner under the Last Will and
Owner or Owners of Property...T.e.s~.am.e.n.t. Df..C.e-l.in.a..S.m-it.h. .........................
County Tax Hap No. 1000 Section ..~z~.. Block . ~ ..... Lot .... ~...
'~ubdivision. Map of Founders Estates Filed Map834 .Lot .21~Z3.
Permit No ........... Date of Permit .......... Applicant ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ..... ~ ..........
Fee Submitted: $ .... ~q~'P? ...........
Doris Skregic, as divisee under the
Will of Celina Smith
rev. 10/14/88
,t,I .--.-.- 0'00I
O'OSI
CONSENT TO INSPECTION
Doris Skregic, asdiviseeunder the Lamt W~11 m,H T-=~-m-nt, the undersigned, do(es) hereby
Owner(s) Name(s)' of Celina Smith
state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at Pounders Path, Southold, New York
Which is shown and designated on the Suffolk County tax map as District 1000,
Section 64 , Block ~ , Lot ??
That the undersigned~'(h'ag) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Certificate of OccuDancv for a pre-exist~n
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 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:
April 4, 1991
Doris Skregic, as divisee
under the Last Will and Testament of
Print name Celina Smith
Signature
Print name
PLEASE CONTACT DAWN DOROSKI at 477-0207 for access.