HomeMy WebLinkAboutZ-17590FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. 17590 Date ....December 12 1988
THIS CERTIFIES that the building ......... ONE FAMILY DWELLING
...................................
Location of Property .....805 ISLAND VIEW LANE GREENPORT
Street House No. Street Hamlet
County Tax Map No. 1000 Section ......Block .... ..... , ...Lot .. 023
Subdivision ...............................Filed Map No. ........Lot No. .............
REQUIREMENTS FOR A PRIVATE ONE -FAMILY DWELLING BUILT PRIO
conforms substantially to the tX � HMMW t �Ytjtj
TO APRIL 9, 1957 CERTIFICATE OF OCCUPANCY
pursuant to which IK'%iU91Y&) ii No. . , ,Z 1 7590
dated .. DECEMBER 1 2 2..1.988 .. 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.
........................................................................
The certificate is issued to . , JERRILYN E . AND CAROLE L. STEMMLER
.....................
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval ...... N /A
................................
UNDERWRITERS CERTIFICATE NO............ N /A
PLUMBERS CERTIFICATION DATED: N/A
Building Inspector
Rev. 1/81
BUILDI-:G DEP:�PTiLZI
TO'rlid OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 805 ISLAND VIEW LANE GREENPORT
(number & street i�iunicipaiity)
Subdivision Map No. Lot(s)
Name of Owners)
JERRILYN STEMMLER & ANO.
Occupancy A-1
(type) owner -tenant)
Admitted by: JOAN TYRER Accompanied by: SAME
Key available.
Source of request
D?=LING:
Suffolk Co. Tax No. 57-2-23
CAROLE L. STEMMLER
Date OCT. 21, 1988
Type of construction WOOD FRAME r-Ustories 1
Foundation CEMENT BLOCK Cellar Crawl space xx
Total rooms, lst. F1 4 2nd. F1 -- 3rd. Fl --
Bathroom(s) one Toilet room(s) --
Porch, type -- Deck, type Patio, type on grade decl
Breezeway -- Garage -- Utility room
Type Heat ELEC & GAS Warm Air GAS HOT AIR Hotwater
Fireplace(s) NONE No. axits 1 Airconditioning No
Domestic hotwater ELEC. Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
Remarks: HOUSE IN GOOD REPAIR
Inspected by:
GARY 'FISH
;4 Date of Insp. 11/3/ 88
Time start 10:00
ntion
end 10:15 a.m.
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 — 1802
APPLICATION FOR CERTIFICATE OF OCCUP
Instructions
A. This application must be filled in typewriter OR ink, and submitted =sir to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal—(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory ,$ 10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $100.00
3. Copy of certificate of occupancy $ 5.00 , over 5 years $ 10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ..........................
NewConstruction.,,,,,Old orPre-existing Building ..!!........ Vacant Land ........
Location of Property ... �4llCd...V. Yew..Latelp j.... ...............
House No. Street Ham/et
Owner or Owners of Property .........
County Tax Map No. 1000 Section ... P�5.7...... Block ..Qa%......... Lot.. q�3.........
Subdivision .................................Filed Map No. ..........Lot No. .............
PermitNo. .......... Date of Permit ..........Applicant ..................................
Health Dept. Approval ........................Labor Dept. Approval ........................
Underwriters Approval ........................Planning Board Approval ......................
Request for Temporary Certificate .....................Final Certificate . _1�...............
2`.
Fee Submitted $ ........... .� . .
Construction on above described building and permit meets all applicable codes and regulations.
Applicant
Rev. 10-10-78
CONSENT
TO
INSPECTION
Cis 20 L E L. STi M ML672 , the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located
at ft fisq" (f ► P.tnl La pie
:et2 4:20 l -,vh;ch is shown and designated on the S,+ffnit
County tax map as District 1000, Section S 7 Block o2 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: Orl- a
(signa u e)
CAR 6L6 Ld S�MML—Er2
(print name)
(signature)
(print name)
VIEW LA, N E.
16 1uGHT
5.35 40 30 E. ioo,o
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19 1-0 OF :/:EF.NE,2
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SuAZh,MTEEC TO TICQ2 TITLE GUARANTEE Co.
OCT. 25 �988
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BUILDIING DEPARTi111:':iT
TOt•l,\t OF SOUTHOLD, N. Y.
HOUSING CODE INS//PECTION REPORT
Location
�numoer & street iiunic aiity)
Subdivision IMap No. Lot(s)
Nam e of Owner(s) y-
Occupancy -
ttYPe owner -tenant).
Acs �i .gad by: :+_ Acs_,bmpanied by:_
•• Key available ' Suffolk Co. Tax No.
Source of request to D
. a .ct•�/ /91��
DVE-LLING :
Type of construction rs-tories /
Foundation V ellar_Crawl spac �
Total rooms, 1st. F1 2nd. F1 3rd. Fl
Bathroom(s) Toilet room(s)
Porch, type Deck type —Patio, t e
Breezeway Garage room
Type HeatE -Utility
Warm Air � Hotwater
Fireplace(s) No. Exits / Airconditionin9__1A,/a_
Domestic hotwat er _4dL�' Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const.
Storage, type const.
Swimming pool Guest, type const.
Other �...._..
VIOLATIONS: Housing Code, Chapter 52
Remarks • �A o ice. a -z"
Inspected by:
Date of Insp.
Time start O.' eL,)